Molar Caries; Distal Surface Mandibular Second Molar Caries, Existence and Association With Partially Erupted Mandibular Third Molar

Shams, Salman; Hassan, Syed Ghazanfar; Punjabi, Suneel Kumar; Abdullah, Soonhan

doi:10.17957/tpmj/17.3857

Cited by 4 publications

(7 citation statements)

References 9 publications

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“…The common reasons for presenting third molar impaction removal in this age range was pain, swelling, trismus because of pericoronitis and dental caries. The mean age was 27.2±6.177 years, and the 3 rd decade is the dominant age group, like other studies 6,22 . It has been reported that during removal of impaction, patient's age is an important factor because many studies have reported that postoperative complications are increased in older patients.…”

Section: Discussionsupporting

confidence: 76%

“…Increase in duration of surgery chances of experiencing pain (VAS>1) 23 . Some studies showed, impaction of lower 3 rd molar was more common in males than females 6,21,24 however as many studies showed female predilection in patients with impacted lower 3 rd molar 22,25 .…”

Section: Discussionmentioning

confidence: 99%

“…Lower third molar is the last tooth which erupts between the age of 17 to 25 years and most of the times maligned, with curved or hooked roots all this happen due to lack of space between mandibular ramus and second molar 2 . The problems which can occur due to impaction are pericoronitis the most common followed by dental caries of third molar or adjacent second molar, root resorption of the second molar, periodontal problems, odontogenic cysts and tumors, other factors that need considered is bad oral hygiene 5,6 .…”

Section: Introductionmentioning

confidence: 99%

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Relationship between Operative Time and Complications for Impacted Mandibular Third Molar Removal

2019

J Liaq Uni Med Health Sci

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OBJECTIVE: To identify relationship between operative time and surgical complications encountered during and soon after removal of impacted 3 rd Molar teeth. METHODOLOGY: This cross-sectional study was conducted at the department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Liaquat University of Medical & Health Sciences, Jamshoro from February 2017 to July 2017. Total ninety two surgical removals were done after pre-operative assessment of impaction. Operative time was recorded. Any intra-operative complication was noted during surgery and postoperative complications were recorded on 3 rd , 5 th and 7 th day. The Data was analysed by statistical software package SPSS version 20.0 Qualitative variables were expressed as absolute frequencies and percentages. The variables were presented as mean, frequencies/percentages. RESULTS: The results of this study showed that surgical removal of third molar was more common in females (58%) with the highest percent of mesioangular (39%).The pre-operative pain was more in females and older patients. In intraoperative complication, injury to soft tissue was more common than other complications. In postoperative complications, swelling and trismus were more on the 3 rd day. CONCLUSION: The inflammatory complications that can be considered (pain, swelling and trismus) after third molar surgery remain an important factor at the early postoperative periods. The intraoperative and postoperative complication also depends on surgeons experience and duration of procedure which may increase or decrease the sequela of removal impacted teeth.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relationship between Operative Time and Complications for Impacted Mandibular Third Molar Removal

2019

J Liaq Uni Med Health Sci

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“…1 Maxillofacial surgeons routinely carry out minor oral surgical procedures, the removal of wisdom is also one of them. 2,3 "Ninety percent of people have at least one impacted wisdom tooth". 4 Most mandibular third molar extractions are carried out without intra-or post-operative difficulties, but sometimes severe complications may also occur, like pain, trismus, dry socket, infection, hemorrhage, sensory nerve damage (Inferior Alveolar Nerve, Lingual Nerve), and damage to adjacent second molar".…”

Section: Introductionmentioning

confidence: 99%

“…4 Most mandibular third molar extractions are carried out without intra-or post-operative difficulties, but sometimes severe complications may also occur, like pain, trismus, dry socket, infection, hemorrhage, sensory nerve damage (Inferior Alveolar Nerve, Lingual Nerve), and damage to adjacent second molar". 2,4,5 Before procedure radiographic evaluation has been considered as an important factor to predict possible IAN (Inferior Alveolar Nerve) injury during surgery. 6 Orthopentogram (OPG) and periapicalx-rays are complementary radiographs taken before procedure for evaluation of degree of surgical difficulty, third molar morphology and position, operative risk and proximity to adjacent vital structures, such as Inferior Alveolar Nerve.…”

Section: Introductionmentioning

confidence: 99%

Inferior alveolar nerve injury assessment after surgical removal of mandibular third molar.

Bhangwar¹,

Khan

Fatima

et al. 2020

TPMJ

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To assess the nerve injury (inferior alveolar nerve) after surgical removal of mandibular third molars under local anesthesia. Study Design: Observational study. Setting: Oral & Maxillofacial Surgery Department LUMHS Jamshoro/Hyderabad. Period: From 11th November 2015 to 10th May 2016. Material & Methods: This study consisted of one hundred patients. Inclusion criteria’s were patients with impacted mandibular third molar, patient’s age from 18 to 45years and irrespective of gender. Exclusion criteria were patients younger than 18yrs of age of above 45 years, patients having neurological disorders, medically compromised patients, patients receiving radiotherapy or chemotherapy, patients with known allergy to local anesthesia, patients having pathology due to mandibular third molars, patients radiographicaly root is very near to inferior dental canal. Results: Out of 100 patients incorporated in this research 66 were male (66%) and 34 female (34%). The mean age was 29+3.20 years. Common indication of extraction were recurrent pericoronitis 52(52%) cases followed by deep caries/ pulpitis in 28(28%) cases, orthodontic reason in 11(11%) cases and caries to adjacent tooth in 9(9%) cases. Third molar impaction according to winter’s classification were Mesioangular in 54(54%) cases followed by Horizontal in 26(26%) cases and Vertical in 11(11%). Radiographic showed Narrowing of root in 21% cases and narrowing of inferior dental (ID) canal 20% cases, followed by diversion of ID canal in 16 % cases, deflection of root 14 % cases and darkening of root in 11% cases. After surgical removal of mandibular third molar, the inferior alveolar nerve injury was observed in 6(6%) cases. Conclusion: We conclude that inferior alveolar nerve paresthesia occurs in 6% after surgical removal of mandibular third molars.

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Comparison of postoperative complications after impacted mandibular third molar extraction with conventional suturing versus tube drainage.

Rajper¹,

Channar

Larik

et al. 2020

TPMJ

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Objectives: To determine the effectiveness of tube drain compared with conventional suturing on postoperative complications after extraction of impacted mandibular third molars. Study Design: Cross Sectional study (Comparative). Setting: Department of Oral & Maxillofacial Surgery, Institute of Dentistry, LUMHS Jamshoro/Hyderabad. Period: Six months duration from 12-11-2015 to 13-05-2016. Material & Methods: All the patient age from 18 to 45 years irrespective of gender, having mesioangular impacted mandibular third molar were included in the study. Patients were divided into two groups, Group-A and group-B. The severity of pain was recorded by using Visual Analog Scale from 0 no pain to 10 worst pain, degree of swelling was measured by facial size through Amin and Laskin criteria and mouth opening was measured by interincisal distance through ruler. All data was recorded on the 3rd and 7th day by the clinician. Results: Mean age of group A was 31.22+7.21 years, and mean age of group B was 28.34+5.33 years. Male were found slightly more as compared to female. On 3rd day the post-operative pain assessment was almost equal in both groups p-value 0.06 and assessment of post-operative swelling on 3rd day was found with insignificant difference p-value 0.22. Assessment of pain on 7th post-operative day was that the severe pain was found significantly reduced in group B as compared to group A p-value 0.01, swelling was significantly reduced in group B p-value 0.04. While mouth opening was also found significantly more in group B as compared to group A p-value 0.022. Conclusion: After removal of impacted mandibular third molars, incorporating tube drain is very effective as compared to conventional suturing in reducing the facial swelling, trismus and postoperative pain.

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Molar Caries; Distal Surface Mandibular Second Molar Caries, Existence and Association With Partially Erupted Mandibular Third Molar

Cited by 4 publications

References 9 publications

Relationship between Operative Time and Complications for Impacted Mandibular Third Molar Removal

Relationship between Operative Time and Complications for Impacted Mandibular Third Molar Removal

Inferior alveolar nerve injury assessment after surgical removal of mandibular third molar.

Comparison of postoperative complications after impacted mandibular third molar extraction with conventional suturing versus tube drainage.

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