Distal cervical caries in the mandibular second molar: an indication for the prophylactic removal of third molar teeth? Update

McArdle, Louis; McDonald, Fraser; Jones, Judith

doi:10.1016/j.bjoms.2013.11.007

Cited by 51 publications

(38 citation statements)

References 13 publications

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“…However patients in the DSC group were on average 5 years older than patients in the DSC-free group. These findings seem to support the observation by McArdle et al 27 i.e. that patients with DSC on average have better dental health.…”

Section: Discussionsupporting

confidence: 91%

“…27 However two different types of DC patterns have been observed during the conduct of our study. Specifically, distal root surface caries which has previously been described but also approximal surface caries affecting the distal surface of the second molar.…”

Section: Discussionmentioning

confidence: 85%

“…On the other hand, McArdle et al 27 reported that DMFT scores of patients with DSC are usually lower than that for a similar age group. In our study, the mean DMFT score was marginally higher in patients with DSC but this was not found to be clinically significant.…”

Section: Discussionmentioning

confidence: 97%

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Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

Toedtling¹,

Coulthard

Thackray

2016

Br Dent J

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 85%

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Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

Toedtling¹,

Coulthard

Thackray

2016

Br Dent J

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“…It has become evident that the NICE guidance is only appropriate for immediate and shortterm decision making and does not take into account the long-term consequences of third molar retention. McArdle et al 4 reported that patients with distal-cervical caries in second molars tend to be on average five-years older than patients with other pathological manifestations. This illustrates • Highlights the increasing incidence of distal caries in lower second molars when associated with asymptomatic, partially erupted wisdom teeth.…”

Section: We Want the Best Care For Our Patientsmentioning

confidence: 99%

Revolution vs status quo? Non-intervention strategy of asymptomatic third molars causes harm

Toedtling

Yates

2015

Br Dent J

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The existing guidelines are based on evidence from an assessment report published by Song et al. 1 in 1999 which refers to research evidence from almost three decades ago, during which time a large number of third molars were prophylactically removed. Moreover, the assessment report documented a very low rate of distal-cervical caries in lower second molars and identified the incidence within a range of 1-4.5%. 2 It is now evident that the removal of wisdom teeth in this era could not provide the data or analysis required to truly highlight the incidence of harm that clinicians see today -some 15 years after the recommendation for a non-intervention strategy. Conflict between research evidence and clinical opinionIn the UK we have little hope of enhancing our evidence in relation to third molar research with large trials as research funders for the NHS (England) and other UK based research councils have funding priorities that lay elsewhere. 3 Furthermore, the current clinical reporting systems in place are not sensitive enough to show an accurate

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“…3,4 Some of the impacted third molars remain asymptomatic for years and do not cause any clinical problem, [5][6][7] and some may cause various symptoms and pathologies, such as pain, swelling, cheek ulceration, distal caries, bone loss, odontogenic cysts, benign or malignant tumors, systemic infections, and root resorption of adjacent teeth. [8][9][10][11][12][13] Resorption of the roots of adjacent teeth can occur because of eruption pressure of the third molar or the impacted teeth might get embedded in bone for many years, and as they make an attempt to erupt, they sometimes cause considerable pressure on the roots of neighboring teeth, causing resorption, 14 and this type of resorption of roots of adjacent teeth is termed as external root resorption (ERR). External root resorption occurs as a result of changes in the osteoclastic activity leading to destruction of mineralized dental tissue.…”

Section: Introductionmentioning

confidence: 99%

Impacted Third Molars and Its Propensity to stimulate External Root Resorption in Second Molars: Comparison of Orthopantomogram and Cone Beam Computed Tomography

D’Costa¹,

Ahmed

Ongole

et al. 2017

World Journal of Dentistry

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Aim: This study was designed to compare the efficiency of conebeam computed tomography (CBCT) with panoramic radiography to discern external root resorption (ERR) in second molars. Materials and methods:This was a retrospective study with a sample size of 50 participants who had a total of 120 impacted third molars visible on panoramic radiographs and CBCT images. The presence of ERR on the neighboring second molar was assessed and the position of impacted third molar was determined using Pell and Gregory classification. The ERR was registered according to Al-Khateeb and Bataineh's criteria. The location and severity were assessed by Ericson et al criteria, and grading of ERR was done as per the criteria given by Nemcovsky. Results:The CBCT was able to locate and identify extremely large number of cases with ERR on second molars in comparison with the panoramic radiographs. Based on Pell and Gregory classification, position B was most common. The ERR on second molars was most commonly seen at the cervical region. Most of the cases had mild severity. As per grading mentioned by Nemcovsky, maximum number of cases were given grade A followed by grade B.Conclusion: According to our study and considering the threedimensional information obtained from CBCT, we found that ERR was better detected with CBCT.Clinical significance: If on panoramic radiographs, a close contact is detected between the second molar and an impacted third molar, CBCT can be advised taking into account the "risk vs reward ratio."

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Distal cervical caries in the mandibular second molar: an indication for the prophylactic removal of third molar teeth? Update

Cited by 51 publications

References 13 publications

Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

Revolution vs status quo? Non-intervention strategy of asymptomatic third molars causes harm

Impacted Third Molars and Its Propensity to stimulate External Root Resorption in Second Molars: Comparison of Orthopantomogram and Cone Beam Computed Tomography

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