Risk factors for lingual plate fracture during mandibular third molar extraction

Autor: Cheng Huang, Derong Zou, Min-Hua Xu, Chun Zhou
Rok vydání: 2020
Předmět:
Zdroj: Clinical Oral Investigations. 24:4133-4142
ISSN: 1436-3771
1432-6981
DOI: 10.1007/s00784-020-03286-5
Popis: The aim of this study was to predict the risk of lingual plate fracture during mandibular third molar (M3) extraction. Cone beam computed tomography (CBCT) data from 264 mandibular M3s (erupted and impacted) from 264 patients (104 males and 160 females; age range, 17–75 years) were retrospectively analyzed. Lingual plate thicknesses at the levels of the mid-root and root apex of the M3s were measured and defined as “thicker” (bone thicker than 1 mm), “thinner” (bone thinner than 1 mm), or “perforated” (bone perforated by the M3 root). These measurements were correlated with potential risk factors for thinner and perforated lingual plates: tooth position of the mandibular M3, morphology of the lingual plate, and patient characteristics (age and sex). The mean thickness of the lingual plate was 1.49 ± 1.38 mm at the mid-root of the M3s, and 2.35 ± 2.03 mm at the root apex. Multivariate regression analyses revealed that mesioangularly and horizontally impacted M3s were significantly associated with thinner and perforated lingual plates at the mid-root (P
Databáze: OpenAIRE