Evaluation Distal caries of the second molars in the presence of third molars among Saudi patients

AlHobail, Sultan Q; Baseer, Mohammad Abdul; Ingle, Navin Anand; Assery, Mansour K; Alsanea, Jamal A; AlMugeiren, Osamah M

doi:10.4103/jispcd.jispcd_19_19

Cited by 8 publications

(2 citation statements)

References 30 publications

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“…This may be indicative of the compartmentalization between oral health and general health; individuals separate their teeth from the rest of their body when determining their health status. 26 27 They may consider their teeth to be a completely isolated entity, thus it is possible that one can have bad teeth but also have good gums. They see the visual and physical evidence of bad teeth, discoloration, and pain but do not see the difference between healthy gums and diseased gums, hence it may be difficult to refer to the two entities as part of one unit.…”

Section: Discussionmentioning

confidence: 99%

Oral Health Status of Illicit Drug Users in a Health District in South Africa

et al. 2022

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Objectives The prevalence of illicit drug use and its associated oral health complications have been increasing in South Africa (SA). There has been a paucity of studies to determine the oral health status among illicit drug users in SA. This study aimed to determine the oral health knowledge, practices, and status of illicit drug users at rehabilitation centers in a district in SA. Materials and Methods This was a cross-sectional study conducted at four rehabilitation centers in Pretoria, SA. Data were collected using a validated self-administered questionnaire and an oral examination. The questionnaire consisted of three parts: demographics, oral health knowledge, and oral health practices. The oral examination was conducted by a calibrated researcher and included caries, periodontal status, dental erosion, trauma, and soft tissue lesions. Statistical Analysis The data were analyzed using the Statistical Package for Social Sciences (SPSS) software. Results The mean age was 25.5 (±7.49) years with 91% being male. The majority (84%) of patients were Black, and almost all (87%) had never received oral health education; 55% were not aware that illicit drugs could have an impact on the oral health status and 40% had never had a prior dental consultation. The caries prevalence was 68% with a mean decayed, missing and filled teeth (DMFT) score of 5.3 (±6.18). More than half (58%) required periodontal treatment and there were minimal soft and hard tissue lesions diagnosed. Those who perceived their teeth to be in a poor condition had a significantly higher Decayed, Missing and Filled Teeth (DMFT) score compared with those who perceived their oral health to be good. Just under half (41.9%) of the participants did not need any periodontal intervention, with the other half presenting with plaque retention or calculus and thus needed oral hygiene intervention inclusive of scaling and polishing. There was minimal evidence of pathological oral lesions with only 1.5% presenting with necrotizing periodontal disease (NPD). Overall, there was generalized poor oral hygiene Conclusion Many of the participants had poor oral hygiene knowledge and practices and a relatively high prevalence of caries. It is imperative that oral health promotion and education is incorporated into the medical interventions provided at rehabilitation centers.

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Section: Discussionmentioning

confidence: 99%

Oral Health Status of Illicit Drug Users in a Health District in South Africa

et al. 2022

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“…Therefore, CBCT use must be justified to avoid unnecessary radiographic exposure [ 26 ]. Regarding the management of MTMI, several studies have investigated prophylactic removal to prevent the effects on neighboring teeth and periodontal tissues [ 27 , 28 , 29 ]. Vrancx et al concluded, in their systematic review, that the study findings indicate that compelling variables relating to patients and surgery support the prompt extraction of the third molar, ideally before the age of 25, mainly to prevent long-term morbidity and nerve problems [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

The Accuracy of Bone Assessment Distal to Lower Second Molars Using Panoramic Radiography: A Systematic Review and Meta-Analysis

Assiri,

Estrugo-Devesa,

Roselló-Llabrés

et al. 2024

Dentistry Journal

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Panoramic radiography (OPG) evaluates mandibular third molar impaction (MTMI). This systematic review aimed to investigate the diagnostic accuracy of OPG in detecting bone loss distal to the lower second molars. The associated bone loss with different impaction positions and the most prevalent positions of MTMI were investigated as secondary outcomes. In January 2023, PubMed, Scopus, and Cochrane were searched to identify studies published between January 2012 and January 2023. Two examiners blindly selected the eligible studies for data extraction and quality assessment. Of 427 studies, 8 were suitable for data extraction. All studies reported bone loss distal to the second molar using OPG, ranging from 4.9 to 62.9%. The most frequent position of MTMI is mesioangular. The distal bone loss in the vertical and horizontal positions is statistically significant compared to typically positioned third molars and those that are fully erupted or impacted, but in a normal orientation (p-value 0.005 and 0.02, respectively). Bone loss was not statistically significant in the mesioangular position compared to other impacted positions (p-value 0.14). The risk of bias ranges between 66 and 88%. Despite its limitations, OPG is still considered a valuable tool to assess bone loss distal to the lower second molar in cases of an impacted mandibular third molar.

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