Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

CORRELATION OF DISTAL CARIES IN THE MANDIBULAR SECOND MOLAR AND ERUPTION STATE OF THE MANDIBULAR THIRD MOLAR

하악 제 3대구치의 맹출 양상과 제 2대구치의 후방 치아우식과의 상관관계

  • Lee, Myeong-Hwan (Department of Oral & Maxillofacial Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine) ;
  • Seol, Jung-Eun (Department of Oral & Maxillofacial Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine) ;
  • Jang, In-Gul (Department of Oral & Maxillofacial Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral & Maxillofacial Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine) ;
  • Kim, Chang-Soo (Department of Oral & Maxillofacial Surgery, Samsung Medical Center Sungkyunkwan University, School of Medicine)
  • 이명환 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 설정은 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 장인걸 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 홍종락 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 김창수 (성균관대학교 의과대학 삼성서울병원 구강악안면외과)
  • Published : 2008.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Distal caries of the second molar is common indication for the mandibular third molar surgery and there are no universally acceptable predictive criteria for distal caries of the second molar. To analyze the correlation of the distal caries of the second molar and the eruption state of the mandibular third molar using panoramic radiographs statistically and propose the acceptable guideline for preventive extraction of the mandibular third molar. 786 patients who were extracted the mandibular third molar from 2002 to 2006 at Samsung medical center were examined. The presence and absence of distal caries of mandibular second molar, age, gender, angulation, impaction degree, distance between distal cementoenamel junction of the second molar and mesial cementoenamel junction of the mandibular third molar were assessed. 79.6% of third molars had a mesial angulation of between $40^{\circ}$ and $80^{\circ}$. The mean age of third molar removal for distal caries of second molar was $33.86{\pm}9.81$. The prophylactic removal of a mesio-angular third molar about $40^{\circ}$ and $80^{\circ}$ could prevent distal cervical caries forming in the mandibular second molar.

Keywords

References

  1. Almendros-Marques N, Alaejos-Algarra E, Quinteros-Borgarello M, Berini-Aytes L, Gay-Escoda C: Factors influencing the prophylactic removal of asymptomatic impacted lower third molars. Int J Oral Maxillofac Surg 2008;37:29-35 https://doi.org/10.1016/j.ijom.2007.06.008
  2. Al-Khateeb TH, Bataineh AB: Pathology associated with impacted mandibular third molars in a group of Jordanians. J Oral Maxillofac Surg 2006;64:1598-1602 https://doi.org/10.1016/j.joms.2005.11.102
  3. Elter JR, Cuomo CJ, Offenbacher S, White RP, Jr.: Third molars associated with periodontal pathology in the Third National Health and Nutrition Examination Survey. J Oral Maxillofac Surg 2004;62:440-445 https://doi.org/10.1016/j.joms.2003.12.002
  4. Halmos DR, Ellis E, 3rd, Dodson TB: Mandibular third molars and angle fractures. J Oral Maxillofac Surg 2004;62:1076-1081 https://doi.org/10.1016/j.joms.2004.04.012
  5. Jamileh Y, Pedlar J: Effect of clinical guidelines on practice for extraction of lower third molars: study of referrals in 1997 and 2000. Br J Oral Maxillofac Surg 2003;41:371-375 https://doi.org/10.1016/S0266-4356(03)00172-4
  6. van der Linden W, Cleaton-Jones P, Lownie M: Diseases and lesions associated with third molars. Review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:142-145 https://doi.org/10.1016/S1079-2104(05)80270-7
  7. McArdle LW, Renton TF: Distal cervical caries in the mandibular second molar: an indication for the prophylactic removal of the third molar? Br J Oral Maxillofac Surg 2006;44:42-45 https://doi.org/10.1016/j.bjoms.2005.07.025
  8. Susarla SM, Blaeser BF, Magalnick D: Third molar surgery and associated complications. Oral Maxillofac Surg Clin North Am 2003;15:177-186 https://doi.org/10.1016/S1042-3699(02)00102-4
  9. Libersa P, Roze D, Cachart T, Libersa JC: Immediate and late mandibular fractures after third molar removal. J Oral Maxillofac Surg 2002;60:163-165; discussion 165-166 https://doi.org/10.1053/joms.2002.29811
  10. Krimmel M, Reinert S: Mandibular fracture after third molar removal. J Oral Maxillofac Surg 2000;58:1110-1112 https://doi.org/10.1053/joms.2000.9566
  11. Catellani JE, Harvey S, Erickson SH, Cherkin D: Effect of oral contraceptive cycle on dry socket (localized alveolar osteitis). J Am Dent Assoc 1980;101:777-780 https://doi.org/10.14219/jada.archive.1980.0420
  12. Larsen PE: Alveolar osteitis after surgical removal of impacted mandibular third molars. Identification of the patient at risk. Oral Surg Oral Med Oral Pathol 1992;73:393-397 https://doi.org/10.1016/0030-4220(92)90312-E
  13. Robert RC, Bacchetti P, Pogrel MA: Frequency of trigeminal nerve injuries following third molar removal. J Oral Maxillofac Surg 2005;63:732-735; discussion 736 https://doi.org/10.1016/j.joms.2005.02.006
  14. Schultze-Mosgau S, Reich RH: Assessment of inferior alveolar and lingual nerve disturbances after dentoalveolar surgery, and of recovery of sensitivity. Int J Oral Maxillofac Surg 1993;22:214-217 https://doi.org/10.1016/S0901-5027(05)80638-1
  15. Tay AB, Go WS: Effect of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars. J Oral Maxillofac Surg 2004;62:592-600 https://doi.org/10.1016/j.joms.2003.08.033
  16. Wofford DT, Miller RI: Prospective study of dysesthesia following odontectomy of impacted mandibular third molars. J Oral Maxillofac Surg 1987;45:15-19 https://doi.org/10.1016/0278-2391(87)90080-2
  17. Hupp JR: Legal implications of third molar removal. Oral Maxillofac Surg Clin North Am 2007;19:129-136 https://doi.org/10.1016/j.coms.2006.11.008
  18. Bagheri SC, Khan HA: Extraction versus nonextraction management of third molars. Oral Maxillofac Surg Clin North Am 2007;19:15-21 https://doi.org/10.1016/j.coms.2006.11.009
  19. Marciani RD: Third molar removal: an overview of indications, imaging, evaluation, and assessment of risk. Oral Maxillofac Surg Clin North Am 2007;19:1-13 https://doi.org/10.1016/j.coms.2006.11.007
  20. Mejare I, Kallestal C, Stenlund H, Johansson H: Caries development from 11 to 22 years of age: a prospective radiographic study. Prevalence and distribution. Caries Res 1998;32:10-16 https://doi.org/10.1159/000016424