Objective: The purpose of this study is to assess the impact of mesioangular mandibular 3rd molar impaction on the periodontal health of neighbouring teeth in patients. Study Design: Dental College HITEC-IMS Taxilla/Gulraiz Dental Clinic Quaid Avenue Main Road, Gulraiz 3, Rawalpindi. Jan 2021-Aug 2021 Place and Duration: Methods: Total of ninety patients of both genders was presented in this study. After receiving informed written consent, detailed demographic information about the recruited cases was collected, including age, gender, body mass index, symptoms, and complications. All of the patients experienced mesioangular third molar impactions on their mandibular teeth. A total of 90 IMTMs were evaluated using panoramic radiographs to determine their impaction depth, relationship with the ramus, and angulation, as well as their association with 2nd molar distal caries and root resorption, pathological states, and proximity to the mandibular canal. The position of the impacted third molar was determined using the Pell and Gregory categorization system. The odds ratio (OR) and 95 percent confidence interval (CI) of IMTM's position on the associated problems are shown in the table below (credible interval for Bayesian models). P-values with two-tailed confidence intervals of less than 0.05 were considered statistically significant. SPSS 27.0 version was used to analyze complete data. Results: There were 55 (61.1%) males and 35 (38.9%) females with mean BMI 24.61±5.22 kg/m2. Most of patients 41 (45.6%) were aged between 20-35 years. Mean attachment level was 2.99±4.74 and probing depth was 3.78±4.61. Caries, pain, and swelling were the most often reported symptoms, according to our research. The most common diseases were distal second molar root caries, which accounted for 30 (33.3%) of all cases, and pocket development, which accounted for 21 (23.3%). According to histological findings, periapical inflammation was the most common finding in 46 (51.1%) of the cases, followed by dental follicle in 24 (26.7%), cyst in 16 (17.8%), and other malignancies in 4 (4.4%) cases. Conclusion: According to the findings of this study, the impacted mandibular third molar was most closely associated with distal second molar root caries and the formation of a pocket between the impacted tooth and the second molar tooth in the lower jaw. Most common pathology linked with the impacted molar was distal second molar root caries and the formation of a pocket between the affected tooth and the second molar. Keywords: Mesioangular, Impacted mandibular third molar, Pathology, Complication
Objective: To determine the frequency and severity of temporomandibular joint disorders (TMDs) among male and female undergraduate students of dental colleges in KPK. Methodology: Totally 619 of differenct age groups students of four dental colleges in KPK were assessed for the present study started from march 2018 to Sept 2018 by using of cross sectional study design. The study was based on Fonseca’s anamnestic index FAI and its questionnaire, which is composed of 10 questions and classifies the severity of TMDs. The obtained data were coded and entered into Statistical Package for the Social Sciences (SPSS) version 22. chi-square test was used for gender association with TMD. Results: About 72.3% of the undergraduate students had mild to severe TMD. 438 females and 181 were males. 168 (27.1%) had no TMD, 172 (27.8%) had mild TMD,255 (41.2% ) had moderate and 24 3.9% had severe TMDs in four age groups. The result showed that the TMD degree has a association with gender ( p=0.02) and no association in age groups (p=0.97) Moreover, a high TMD rate was observed among the students (72.3%). Chi-square analysis of the frequencies of responses to every question revealed a statistically significant difference (p < 0.05). Conclusion: This study revealed that there is association between TMD and gender. Most signs and symptoms associated with temporomandibular disorders appear to be more prevalent in women than in men, although age patterns for these signs and symptoms does not provide any association.
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