Radiological risk indicators for persistent postoperative morbidity after third molar removal

Vranckx, Myrthel; Lauwens, Lieselotte; Moreno‐Rabie, Catalina; Politis, Constantinus; Jacobs, Reinhilde

doi:10.1007/s00784-020-03759-7

Cited by 7 publications

(2 citation statements)

References 30 publications

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“… 22 23 24 25 Additionally, it is clear that panoramic radiographs are crucial in evaluating impacted 3Ms, particularly in relation to postoperative outcomes. 26 27 Therefore, this study was conducted to determine the prevalence of developmental and acquired pathological conditions associated with impacted 3Ms in a sample from southern Brazil. It was also intended to assess whether demographic factors and tooth characteristics are correlated with the presence of bone or tooth lesions.…”

Section: Introductionmentioning

confidence: 99%

Pathologic conditions associated with impacted third molars: A retrospective study of panoramic radiographs in a Southern Brazilian population

Cardoso,

Savegnago,

Hirsch

et al. 2023

Imaging Sci Dent

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Purpose This study investigated the prevalence of developmental and acquired pathologic conditions associated with impacted third molars (3Ms) in a Southern Brazilian population and evaluated whether demographic and tooth characteristics were correlated with the presence of bone or tooth lesions. Materials and Methods Panoramic radiographs were assessed for developmental (bone-related) or acquired (tooth-related) pathoses associated with impacted upper or lower 3Ms. Data on tooth positioning, tooth development, and patient demographics were collected. A trained, calibrated postgraduate student evaluated all images. Binary and multivariate logistic regression models were used to assess associations between outcomes and the demographic and radiographic variables. The threshold for statistical significance was set at 5% ( P <0.05). Results The sample comprised panoramic radiographs from 2054 patients, predominantly female (59.2%), with a mean age of 27.2 ± 11.5 years. Overall, 4066 impacted 3Ms were evaluated, revealing 471 (11.6%) developmental and 710 (17.5%) acquired pathoses. Among the developmental pathoses, 460 (95.2%) were indicative of dentigerous cysts. Male sex, lower 3M location, vertical or distoangular positioning, and incomplete root formation were associated with an elevated likelihood of developmental pathology. Lower tooth position, complete root formation, and partial eruption were linked to an increased probability of an acquired pathology in the third or second molar. Conclusion The prevalence of pathologic conditions associated with impacted 3Ms was low. Male sex, lower 3M placement, horizontal or distoangular positioning, and incomplete root formation were associated with developmental pathoses, while lower tooth position, complete root formation, and partial eruption were related to acquired pathoses.

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Section: Introductionmentioning

confidence: 99%

Pathologic conditions associated with impacted third molars: A retrospective study of panoramic radiographs in a Southern Brazilian population

Cardoso,

Savegnago,

Hirsch

et al. 2023

Imaging Sci Dent

View full text Add to dashboard Cite

show abstract

“…However, while panoramic radiography is extensively used for diagnosis and preoperative treatment planning, the predictive value of this data remains ambiguous. In this regard, Vranckx et al 7 assessed radiologic risk indicators and postoperative morbidity in patients undergoing upper and/or lower third molar exodontia. They noted that severe impactions were associated with postoperative pain, trismus, and swelling with a need for pain medication.…”

Section: Introductionmentioning

confidence: 99%