Radiographic assessment of impacted teeth and associated pathosis prevalence

Abstract

Objectives:To assess the prevalence of both impaction and associated pathosis in a Saudi population in Al-Madinah, Saudi Arabia based on digital panoramic radiographs.Methods:This study was carried out from December 2013 to February 2015. Panoramic radiographs of 359 male patients attending the Oral Diagnosis Clinics, Faculty of Dentistry, Taibah University, Al-Madinah, Saudi Arabia were reviewed. All images were evaluated to determine the prevalence and pattern of impacted third molars and canines, and associated pathosis.Results:Among 359 panoramic radiographs examined, 124 patients had impacted teeth. The impacted mandibular third molars were the most prevalent impacted teeth, 77.6% had class II pattern of impaction. Among the impacted maxillary canines, 75% were mesioangular and among 66 impacted maxillary third molars, 63.6% had class C. Our study showed that 5.8% of Saudi patients had 3 or more impacted teeth, 13.1% had 2 impacted teeth, and 15.6% had one impacted tooth. Associated pathosis was found in 18.2% among impacted maxillary third molars, and 31.5% among impacted mandibular third molars. The incidence of impaction decreases with age.Conclusion:The prevalence and pattern of impacted third molars among Saudis are almost similar to other racial populations. The number of missing wisdom increases with age. Although the percentage of pathosis associated with impaction was considerably low, it is essential to carry you regular oral examinations to preserve asymptomatic impacted teeth in good health.

Prevalence and Pattern of Third Molar Impaction among the Saudi Population in Jazan Region, Saudi Arabia

“…Researchers have emphasized the importance of the removal or continuous follow-up of impacted maxillary and mandibular third molars because their localized effect on the second molar may result in traumatic/pathological effects or overall remaining dentition [25]. Orthodontic treatment with first premolar extraction can improve third molar angulation during eruption and consequently support the orthodontic extraction therapy approach in borderline cases [26].…”

“…Orthodontic treatment with first premolar extraction can improve third molar angulation during eruption and consequently support the orthodontic extraction therapy approach in borderline cases [26]. Although the percentage of pathosis associated with impaction is considerably low, regular oral examinations are necessary to preserve asymptomatic impacted third molars in good conditions [25].…”

“…A single study involving the Saudi population found that females are frequently affected by third molar impaction [30], whereas other studies found that third molar impaction is common among male participants at a female-to-male ratio of 1/5 [28]. However, Haidar and Shalhoub [9], Hassan AH [10], Bayoumi et al [24], and El-Khateeb et al [25], recorded no significance differences between males and females. Our findings recorded a significant difference between genders as shown in Tables 4-6.…”

“…Previous studies on different cities in Saudi Arabia concluded and specified that orthopantomogram (OPG) radiography is a necessary image screening technique for teenagers and adults with permanent dentition. This simple technique can screen patient records because it is available in most dental centers and colleges of dentistry, well recognized by dental technicians, and can be used with software [23][24][25][26][27][28][29][30].…”

The Prevalence of Impacted Maxillary Canines in a Palestinian Population: A Retrospective Study

“…Furthermore, Gashi et al, [21] retrospectively investigated the records of 8101 Kosoviar patients treated in the University Dentistry Clinical Center of Kosovo, The result revealed that the incidence of maxillary canine impaction was (1.62%). A study done in Saudi Arabia assessed the panoramic radiographs of 359 males found that 6 patients had at least one impacted maxillary canine which accounted for 1.67% of the studied population [22]. A prevalence of 1.36% was reported by Mustafa [18] who conducted a retrospective investigation on 3800 panoramic x-rays of patients who had attended for treatment at the faculty of Dentistry at King Khaled University in Saudi Arabia.…”