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Article

The Patterns of Impacted Third Molars and Their Associated Pathologies: A Retrospective Observational Study of 704 Patients

by
Salha Othman Al-Madani
1,
Mohamed Jaber
2,3,
Prathibha Prasad
3,4,* and
Manal Jamil Mohammad Al Maslamani
2,3
1
Al-Fujairah Dental Center, Fujairah P.O. Box 2299, United Arab Emirates
2
Clinical Dental Sciences Department, College of Dentistry, Ajman University, Ajman 346, United Arab Emirates
3
Center of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman 346, United Arab Emirates
4
Basic Dental Sciences Department, College of Dentistry, Ajman University, Ajman 346, United Arab Emirates
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(2), 330; https://doi.org/10.3390/jcm13020330
Submission received: 14 July 2023 / Revised: 22 December 2023 / Accepted: 26 December 2023 / Published: 6 January 2024
(This article belongs to the Special Issue Current Challenges in Oral Surgery)

Abstract

Background: The study aims to investigate parameters in patients attending Fujairah Dental Center, including assessing the prevalence of impacted teeth, determining the frequency of associated pathological conditions, and evaluating the patterns and angulations of impacted third molars. Methods: It is a retrospective descriptive study of the panoramic radiographs of patients who attended Fujairah Dental Center for dental care between January 2011 and December 2017. The minimum age for inclusion was 17 years. Clinical records were used to obtain the demographic details of patients, such as age, gender, nationality, medical history, and smoking history. Seven hundred and four panoramic radiographs and clinical records of patients were analyzed. The age range was between 17 and 112 years old, with a mean age of 34 years (S.D 13.5). Results: Of the 704 panoramic radiographs evaluated, 236 (33.6%) X-rays showed teeth impaction with a total of 562 impacted teeth in the upper and lower jaws. Five hundred and twenty-five (93.4%) were impacted third molars, and 37 (6.5%) teeth were other kinds of impacted teeth. Females showed a higher frequency of impacted teeth (62.6%) compared to males (37.4%). The highest prevalence of impacted teeth was found in the 17–25 year age group (61%), and the prevalence declined with advancing age. Impacted third molars were more likely to occur in the mandible (57.3%) than in the maxilla (42.7%). Most of the impacted third molars were in the mesioangular position, followed by the vertical position. The evaluation of the depth of impacted third molars demonstrated that level C impaction was the most frequently seen, followed by level B impaction. Impacted third-molar teeth often presented with two roots (60.7%), followed by a single root (31.3%). An evaluation of the relationship between lower third molars and the inferior dental canal (IDC) revealed that the most frequently observed relation was interrupted (61.5%), followed by a distant relation to the ID canal, and 13% were superimposed. The most common morphological pattern of roots of the impacted third molars was either straight-type or curved and dilacerated roots (5.7%). Additionally, the most noticed pathological conditions associated with impacted teeth were carious second molars adjacent to impacted third molars (42%), which was more likely to be seen in the 17–25-year age group, with females having a higher prevalence than males.
Keywords: extraction; impacted teeth; oral surgery; oral diagnosis; oral pathology extraction; impacted teeth; oral surgery; oral diagnosis; oral pathology

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MDPI and ACS Style

Al-Madani, S.O.; Jaber, M.; Prasad, P.; Maslamani, M.J.M.A. The Patterns of Impacted Third Molars and Their Associated Pathologies: A Retrospective Observational Study of 704 Patients. J. Clin. Med. 2024, 13, 330. https://doi.org/10.3390/jcm13020330

AMA Style

Al-Madani SO, Jaber M, Prasad P, Maslamani MJMA. The Patterns of Impacted Third Molars and Their Associated Pathologies: A Retrospective Observational Study of 704 Patients. Journal of Clinical Medicine. 2024; 13(2):330. https://doi.org/10.3390/jcm13020330

Chicago/Turabian Style

Al-Madani, Salha Othman, Mohamed Jaber, Prathibha Prasad, and Manal Jamil Mohammad Al Maslamani. 2024. "The Patterns of Impacted Third Molars and Their Associated Pathologies: A Retrospective Observational Study of 704 Patients" Journal of Clinical Medicine 13, no. 2: 330. https://doi.org/10.3390/jcm13020330

APA Style

Al-Madani, S. O., Jaber, M., Prasad, P., & Maslamani, M. J. M. A. (2024). The Patterns of Impacted Third Molars and Their Associated Pathologies: A Retrospective Observational Study of 704 Patients. Journal of Clinical Medicine, 13(2), 330. https://doi.org/10.3390/jcm13020330

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