scholarly journals The role of impacted third molar angulation on the anterior crowding

2021 ◽  
Vol 11 ◽  
pp. 56-61
Author(s):  
Gökçenur Gökçe ◽  
Burçin Akan ◽  
Ilknur Veli
Keyword(s):  
Contact Point ◽  
Third Molar ◽  
Occlusal Plane ◽  
Third Molars ◽  
Second Molar ◽  
Anterior Crowding ◽  
The Third ◽  
Irregularity Index ◽  
3D Digital Models

Objectives: The aim of this study was to assess the role of impacted third molar angulation on the severity of anterior crowding. Materials and Methods: Panoramic radiographs and three-dimensional (3D) digital models of 45 patients satisfying the following inclusion criteria were selected for this study. To calculate the irregularity index of Little, the sum of the contact point displacements from the anatomical contact point to the contact point among the lower canine teeth was measured on 3D digital models. Little’s irregularity index was used to classify patients as having mild, moderate, or severe crowding. For intragroup variance, comparisons T test was used. The Spearman single rank correlation coefficients were used to analyze any correlation among degree of crowding and (a) third molar inclination to base of mandible, (b) third molar inclination to occlusal plane, and (c) third molar inclination to second molar inclination respectively. Results: There were no statistical differences found in all tested parameters (i.e., third molar inclination to mandibular plane, inclination of the third molars to occlusal plane, and inclination of the third molars to second molars) among three groups (P > 0.005). Conclusion: It can be deduced that no relationship obtains among the third molar inclination to base of mandible, third molar inclination to occlusal plane, third molar inclination to second molar inclination, and the level of anterior crowding.

scholarly journals X-RAY ANALYSIS OF THE POSITION OF THE RUDIMENTS OF ABNORMALLY LOCATED LOWER THIRD MOLARS DURING THEIR FORMATION AND GROWTH

2020 ◽  
Vol 16 (1) ◽  
pp. 108-113
Author(s):  
Marina Morozova ◽  
Svetlana Dem'yanenko ◽  
Natalia Marchenka ◽  
Vyacheslav Kirichenko ◽  
Ekaterina Romanova ◽  
...  
Keyword(s):  
Negative Impact ◽  
Third Molar ◽  
Occlusal Plane ◽  
Optimal Timing ◽  
Third Molars ◽  
Measuring Device ◽  
X Ray ◽  
Second Molar ◽  
The Third ◽  
Negative Effect

Subject. The issues of indications, contraindications and the optimal timing for the removal of abnormally located lower third molars remain relevant in dentistry. Numerous evidence has been accumulated of their negative impact on the formation of the dentofacial system, however, X-ray patterns of patients with this pathology in the process of their formation, development and change in the angle of inclination, as well as the growing problems associated with the growth of these teeth in the dentition and bite have not been studied. The goal is to study the dynamics of the position of the rudiments of the abnormally located lower third molars in the process of their formation and growth and their influence on the state of the dentofacial system as a whole. Methodology. The study involved 28 patients with abnormally located impressive lower third molars, which were divided into 3 groups: in the first (8 people), the second molars were at the teething and growth stage, in the second (12 people) the second molar was in the occlusal plane at the stage closed apex, in the third (8 people) there was a multiple abnormal position of the mesially located teeth from the third molar. All measurements were performed using a virtual measuring device in the image mode of slices with Galileos Viewer software. Results. According to our results, a significant scatter was recorded in the timing of the formation of third molars from the period of mineralization of the crown of the teeth (12―15 years) to the end of growth and root formation (18―23 years). After 23 years, the roots of the abnormally located lower third molars in the patients examined by us had radiological signs of the end of formation (closed apex). Conclusion. Impact lower third molars continue their growth and have a negative effect on the condition of the teeth located mesial. This fact does not depend on concomitant orthodontic pathology, nor on the methods of orthodontic treatment (removable or non-removable equipment).

scholarly journals Assessment of role of mandibular third molar in lower anterior crowding among orthodontic patients of Kathmandu Nepal

2020 ◽  
Vol 10 (3) ◽  
pp. 21-26
Author(s):  
Bashu Dev Pant ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Manju Bajracharya ◽  
Surendra Maharjan ◽  
...  
Keyword(s):  
Third Molar ◽  
Cross Sectional Study ◽  
Third Molars ◽  
Chi Square ◽  
Cross Sectional ◽  
Anterior Crowding ◽  
Mandibular Third Molar ◽  
Significant Difference ◽  
Orthodontic Patients

Introduction: Crowding in mandibular arch increases with increasing age and etiology of crowding is multifactorial in nature. Role of mandibular third molar in lower anterior crowding remains a topic of controvery over a period of century. The objective of this study was to assess whether there is any correlation between presence of mandibular third molar position and lower anterior crowding. Materials and Method: On the basis of third molar position one hundred and six sample of pretreatment orthodontic patients aged between 17 to 38 years were divided into erupted, erupting and agenesis group. The study was conducted in Peoples Dental College and Hospital from January 2020 to March 2020 after obtaining ethical approval from the institutional review committee. This cross-sectional study was done on dental casts and orthopantomogram; brass wire was used for measuring arch length and digital vernier caliper for measuring tooth material with modified segmental arch analysis method. Result: Among 106 samples collected 55 (51.88%) were female and 51(48.11%) were male and the mean age was 21.53 ± 3.91 years, Chi square and ANOVA test was used for Statistical analysis. This study showed no statistically significant differences between third molar position and lower anterior crowding on right (P= 0.68) and left side (P = 0.45). The study also showed that association between the third molar position and lower anterior crowding is more on left side compared to right side. Conclusion: Mandibular third molars have not statistically significant difference in lower anterior crowding so, extraction of third molars for relieving the anterior crowding is not justifiable

scholarly journals Presence and Maturation Dynamics of Mandibular Third Molars and Their Influence on Late Mandibular Incisor Crowding: Longitudinal Study

2021 ◽  
Author(s):  
Martina Žigante ◽  
Andrej Pavlic ◽  
Luka Morelato ◽  
Vaska Vandevska-Radunovic ◽  
Stjepan Spalj
Keyword(s):  
Third Molar ◽  
Third Molars ◽  
Mandibular Incisor ◽  
Dental Maturation ◽  
The Third ◽  
Irregularity Index ◽  
Mandibular Third Molar ◽  
Mandibular Third Molars ◽  
Dental Plaster ◽  
The Relationship

Abstract OBJECTIVE: To investigate the relationship between the presence and dynamics of mandibular third molar development and the occurrence and amount of late mandibular incisor crowding. MATERIALS AND METHODS: Dental plaster casts and panoramic radiographs of 72 orthodontically untreated subjects from the Nittedal growth study, Norway were analysed. The subjects were recalled for check-up at 12, 15, 18 and 21 years of age. Mandibular incisor crowding was assessed using the Little’s irregularity index and dental maturation of the third molars by the Cameriere’s index.RESULTS: The majority of the subjects (64%) had ≥1mm increase in irregularity; 22% experienced increase of 0.1-0.9mm and 14% had unchanged or decreased irregularity. Incisor irregularity increased with age, regardless of absence or presence of third molars. The amount of change in incisor irregularity from 12 to 21 years did not differ significantly between subjects with hypodontia of third molars, extraction and those with third molars present. No differences were observed between erupted, unerupted or impacted third molars. No correlation was found between the amount of change in irregularity and maturation of the third molars.CONCLUSIONS: Occurrence and amount of mandibular late incisor crowding is not significantly influenced by presence or development dynamics of mandibular third molars.

scholarly journals Factors associated with spontaneous mesialization of impacted mandibular third molars after second molar protraction

2019 ◽  
Vol 90 (2) ◽  
pp. 181-186
Author(s):  
Un-Bong Baik ◽  
Jin Hye Kang ◽  
Ui-Lyong Lee ◽  
Nikhilesh R Vaid ◽  
Yoon-Ji Kim ◽  
...  
Keyword(s):  
Third Molar ◽  
Regression Analyses ◽  
Third Molars ◽  
Second Molar ◽  
Factors Associated ◽  
The Third ◽  
Mandibular Second Molar ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Mandibular First Molar

ABSTRACT Objectives: To investigate factors associated with spontaneous mesialization of impacted third molars after second molar protraction to close the space caused by a missing mandibular first molar (L-6) or retained deciduous mandibular second molars with a missing succedaneous premolar (L-E). Materials and Methods: Panoramic radiographs of patients treated with mandibular second molar protraction to close the space due to missing L-6 or L-E (14 males, 36 females, mean age = 18.6 ± 4.4 years) were analyzed before treatment (T1) and after second molar protraction (T2). Factors associated with the amount of third molar mesialization were investigated using regression analyses. Results: Mandibular second molars were protracted by 5.1 ± 2.1 mm and 5.8 ± 2.7 mm, measured at the crown and root furcation, respectively. After second molar protraction, third molars showed spontaneous mesialization by 4.3 ± 1.6 mm and 3.8 ± 2.6 mm, measured at the crown and root furcation, respectively. Nolla's stage of the third molar at T1 (B = 0.20, P = .026) and second molar protraction time (B = 0.04, P = .042) were significantly associated with the amount of third molar mesialization. Conclusions: Greater third molar mesialization was observed when Nolla's stage of the third molar was higher before treatment and when the second molar protraction time was longer.

Evaluation of Mandibular Third Molar Region in a Turkish Population Using Cone-Beam Computed Tomography

2020 ◽  
Vol 16 (9) ◽  
pp. 1105-1110
Author(s):  
Büyük Kaan Orhan ◽  
Dilek Yılmaz ◽  
Mehmet Ozgur Ozemre ◽  
Kıvanç Kamburoğlu ◽  
Orhan Gulen ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Third Molar ◽  
Mandibular Canal ◽  
Third Molars ◽  
Second Molar ◽  
The Third ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
The Relationship ◽  
Molar Region

Objectives: To evaluate impacted mandibular third molar tooth region and obtain linear measurements using CBCT images and to assess the relationship between the impacted third molar and the mandibular canal. Methods: CBCT scans of 351 patients (208 females, 143 males) were assessed. Age, gender, and impaction site were recorded for each patient. The relationship of third molars with the vertical axis of second molars, 2nd molar resorption and the relationship between third molar apices and the mandibular canal were assessed. In addition, the distance between ramus and second molar, mesiodistal width of the third molar, the angle between third molar and second molar, and width of the third molar capsule were measured. Binary Logistic Regression, Chi-Square Test, and General Linear Model were used for statistical analysis. Results: The highest percentage of impaction was found for mesioangular followed by transversal and vertical. The transversal impacted third molars revealed a significant association with adjacent second molar root resorption (p<0.001). There was a statistical significance between the second molar resorption and distance between ramus and second molar (p<0.001). The mesioangular impacted third molars revealed significant relation with the mandibular canal (p<0.05). The most frequent variation found was the dental canal followed by the retromolar canal. In general, higher measurement values were obtained for men when compared to women (p<0.05). Conclusion: CBCT assessment of the third molar region provided useful information regarding impacted mandibular third molar surgery operations.

scholarly journals Taking advantage of an unerupted third molar: a case report

2017 ◽  
Vol 22 (4) ◽  
pp. 97-101 ◽  
Author(s):  
Igor Figueiredo Pereira ◽  
Fernando Zander Mucci Santiago ◽  
Augusto Cesar Sette-Dias ◽  
Vladimir Reimar Augusto de Souza Noronha
Keyword(s):  
Root Resorption ◽  
Third Molar ◽  
Dental Arch ◽  
Third Molars ◽  
Supernumerary Tooth ◽  
Proper Position ◽  
Dental Surgery ◽  
Second Molar ◽  
The Third ◽  
Permanent Molar

ABSTRACT Introduction: Treatments with dental surgery seek to displace tooth to the correct position within the dental arch. Objective: To report a clinical case that took advantage of an unerupted third molar. Case history: A male patient, 18 years of age, was referred by his dentist to evaluate the third molars. The clinical exam revealed no visible lower third molars. The computed tomography (CT) exam showed the presence of a supernumerary tooth in the region of the mandibular ramus, on the left side, and impaction of the third molar, which was causing root resorption on the second molar, thus making it impossible to remain in the buccal cavity. The preferred option, therefore, was to remove both second molar and the supernumerary tooth, in addition to attaching a device to the third molar during surgery for further traction. Results: After 12 months, the third molar reached the proper position. Conclusion: When a mandibular second permanent molar shows an atypical root resorption, an impacted third molar can effectively substitute the tooth by using an appropriate orthodontic-surgical approach.

scholarly journals Possibilty of the lower third molar eruption: Radiographic analysis

2006 ◽  
Vol 63 (2) ◽  
pp. 159-162
Author(s):  
Nenad Nedeljkovic ◽  
Zorana Stamenkovic ◽  
Zoran Tatic ◽  
Alek Racic
Keyword(s):  
Third Molar ◽  
Occlusal Plane ◽  
Third Molars ◽  
The Third ◽  
Crown Width ◽  
Significant Difference ◽  
Mutual Relations ◽  
The Right ◽  
B Lines ◽  
Third Molar Eruption

Backgraund/Aim. To assess the possibility of the eruption of the lower third molar on the basis of the measured parameters: retromolar space, mesiodistal crown width of a molar and the third molar angulation. Methods. The investigation included 104 patients both sexes (43 boys, and 61 girls), 16 to 25 years old (meanage, 18 years). It was performed using the orthopanthomographic radiographs analysis of those patients. Each radiograph was covered by tracing paper, and the contoures of the followiny anatomic details were drawn: a) the crown and root contours of third molars, upper and lower central incisors, distal molars in occlusion, anterior edge of ramus mandible, b) lines: 1. the occlusal plane, 2. the line of retromolar space, 3. the mesiodistal crown width of third molar, 4. the axial shaft of the third molar and the distal angle between occlusal plane and the axial shaft of the third molar. The values were measured with an orthodontic caliper: the diameter of retromolar space, diameter of mesiodistal width, the value of distal angle between occlusal plane and axial shaft of molar. Results. A favourable angulation of the lower third molar (more than 60?) was found in, boys (left 27.90%, right 32.55%), girls (left 39.34%, right 37.77%). A favourable relationship between the diameters of mesiodistal width of the third molar and retromolar space was found in, boys, (left 13.59%, right 16.27%), girls, (left 8.19%, right 14.75%). A favorable relationship between the diameters of mesiodistal width of the third molar and the retromolar space and the angulation was found in boys, (left 9.30%, right 11.62%), girls, (left 6.56%, right 9.83%). Conclusion. There was not any statistically significant difference found between the relation of the retromolar value, third molar mesiodistal diameter, or of the third molar angulation to the left and the right side nor of their mutual relations in comparing boys and girls. A favorable prognosis was found in 9.33% of the patients.

scholarly journals Dental caries on distal surface of mandibular second molars

2015 ◽  
Vol 18 (1) ◽  
pp. 51 ◽  
Author(s):  
Hudson Oliveira Silva ◽  
Antonione Santos Bezerra Pinto ◽  
Moara E Silva Conceição Pinto ◽  
Marconi Raphael de Siqueira Rego ◽  
Jamyra Ferreira Gois ◽  
...  
Keyword(s):  
Third Molar ◽  
Dental Radiology ◽  
Third Molars ◽  
Inclusion Criteria ◽  
Panoramic Radiographs ◽  
Second Molar ◽  
The Third ◽  
Mandibular Third Molar ◽  
Distal Surface ◽  
Sliding Scale

<p><strong>Objective: </strong>The aim of the study was to evaluate the frequency of distal caries in the second molar influenced by the angulation of the third molar adjacent on panoramic radiographs in a clinical dental radiology. <strong>Material and</strong><strong> Methods: </strong>A descriptive and quantitative study that examined 750 panoramic radiographs, of this total, 120 were in accordance with the inclusion criteria of the study was conducted.<strong> Results: </strong>157 seconds and third molars analyzed the prevalence of caries in the distal of the second molar was 25.5%. The most prevalent angle position of the third molar was 57.3% with the vertical, but the position with the highest percentage of decayed molar second distal mesioangular was 50% of the cases. The elements listed, males obtained 40% of second molar distal caries versus 17% for females. People aged 35 or older had the highest incidence with 50% distal caries while other bands obtained 16.21% in the group 18-24 years, and 23.52% in 25-34 years. <strong> Conclusion: </strong>It was possible to establish a sliding scale on the indication for prophylactic removal of mandibular third molar according to the angulation of Winter: horizontal, mesioangular, vertical and distoangular. One can also see a greater relevance to the indication of prophylactic removal of male individuals aged over 35 years.</p>

scholarly journals Effects of Extraction and Nonextraction Treatment on Third Molar Angulation

2015 ◽  
Vol 5 (1) ◽  
pp. 17-21
Author(s):  
Ajay Sudhakar Nitturkar ◽  
Sachin Doshi ◽  
Girish Karandikar ◽  
Samay Tahilramani ◽  
Bhavisha Gandhi
Keyword(s):  
Third Molar ◽  
Positive Influence ◽  
Occlusal Plane ◽  
Third Molars ◽  
Premolar Extraction ◽  
The Third ◽  
Significant Difference ◽  
The Mean ◽  
Mandibular Third Molars ◽  
The Right

ABSTRACT Objective To compare the angular changes in the developing third molars in both first premolar extraction and nonextraction cases and to determine if premolar extraction results in greater mesial movement of mandibular buccal segment and also causes favorable rotational changes in the third molar tip, which can improve later eruption of the third molars. Materials and Methods Pretreatment (T1) and post-treatment (T2) panoramic radiographs were obtained 31 subjects were taken who had been treated by extraction of all first premolars and for 21 subjects treated with nonextraction theray. Occlusal plane was used to measure and compare the changes in the angles of the developing maxillary and mandibular third molars. Results The mean uprighting of the third molars seen in the extraction group was 8.7° ± 10.29° and 2.97° ± 11.11° on the right side, and 5.14° ± 9.04° and 2.77° ± 12.10° on the left side following treatment (T2 – T1). For the nonextraction group, the mean difference was – 1.52 ± 6.43 and – 6.430 ± 12.21° on the right side, and – 3.90° ± 7.67° and – 5.7° ± 7.23° on the left side. There was a statistically significant difference between the groups (p < 0.001). Conclusion Premolar extractions had a positive influence on the developing third molar angulations. Nonextraction therapy did not have any adverse effects. How to cite this article Nitturkar AS, Doshi S, Krishnan RV, Karandikar G, Tahilramani S, Gandhi B. Effects of Extraction and Nonextraction Treatment on Third Molar Angulation. J Contemp Dent 2015;5(1):17-21.

scholarly journals Impact of CBCT on treatment decision related to surgical removal of impacted maxillary third molars: does CBCT change the surgical approach?

2019 ◽  
Vol 48 (8) ◽  
pp. 20190209 ◽  
Author(s):  
Louise Hermann ◽  
Ann Wenzel ◽  
Lars Schropp ◽  
Louise Hauge Matzen
Keyword(s):  
Initial Treatment ◽  
Root Resorption ◽  
Treatment Plan ◽  
Third Molar ◽  
Treatment Decision ◽  
Panoramic Image ◽  
Third Molars ◽  
Second Molar ◽  
The Third ◽  
External Root Resorption

Objectives: To assess factors influencing treatment decision for maxillary third molars referred for cone beam CT (CBCT). Parameters influencing the decision to treat and to remove either the maxillary second molar or third molar were pursued. Methods: 111 impacted maxillary third molars, clinically examined including a panoramic image, in 86 patients (mean age 26 years, range 15–55) were referred for CBCT on suspicion of pathology/root resorption in the second molar, based on information in the panoramic image. The following parameters were assessed from the patient’s file, including the radiographic images: (1) third molar angulation; (2) initial treatment plan based on clinical examination and the panoramic image; (3) diagnoses based on information from CBCT; (4) treatment decision after additional CBCT information was available; (5) pre-/post-operative complications; (6) treatment of the maxillary second molar. Results: 70 cases (63.1%) underwent treatment, while 41 (36.9%) received no treatment. Change in treatment plan was registered in 65 cases (58.6%) after CBCT. In 12 cases (10.8%), treatment changed from removal of the third to removal of the second molar, while 25 (22.5%) were scheduled for removal in the initial treatment plan; but after CBCT, the decision was not to treat. If external root resorption involved the pulp of the second molar, there was an almost 17 times higher risk that this tooth was removed instead of the third molar (logistic regression analysis: odds ratio 16.8; p < 0.001). Conclusions: Findings in CBCT often changed the treatment plan. Severe external root resorption observed in CBCT was the main decisive factor for removing the second instead of the third molar.

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