Mandibular Third Molar Impaction in Skeletal Class I Individuals with Different Vertical Patterns: A Cross-sectional Study

  • سال انتشار: 1404
  • محل انتشار: دوفصلنامه ارتودنسی ایران، دوره: 20، شماره: 2
  • کد COI اختصاصی: JR_ORTHO-20-2_007
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 44
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نویسندگان

Hamid Mojtahedi

Assistant professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Behrad Tanbakuchi

Associate Professor, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Ehsan Dehshiri

Dentist, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Farzaneh Bolandparva

Assistant professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

Mohammad Javad Kharazifard

Epidemiologist, Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran

Fatemeh Safari

Assistant Professor, Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran

چکیده

Aim: This study assessed the relationship between different skeletal facial types and the position of impacted mandibular third molars in an Iranian population. By clarifying this important relationship, it may be possible to predict the likelihood of third molar impaction based on skeletal facial type, thereby improving the focus of preventive interventions.Methods: In this study ۱۲۲ individuals with skeletal Class I relationships and different vertical skeletal facial types were examined radiographically. According to SN-GoGn and FMA angles, the subjects were categorized into three groups: mesofacial, brachiofacial, and dolichofacial. The angular position of third molars was classified on the panoramic x-ray according to Winter’s classification, which evaluates the beta angle, defined as the angle formed by the long axes of the second and third mandibular molars, categorized as vertical, mesioangular, distoangular, or horizontal. The position of the third molar relative to the occlusal plane and the cervical level of the second molar was categorized based on the Pell and Gregory classification into position A (the third molar aligned with the occlusal plane of the second molar), position B (the third molar situated between the occlusal plane and cervical area of the second molar), and position C (the third molar located below the cervical region of the second molar).The Chi-square and ANOVA tests were performed for statistical analyses. P< ۰.۰۵ was considered as significant.Results: This study showed  mandibular third molar impaction rate was ۴۵.۹%, with a slight female predilection. The most common angulation was vertical (۶۳.۵%), and the predominant occlusal level was position A (۵۰%). Distoangular impactions, the least frequent, were mainly observed in the dolichofacial group. Dolichofacial group indicated the highest incidence of at least one impaction, followed by the mesofacial and brachiofacial groups at ۴۳%, ۳۰% and ۲۶% respectively.No significant associations were found between skeletal facial type and either the angulation (P=۰.۴۱) or level (P=۰.۴۹) of third molars. Conclusion: This study found no significant relationship between facial type and the position or impaction rate of lower third molars. These findings suggest that vertical facial patterns do not significantly predict mandibular third molar impaction.

کلیدواژه ها

Impacted Tooth, Vertical Skeletal Pattern, third molar

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