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346387

Evaluation of Impacted Mandibular Third Molars with CBCT: A Cross-Sectional Study

Article

Last updated: 28 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Oral Medicine, Periodontology and Oral Radiology Section

Abstract

Aim: The purpose of this study to evaluate and categorize the complexity of extracting impacted mandibular third molars (IMTMs) using cone beam computed tomography (CBCT).
Materials and methods: CBCT used to analyze 315 lower third molars from 182 patients who met the inclusion criteria. CBCT scans were acquired with a CS 9300 Premium 3D machine. Patient demographics and IMTM details were recorded by two observers using CS 3D Imaging Software for image analysis. Descriptive statistics were applied to assess criteria for impaction and extraction difficulty. Differences in surgical risk indicators for IMTM extraction were statistically examined between age groups, gender, and ethnicities using Fisher's exact test.
Results: Patients aged 18-75 years showed that mesioangular impaction was most common at 41.90%, followed by horizontal at 30.79%, vertical at 25.72%, distoangular at 0.95%, and inverted at 0.63%. Class IA and IIA classifications were most prevalent at 27.30% and 23.49%, respectively, with Class IIIA being the least common at 1.58%. significantly higher surgical difficulty indicators seen in patients under 40 compared to older patients for right and left IMTMs (p = 0.026 and 0.011, respectively), but no statistically significant differences in these indicators were observed between genders or ethnicities.
Conclusion: CBCT examination revealed that mesioangular impaction was the most frequent occurrence, followed by horizontal, vertical, distoangular, and inverted impactions. Class IA and IIA prevalent; Class IIIA least common. Surgical difficulty indication more in younger than 40 years old patients, no gender or ethnicity differences.

DOI

10.21608/asdj.2024.270220.1215

Keywords

Cone-beam computed tomography, impacted mandibular third molar, Angulation, Pell and Gregory classification, inferior alveolar canal

Authors

First Name

Ebtihal

Last Name

Zain Alabdeen

MiddleName

H

Affiliation

Division of oral radiology, Department of Oral & Maxillofacial Diagnostic Sciences, College of Dentistry, Taibah University, AlMadinah AlMunawwarah, Saudi Arabia.

Email

ebtihalh@gmail.com

City

Al-Madinah Al-Munawarrah

Orcid

0000-0001-7413-8748

First Name

Shadia

Last Name

Elsayed

MiddleName

A

Affiliation

Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al Azhar University, Cairo, Egypt

Email

shadiaelsayed25@gmail.com

City

Cairo

Orcid

0000-0002-3348-3382

First Name

Ahmed

Last Name

Sapri

MiddleName

M

Affiliation

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, 35516, Egypt.

Email

ahmedsaaduddin@mans.edu.eg

City

Mansoura

Orcid

0000-0002-8833-5440

First Name

Hadeer

Last Name

Alruwaili

MiddleName

O

Affiliation

Department of Oral and Diagnostic Sciences, College of Dentistry, Taibah University, Almadinah Al-Munawwrah, Saudi Arabia

Email

alruwailidr.hadeer@gmail.com

City

Al-Madinah Al-Munawarrah

Orcid

0009-0007-9020-8196

First Name

Monther

Last Name

Alsharif

MiddleName

-

Affiliation

Faculty of Dentistry, University of Benghazi, Benghazi, Lybia

Email

monther.alsharif@uob.edu.ly

City

Benghazi

Orcid

0000-0002-9155-4062

First Name

Hanan

Last Name

Shokeir

MiddleName

-

Affiliation

Department of Oral and Maxillofacial Surgery and Rehabilitation, Faculty of Dentistry, UMM-Al Qura University, Makkah, Saudi Arabia

Email

hananshokier2014@yahoo.com

City

Makkah AlMukarramah

Orcid

0000-0002-8705-6714

First Name

Muath

Last Name

Al-Assaf

MiddleName

S

Affiliation

Department of Preventive Sciences, College of Dentistry, Taibah University, Almadinah Al-Munawwrah, Saudi Arabia

Email

mo3ath-345@gmail.com

City

Al-Madinah Al-Munawarrah

Orcid

0009-0001-5958-1685

First Name

Safa

Last Name

Jambi

MiddleName

A

Affiliation

Division of Orthodontics and Dentofacial Orthopedics, Department of Preventive Dental Sciences, Taibah University, Al-Madinah Al Munawarrah, Saudi Arabia

Email

safajambi@gmail.com

City

Al-Madinah Al-Munawarrah

Orcid

0000-0002-2658-8215

Volume

33

Article Issue

1

Related Issue

46710

Issue Date

2024-03-01

Receive Date

2024-02-14

Publish Date

2024-03-01

Page Start

38

Page End

49

Print ISSN

1110-7642

Online ISSN

2735-5039

Article File

ASDJ_Volume 33_Issue 1_Pages 38-49.pdf

PDF . 2.3MB

Link

https://asdj.journals.ekb.eg/article_346387.html

Detail API

https://asdj.journals.ekb.eg/service?article_code=346387

Order

6

Type

Original articles

Type Code

1,638

Publication Type

Journal

Publication Title

Ain Shams Dental Journal

Publication Link

https://asdj.journals.ekb.eg/

MainTitle

Evaluation of Impacted Mandibular Third Molars with CBCT: A Cross-Sectional Study

Details

Type

Article

Created At

28 Dec 2024