An Assessment of Radiolucencies Associated with Second Molar Adjacent Impacted Third Molar in Left in Comparison to Right Mandible

An assessment of Radiolucencies

Authors

  • Maha Shafique General Dental Practitioner, Lahore, Pakistan
  • Samra Farrukh General Dental Practitioner, Lahore, Pakistan
  • Hafiz Zain Bin Tajamal General Dental Practitioner, Lahore, Pakistan
  • Darab Fatima Babary College of Dentistry, Sharif Medical and Dental College, Lahore, Pakistan
  • Amna Qasim General Dental Practitioner, Lahore, Pakistan
  • Hira Butt College of Dentistry, Sharif Medical and Dental College, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i10.1116

Keywords:

Impacted Third Molar, Second Molar, Periapical Radiolucencies, External Resorption

Abstract

Mandibular third molars are the most prevalently impacted teeth in the oral cavity. These partially impacted teeth in addition to being the root cause of pathologies in the third molar themselves also pose problems for their adjacent second molars. The second molars adjacent impacted third molars lead to the development of various pathologies that manifest themselves as radiolucencies on radiographic evaluation. Objective: To evaluate the radiolucencies of the left mandible's second molar next to the impacted third molar in comparison with right mandible. Methods: A cross-sectional and descriptive study was undertaken on patients visiting College of Dentistry, Sharif Medical and Dental College (SMDC). A total of 385 OPGs were assessed for the presence of radiolucencies in the second molars adjacent impacted mandibular third molars from December 2020 to February 2021. Results: The association between the availability of periapical radiolucencies (p≤0.001) and radiolucencies due to caries and external resorption in second molar in the right and left mandible (p≤0.001) was significant. Conclusion: It was seen that majority of the cases with periapical radiolucency in the right mandible also had them left mandible as well but most of the cases with caries and external resorption in the right mandible did not have them in left mandible as well.

References

Wheeler RC. Dental anatomy, physiology, and occlusion 1974. Last cited 3rd Nov 2023. Available at: https://shop.elsevier.com/books/wheelers-dental-anatomy-physiology-and-occlusion/nelson/978-0-323-63878-4.

Kaczor-Urbanowicz K, Zadurska M, Czochrowska E. Impacted Teeth: An Interdisciplinary Perspective. Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University. 2016; 25(3): 575-85. doi: 10.17219/acem/37451. DOI: https://doi.org/10.17219/acem/37451

Passi D, Singh G, Dutta S, Srivastava D, Chandra L, Mishra S, et al., Study of pattern and prevalence of mandibular impacted third molar among Delhi-National Capital Region population with newer proposed classification of mandibular impacted third molar: A retrospective study. National Journal of Maxillofacial Surgery. 2019 Jan; 10(1): 59-67. doi: 10.4103/njms.NJMS_70_17. DOI: https://doi.org/10.4103/njms.NJMS_70_17

Obiechina AE, Arotiba JT, Fasola AO. Third molar impaction: evaluation of the symptoms and pattern of impaction of mandibular third molar teeth in Nigerians. Tropical Dental Journal. 2001 Mar: 22-5.

Richardson ME. The etiology and prediction of mandibular third molar impaction. The Angle Orthodontist. 1977 Jul; 47(3):165-72.

Juodzbalys G, Daugela P. Mandibular third molar impaction: review of literature and a proposal of a classification. Journal of oral & maxillofacial research. 2013 Apr; 4(2): 1-12. doi: 10.5037/jomr.2013.4201. DOI: https://doi.org/10.5037/jomr.2013.4201

Björk A, Jensen E, Palling M. Mandibular growth and third molar impaction. Acta odontologica scandinávica. 1956 Jan; 14(3): 231-72. doi: 10.3109/00016355609019762. DOI: https://doi.org/10.3109/00016355609019762

Shapira J, Chaushu S, Becker A. Prevalence of tooth transposition, third molar agenesis, and maxillary canine impaction in individuals with Down syndrome. The Angle Orthodontist. 2000 Aug; 70(4): 290-6.

Carter K, Worthington S. Predictors of third molar impaction: A systematic review and meta-analysis. Journal of Dental Research. 2016 Mar; 95(3): 267-76. doi: 10.1177/0022034515615857. DOI: https://doi.org/10.1177/0022034515615857

Lytle JJ. Etiology and indications for the management of impacted teeth. Northwest Dentistry. 1995 Nov; 74(6): 23-32.

Singh M, Chakrabarty A. Prevalence of impacted teeth: Study of 500 patients. International Journal of Science and Research. 2016; 5(1): 1577-80. doi: 10.21275/v5i1.NOV153143. DOI: https://doi.org/10.21275/v5i1.NOV153143

Sarica İR, Derindağ G, Kurtuldu E, Naralan ME, Çağlayan F. A retrospective study: Do all impacted teeth cause pathology? Nigerian Journal of Clinical Practice. 2019 Apr; 22(4): 527-33. doi: 10.4103/njcp.njcp_563_18. DOI: https://doi.org/10.4103/njcp.njcp_563_18

Al-Khateeb TH, Bataineh AB. Pathology associated with impacted mandibular third molars in a group of Jordanians. Journal of Oral and Maxillofacial Surgery. 2006 Nov; 64(11): 1598-602. doi: 10.1016/j.joms.2005.11.102. DOI: https://doi.org/10.1016/j.joms.2005.11.102

Caymaz MG and Buhara O. Association of oral hygiene and periodontal health with third molar pericoronitis: A cross-sectional study. BioMed Research International. 2021 Feb; 2021: 1-7. doi: 10.1155/2021/6664434. DOI: https://doi.org/10.1155/2021/6664434

Stathopoulos P, Mezitis M, Kappatos C, Titsinides S, Stylogianni E. Cysts and tumors associated with impacted third molars: is prophylactic removal justified? Journal of Oral and Maxillofacial Surgery. 2011 Feb; 69(2): 405-8. doi: 10.1016/j.joms.2010.05.025. DOI: https://doi.org/10.1016/j.joms.2010.05.025

Vigneswaran AT, Shilpa S. The incidence of cysts and tumors associated with impacted third molars. Journal of pharmacy & bioallied sciences. 2015 Apr; 7(1) :251-4. doi: 10.4103/0975-7406.155940. DOI: https://doi.org/10.4103/0975-7406.155940

Edamatsu M, Kumamoto H, Ooya K, Echigo S. Apoptosis-related factors in the epithelial components of dental follicles and dentigerous cysts associated with impacted third molars of the mandible. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2005 Jan; 99(1): 17-23. doi: 10.1016/j.tripleo.2004.04.016. DOI: https://doi.org/10.1016/j.tripleo.2004.04.016

Mohammadi M and Shahabinejad M. Odontogenic Keratocyst in Anterior Mandible: A Case Report. Journal of Oral & Dental Health. 2021; 5 (4): 87-9. doi: 10.33140/JODH.05.04.01. DOI: https://doi.org/10.33140/JODH.05.04.01

Cankurtaran CZ, Branstetter IV BF, Chiosea SI, Barnes Jr EL. Ameloblastoma and dentigerous cyst associated with impacted mandibular third molar tooth. Radiographics. 2010 Sep; 30(5): 1415-20. doi: 10.1148/rg.305095200. DOI: https://doi.org/10.1148/rg.305095200

Ventä I, Oikarinen VJ, Söderholm AL, Lindqvist C. Third molars confusing the diagnosis of carcinoma. Oral surgery, oral medicine, oral pathology. 1993 May; 75(5): 551-5. doi: 10.1016/0030-4220(93)90222-P. DOI: https://doi.org/10.1016/0030-4220(93)90222-P

Bedoya MM and Park JH. A review of the diagnosis and management of impacted maxillary canines. The Journal of the American Dental Association. 2009 Dec; 140(12): 1485-93. doi: 10.14219/jada.archive.2009.0099. DOI: https://doi.org/10.14219/jada.archive.2009.0099

Ahlqwist M and Gröndahl HG. Prevalence of impacted teeth and associated pathology in middle‐aged and older Swedish women. Community Dentistry and Oral Epidemiology. 1991 Apr; 19(2): 116-9. doi: 10.1111/j.1600-0528.1991.tb00124.x. DOI: https://doi.org/10.1111/j.1600-0528.1991.tb00124.x

Satheesan E, Tamgadge S, Tamgadge A, Bhalerao S, Periera T. Histopathological and radiographic analysis of dental follicle of impacted teeth using modified Gallego’s stain. Journal of clinical and diagnostic research: JCDR. 2016 May; 10(5): 106-11. doi: 10.7860/JCDR/2016/16707.7838. DOI: https://doi.org/10.7860/JCDR/2016/16707.7838

Cutright DE. Histopathologic findings in third molar opercula. Oral Surgery, Oral Medicine, Oral Pathology. 1976 Feb; 41(2): 215-24. doi: 10.1016/0030-4220(76)90233-4. DOI: https://doi.org/10.1016/0030-4220(76)90233-4

Seyedmajidi SK, Haghanifar S, Mehdizadeh M, Seyedmajidi M, Bijani A, Ghasemi N. Evaluation of panoramic radiography at showing width of the dental follicle. 2014. Last cited 3rd Nov 2023. Available at: https://brieflands.com/articles/zjrms-1496.pdf.

Camargo IB, Sobrinho JB, Andrade ES, Van Sickels JE. Correlational study of impacted and non-functional lower third molar position with occurrence of pathologies. Progress in orthodontics. 2016 Dec; 17(1): 1-9. doi: 10.1186/s40510-016-0139-8. DOI: https://doi.org/10.1186/s40510-016-0139-8

Miloro M, Ghali GE, Larsen PE, Waite PD, editors. Peterson's principles of oral and maxillofacial surgery. Hamilton: BC Decker; 2004 Jun 30. 62(1): 89.

Shugars DA, Jacks MT, White Jr RP, Phillips C, Haug RH, Blakey GH. Occlusal caries experience in patients with asymptomatic third molars. Journal of Oral and Maxillofacial Surgery. 2004 Aug; 62(8): 973-9. doi: 10.1016/j.joms.2003.08.040. DOI: https://doi.org/10.1016/j.joms.2003.08.040

van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars: Review of 1001 cases. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1995 Feb; 79(2): 142-5. doi: 10.1016/S1079-2104(05)80270-7. DOI: https://doi.org/10.1016/S1079-2104(05)80270-7

Jabbar M, Aman M, Aziz M, Butt H, Rauf N, Amjad K. Radiolucencies Associated with the Second Molar Adjacent to the Impacted Third Molarin the Maxilla in Comparison to the Mandible. Journal of Gandhara Medical and Dental Sciences. 2022; 10(1): 70-73. doi: 10.37762/jgmds.10-1.343. DOI: https://doi.org/10.37762/jgmds.10-1.343

Downloads

Published

2023-10-31
CITATION
DOI: 10.54393/pjhs.v4i10.1116
Published: 2023-10-31

How to Cite

Shafique, M., Farrukh, S., Tajamal, H. Z. B., Babary, D. F., Qasim, A., & Butt, H. (2023). An Assessment of Radiolucencies Associated with Second Molar Adjacent Impacted Third Molar in Left in Comparison to Right Mandible: An assessment of Radiolucencies. Pakistan Journal of Health Sciences, 4(10), 208–212. https://doi.org/10.54393/pjhs.v4i10.1116

Issue

Section

Original Article

Plaudit