X-Ray Analysis of the Position of the Rudiments of Abnormally Located Lower Third Molars During Their Formation and Growth

Abstract

Subject. The issues of indications, contraindications and the optimal timing for the removal of abnormally located lower third molars remain relevant in dentistry. Numerous evidence has been accumulated of their negative impact on the formation of the dentofacial system, however, X-ray patterns of patients with this pathology in the process of their formation, development and change in the angle of inclination, as well as the growing problems associated with the growth of these teeth in the dentition and bite have not been studied.
 The goal is to study the dynamics of the position of the rudiments of the abnormally located lower third molars in the process of their formation and growth and their influence on the state of the dentofacial system as a whole.
 Methodology. The study involved 28 patients with abnormally located impressive lower third molars, which were divided into 3 groups: in the first (8 people), the second molars were at the teething and growth stage, in the second (12 people) the second molar was in the occlusal plane at the stage closed apex, in the third (8 people) there was a multiple abnormal position of the mesially located teeth from the third molar. All measurements were performed using a virtual measuring device in the image mode of slices with Galileos Viewer software.
 Results. According to our results, a significant scatter was recorded in the timing of the formation of third molars from the period of mineralization of the crown of the teeth (12―15 years) to the end of growth and root formation (18―23 years). After 23 years, the roots of the abnormally located lower third molars in the patients examined by us had radiological signs of the end of formation (closed apex).
 Conclusion. Impact lower third molars continue their growth and have a negative effect on the condition of the teeth located mesial. This fact does not depend on concomitant orthodontic pathology, nor on the methods of orthodontic treatment (removable or non-removable equipment).