Beruflich Dokumente
Kultur Dokumente
2
MUSLIM KHAN
3
MUHAMMAD ASHFAQ
4
SAIMA MANZOOR
ABSTRACT
Mandibular third molar are the most commonly occurring impacted teeth. The reason for impaction
can be lack of space, decreased skeletal growth and disproportionate crown size. Various symptoms
can be associated with impacted third molars such as, pain, caries, pericoronitis, periodontal problems
and root resorption. A descriptive cross sectional study was carried out on a total of 89 patients and
on 100 mandibular impacted teeth over a period of 12 months. The age range was from 15 to 44 years
mean age 25.7 years SD + 5.79 impacted teeth were more common in males than females. Mesioangular
impaction was the most common angulation of impacted mandibular third molar and class II A was
most common pattern according to Winter’s and Pell and Gregory classification. The most common
presenting complaint was pain and caries of second and third molars followed by periodontal disease
and pericoronitis.
Key Words: Impacted 3rd molar, Pell and Gregory classification, Winter’s angulation, pattern,
pericoronitis.
Pakistan Oral & Dental Journal Vol 37, No. 4 (October-December 2017) 547
Etiology and pattern of impacted mandibular third molars
Pakistan Oral & Dental Journal Vol 37, No. 4 (October-December 2017) 548
Etiology and pattern of impacted mandibular third molars
Pakistan Oral & Dental Journal Vol 37, No. 4 (October-December 2017) 549
Etiology and pattern of impacted mandibular third molars
impaction 37%, horizontal impaction 20.2% with least 2 Bereket C, Çakir-Özkan N, Sener I, Kara I, Aktan AM, Arici N.
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showing most common impaction as mesioangular mandibular third molar impaction in the Indian population: A
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5 Yilmaz S,Adisen MZ, Misirlioglu M, Yorubulut S. Assessment
impaction, is the most common pattern of impaction, of Third Molar Impaction Patternand Associated Clinical
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cidence of impacted mandibular and maxillary third molars: a
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distoangular and horizontal. 53.2% of patients with Patol Oral Cir Bucal. 2013;18 (1):e140-45.
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10 Srivastava N, Shetty A, Goswami RD, Apparaju V, Bagga V,
distal surface of second and mesial surface of third Kale S. Incidence of Distal Caries in Mandibular Second Molars
molar 18.8% followed by pericoronitis (15.2%) and due to Impacted Third Molars: Nonintervention Strategy of
periodontal disease (13%). The findings of our studies Asymptomatic Third Molars Causes Harm? A Retrospective
correlates with the study done in Turkish population, Study.Int J Appl Basic Med Res. 2017; 7(1): 15-19.
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with pain being the most common symptom (39%) inpatients reporting to department of oral and maxillofacial
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was found as the most common complaint followed 12 Quek SL, Tay CK, Tay KH, Toh SL, Lim KC. Pattern of third-
molar impaction in a Singapore Chinese population: a retro-
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third molars which are in proximity and contact with 13 Syed KB, Zaheer KB, Ibrahim M, Bagi MA, Assiri MA. Prev-
the cement-enamel junction of the second molar have alenceof Impacted Molar Teeth among Saudi Population in
AsirRegion, Saudi Arabia - A Retrospective Study of 3 Years.
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CONCLUSION AND RECOMMENDATIONS tientsattending AIMST Dental Institute, Malaysia Dent Res J
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Impacted mandibular third molars are found more 15 Amanat N, Mirza D, Rizvi KF. Pattern of third molar impaction:
commonly in males than females with the second and frequency and types among patients attending urban teaching
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16 Alfergani SM, Latif K, Alanazi YM. Pattern of impacted
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being the most common presenting chief complaint of 17 Prajapati V.K., Mitra R, Vinayak K.M. Pattern of mandibular
the patient. Early prophylactic removal of impacted third molar impaction and its association to caries in mandibular
second molar: A clinical variant. Dent Res J (Isfahan). 2017;
mandibular third molar can be a better option to avoid 14(2): 137-42.
the developing of symptoms and to lessen the postop- 18 Oderinu OH, Adeyemo WL, Adeyemi MO, Nwathor O, Adeyemi
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CONTRIBUTIONS BY AUTHORS
1 Sana Wazir: Execution of the study, abstract writing, introduction, methodology, discussion.
2 Muslim Khan: Helped in discussion writing, final proof reading, overall supervision.
3 Ashfaq Wazir: Results and tabulation, conclusions/ recommendation.
4 Saima Manzoor: Helped in data collection and discussion.
Pakistan Oral & Dental Journal Vol 37, No. 4 (October-December 2017) 550