Indications for removal of impacted mandibular third molars and associated pathologies

Abstract

Introduction: The purpose of this study was to assess the various indications of impacted mandibular third molar removal and pathologies associated with it.
 Methods: A retrospective cross-sectional study was conducted in the Department of Oral Surgery, Gandaki Medical College. The clinical case records from September 2016 to August 2019 were retrieved, reviewed, and analyzed. Surgically removed impacted mandibular third molars for which orthopantomogram were available and the lesions verified histologically were included in the study. Orthopantomograms were studied to determine the angular position of the impacted mandibular third molars and associated pathology. The data was entered in SPSS 20 and descriptive statistics was applied.
 Results: A total of 1344 impacted mandibular third molars (Male-709, 52.8%; Female - 635, 47.2%) were surgically extracted during the three-year period. The majority of patients (36.5%) were in the age groups of 25 - 34 years with a higher incidence of mesioangular impaction (33%). Recurrent pericoronitis (62.9%) was the most common indication followed by caries (11.7%). The radiographically detectable lesion was seen in 471 (35%) cases out of which 304 (64.5%) were symptomatic at the time of extraction. Among137 histopathologically diagnosed cases, chronic inflammatory lesion (76, 55.9%) was the most common finding.
 Conclusion: Awareness of the indications for removal of impacted mandibular third molars helps in proper management and prevention of future complications associated with retention and delayed extraction of such teeth. So, regular and periodic clinical and radiographic examination is required for patients with impacted mandibular third molars.

Reasons for Extraction of Mandibular Third Molar at Tertiary Care Centre in Eastern Nepal

“…This leads to timely diagnosis and subsequent treatment, extraction of MTM. 7%) this may be due to the fact that only impacted teeth were studied in that study; both erupted and impacted MTM were studied in our study 10. Study in Sweden by Lysell et al have shown prophylactic removal (n=229; 30%) as the common reason for extraction of MTM 9.…”

“…9 According to the study done in Nepal, recurrent pericoronitis (62.9%) followed by caries (11.7%) was the most common indication for removal of impacted MTM. 10 However, there is lack of literature regarding the causes of MTM extraction when both erupted and impacted MTM are taken in account. This study was aimed to assess the reasons for MTM extraction.…”

Impact of Mesioangular Mandibular Impacted 3rd Molar on Peridontal Health of Adjacent Tooth

“…Current study was comparable to the studies conducted in past. [17,18] In countries where dental checkups begin at an earlier age, impactions are more likely to be identified. [19] However, in resource-poor nations like Tanzania, most patients seek medical attention only when they are experiencing symptoms that cause them to become temporarily unable to do their daily activities, such as mild to severe pain, swellings, trismus, or fever.…”