The aim of this study was to describe the characteristics of the mandibular third molar at highest risk for acute pericoronitis using clinical and radiographic analysis. A total of 102 volunteers, including 40 (39%) male and 62 (60%) female patients presenting with acute pericoronitis, participated in the study. The mean age of the participants was 23.4 years (range 17-30 years). The variables tested included the percentage of soft tissue coverage, availability of impinging maxillary dentition, and the angulation and eruption level of the mandibular third molar. While vertical impaction was the most frequent angulation (51%), horizontal impaction was quite rare (3%). Mesioangular impaction (25%) was slightly higher than distoangular impaction (21%). Difference between type of angulation was statistically significant for all groups (p < 0.05). The frequency of partial soft tissue coverage, particularly 75% coverage, was far more observed than the full soft tissue coverage (47%). The difference for the amount of soft tissue coverage was statistically significant (p < 0.05). In 57% of the cases, pericoronitis was associated with the third molars that erupted at the same level of the adjacent tooth occlusal plane. The difference among the three levels of eruption was significant (p < 0.000). Impinging maxillary dentition did not have a significant impact on development of pericoronitis (41%). Evidence of impinging maxillary dentition did not have a statistically significant impact on presence of pericoronitis (p = 0.075). Mandibular third molars at or near to the same level of the occlusal plane of the arch and exhibiting vertical inclination were considered at highest risk for developing pericoronitis. Such third molars can be given high priority for prophylactic care due to the possibility of severe consequences of acute pericoronitis.
Dental fobi dental implant cerrahisi için kontreendikasyon oluşturmamaktadır. Dental implant cerrahisi psikolojik ve fiziyolojik etkileri sonucunda nadiren heyati tehlike oluşturan, son der-cede stressli bir işlem olarak algılanan, uygulanması kolay ve iyileşme süresi kısa süren işlemler-dendir. Dolayısı ile bu işlemlerde hastalarda oluşan anksiyete daha ilgincdir. Çalışmanın amacı, dental implant cerrahisi uygulanan hastaların preoperatif ve postoperatif anksiyete durumunun değer-lendirilmesi ve cinsiyetin, yaşın, sosyodemografik faktörlerin, yapılacak dental implantın anatomik bölgesinin, tek implant, birden fazla implant ve implanta ek olarak sinus lift gibi durumların anksiye-te değeri üzerine etkisini araştırmaktır. Gereç ve Yöntem: Bu çalışmaya, dental implant cerrahisi planlanan yaşları 18 ila 70 arasında değişen 59 kadın, 42 erkek toplam 101 hasta dahil edilmiştir. Hastaların anksiyete seviyyesini değer-lendirmek için Durumluluk-Sürekli Kaygı Envanteri (STAI-I ve STAI-II), kullanılmıştır. Bulgular: Çalışmaya katılan hastalarda preoperatif ve postoperatif anksiyete durumu karşılaştırıldığında preoperatif aşamada tüm hastaların kaygı seviyelerinin yüksek olduğu gözlemlenmiştir. Yaş, cinsiyet, sistemik hastalıkların varlığı ile dental kaygı arasında anlamlı ilişki saptanmamıştır (p>0,05). Bununla birlikte; eğitim durumu ile dental anksiyete arasında ilişki oldugu tespit edilmiştir (p<0.05). Sonuçlar: Bu çalışmada dental anksiyete gelişimini önlemede, en önemli faktörlerden birinin eğitim düzeyinin yükseltilmesi olduğu saptanmıştır. Hastaların minimum anksiyete seviyesinde tutulması işlemin hekim ve hasta için daha rahat gerçekleştirilmesini sağlayacaktır. Anahtar kelimeler: Dental anksiyete, dental implant, STAI SUMMARY Aim: Dental phobia is not a contraindication for oral implant therapy. The physical and, above all, psychological effects result in implant surgery being perceived as an extremely stressful experience, although such procedures are rarely life threatening, and recovery time is relatively short. Therefore, the question for the genesis and high prevalence of dental anxiety becomes even more interesting. The aim of this study, to compare statistically the anxiety level of patients who is planning to have dental implant surgery by their demographic features; numbers of dental implants; anatomic region; preoperative & postoperative evaluation done by the surgeon. Materials and Methods: There were 101 otherwise healthy patients included, 59 women, 42 men in between the age of 18 to 70 years old. İn this study to evaluate anxiety using the State-Trait Anxiety Inventory (STAI-I and STAI-II) who underwent surgical procedures for dental implants. Results: The results show that preoperative anxiety level were significantly high compare to posto-perative stage. Dental anxiety was not related to age, gender, sistemic diaseas (p>0,05). However, there was a relationship between educati-ÖZGÜN ARAŞTIRMA
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