The assesment of relationship between the angulation of impacted mandibular third molar teeth and the thickness of lingual bone: A prospective clinical study
| Autor: | Alparslan Esen, Dilek Menziletoglu, Melek Taşsöker, Bozkurt Kubilay-Isik |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 0301 basic medicine Molar Cone beam computed tomography Adolescent Mandible Mandibular second molar Mandibular third molar Lingual Nerve Injuries Young Adult 03 medical and health sciences 0302 clinical medicine stomatognathic system Humans Medicine Prospective Studies Intraoperative Complications General Dentistry Lingual nerve Orthodontics business.industry Impacted tooth Research Hyoid Bone Tooth Impacted 030206 dentistry CIENCIAS MÉDICAS [UNESCO] stomatognathic diseases Cementoenamel junction Otorhinolaryngology Tooth Extraction UNESCO::CIENCIAS MÉDICAS Female Molar Third Surgery 030101 anatomy & morphology Oral Surgery business |
| Zdroj: | Menziletoglu, Dilek ; Tassoker, Melek ; Kubilay-Isik, Bozkurt ; Esen, Alparslan. The assesment of relationship between the angulation of impacted mandibular third molar teeth and the thickness of lingual bone : a prospective clinical study. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 24 1 2019: 18 Medicina Oral, Patología Oral y Cirugía Bucal RODERIC. Repositorio Institucional de la Universitat de Valéncia instname |
| ISSN: | 1698-6946 |
| DOI: | 10.4317/medoral.22596 |
| Popis: | Background Our purpose was to investigate the relationship between the angulation of mandibular third molars and the thickness of the lingual bone, which can affect the risk of lingual nerve damage during lower third molars surgical extraction. Material and Methods This study consisted of 104 patients (42 males and 62 females), aged between 18-42 years (24.67 ± 6.11 years). Cone Beam Computed Tomography (CBCT) images were taken for preoperative assessment. The teeth were divided into four groups according to their positions: mesioangular, distoangular, vertical and horizontal. Lingual bone thickness around impacted teeth were measured at three points: cementoenamel junction (CEJ) of the mandibular second molar, mid-root of the impacted third molar, and apex of the impacted third molar root. Two predisposing factors of lingual nerve damage were recorded: lingual bone perforated by the impacted tooth and lingual bone thinner than 1 mm. Additionally, buccolingual angulations of the teeth in each group were measured. Impacted mandibular third molars were removed in usual way. One week after surgery, the patients were evaluated regarding lingual nerve paresthesia. Results None of the 104 patients experienced paresthesia, including the ones who had teeth with close proximity with lingual nerve. The mean thickness of bone was 1.21±0.63 mm at CEJ of the second molar; 1.25±1.02 mm at the mid-root; and 1.06±1.31 mm at the apex. Horizontally impacted teeth had thinner lingual bone at mid-root level (p=0.016). Buccolingual angulated teeth were more often associated with perforated lingual bone (p=0.002). Buccolingual and mesial/distal angulation had negative correlation with lingual bone thickness (p |
| Databáze: | OpenAIRE |
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