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

McArdle, Louis; Renton, Tara

doi:10.1016/j.bjoms.2005.07.025

Cited by 86 publications

(90 citation statements)

References 6 publications

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“…Recurrent pericoronitis was found to be most the common indication for SRIMTM in our study, this finding is supported by other studies [13,14] and is in disagreement with some studies too [4,7]. As supported by current trend, more conservative approach of managing acute infection in patients with a single episode of pericoronitis and surgical approach with multiple episodes were practiced in our institute as well.…”

Section: Discussionsupporting

confidence: 55%

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Patel¹,

Mansuri²,

Shaikh³

et al. 2016

J. Maxillofac. Oral Surg.

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Aim To study the incidence of mandibular third molar impaction in relation to type and side of impaction, age and sex of patients and indications for its surgical removal through data collected from a single institute over a period of 3 and half years. Methods The records of 1198 patients who underwent the surgical removal of impacted mandibular third molars were reviewed retrospectively. Records were divided into groups according to sex, age, type and side of impaction. Radiographs were studied to determine angular position of impacted mandible third molar. Results We found that there was a high incidence of mesioangular lower third molar impaction (33.97 %), highest number of patients were found in 15-30 years of age group (48.33 %), a left side (56.93 %) was more commonly involved, female predominance (63.44 %) was observed and recurrent pericoronitis (33.81 %) was the most common indication. Conclusion Awareness of the indications for surgical removal of impacted mandibular third molar to the patients will help to avoid future risk of complications and morbidity associated with the same. This will not only help in saving time and money but also prevents the psychological trauma associated with delayed treatment. Removal of only symptomatic IMTM seems to be the logical choice in view of financial constraint in developing countries like India but at the same time early removal offers freedom from future complications in selected cases. So surgeons should apply a meticulous approach in selecting the patients for SRIMTM.

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Section: Discussionsupporting

confidence: 55%

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Patel¹,

Mansuri²,

Shaikh³

et al. 2016

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

show abstract

“…23 They also found that 82% of mesioangular third molars causing distal cervical caries were of an angulation between 40 and 80 degrees. 1 We did not fi nd a difference in the age of patients with a mesioangular third molar and distal caries in the second molar when compared to the group as a whole (median age of both groups was 28). Neither did we fi nd a difference in the DMFT score of the two groups (median score for both groups was 5).…”

Section: Discussionmentioning

confidence: 52%

“…1,[20][21][22] McArdle and Renton found the median age of patents with distal cervical caries in the second molar to be 30 and for their DMFT score to be approximately half the mean score for the general population for various age groups. 23 They also found that 82% of mesioangular third molars causing distal cervical caries were of an angulation between 40 and 80 degrees.…”

Section: Discussionmentioning

confidence: 99%

“…This was defi ned as the angle created by the intersection of a line through the occlusal plane of the third molar and the mandibular occlusal plane as shown in Figure 2. 1 As lack of sharpness of the OPG X-ray was occasionally encountered, the angle was recorded to the nearest fi ve degrees.…”

Section: Methodsmentioning

confidence: 99%

“…[1][2][3][4] Historically, prophylactic removal of third molars was common but numerous studies have shown there to be insuffi cient evidence to support this line of manageIntroduction Distal caries in lower second molars has been associated with mesioangular third molars. Caries detection and restoration can be diffi cult.…”

Section: Introductionmentioning

confidence: 99%

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The mesioangular third molar – to extract or not to extract? Analysis of 776 consecutive third molars

et al. 2009

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Three-dimensional position of mandibular third molars and its association with distal caries in mandibular second molars: a cone beam computed tomographic study

Chen

Zheng

et al. 2020

Clin Oral Invest

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Objective To analyze the prevalence of distal caries in mandibular second molars (M2Ms) and its correlation with the threedimensional position of mandibular third molars (M3Ms) by cone beam computed tomography (CBCT) images. Materials and methods CBCT scans involving 421 M3Ms were assessed. The presence of distal caries of M2Ms, patient age and gender, impaction depths and mesial angulation of M3Ms, the cementoenamel junction (CEJ) distances and contact point localization, and the horizontal positions of M3Ms were assessed. Risk factors were identified by multivariate logistic regression analysis. Results The overall prevalence of distal caries in M2Ms was 31.6%. Mesial angulation (16°-75°) of M3Ms, contact point localization at or below the CEJ of M2Ms, and a buccal or lingual position of M3Ms relative to the molar line were identified as risk factors for the prevalence of distal caries in M2Ms (p < 0.05). Distal caries was more severe when the mesial angulation of M3Ms was 16°-75°(p < 0.05). Conclusions Buccal or lingual position of M3Ms may represent a new risk factor for the distal caries in M2Ms. Mesial angulation (16°-75°) of M3Ms is a predictive parameter for both the presence and severity of distal caries in M2Ms. Clinical relevance As the presence of distal caries in M2Ms is significantly associated with the three-dimensional position of M3Ms, watchful monitoring or prophylactic removal of M3Ms should be deliberated when M3Ms are mesially angulated (16°-75°), buccally or lingually positioned, and with the contact point localization at or below the CEJ of M2Ms.

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

Cited by 86 publications

References 6 publications

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

The mesioangular third molar – to extract or not to extract? Analysis of 776 consecutive third molars

Three-dimensional position of mandibular third molars and its association with distal caries in mandibular second molars: a cone beam computed tomographic study

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