Evaluation of the Effect of Surgical Extraction of an Impacted Mandibular Third Molar on the Periodontal Status of the Second Molar-Prospective Study
| Autor: | Grzegorz Trybek, Anna Grzywacz, Magda Aniko-Włodarczyk, Olga Preuss, Aleksandra Jaroń |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Molar complications Alveolar arch Dentistry Article periodontal status Tooth mobility Mandibular second molar 03 medical and health sciences 0302 clinical medicine stomatognathic system impaction Medicine mandibular third molar third molar Wisdom tooth Prospective cohort study Impaction business.industry Mandible 030206 dentistry General Medicine stomatognathic diseases 030104 developmental biology medicine.anatomical_structure business |
| Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 10, Iss 2655, p 2655 (2021) Volume 10 Issue 12 |
| ISSN: | 2077-0383 |
| Popis: | Dental injury to the second molar (SM) caused by the surgical extraction of the impacted third molar tends to be underestimated. The necessity of assessment of the impact of the removal of the wisdom tooth in the mandible on the second molar arose. The study group (n = 60) was the one with the second molar on the surgical side, and the control group (n = 60) was the one with the tooth on the opposite side of the alveolar arch. Before the surgery, the difficulty level was assessed according to the Pederson scale. The periodontal status of the SM was assessed by probing depth (PD), gingival index (GI), tooth mobility (TM) examination by the percussion method and resonance frequency. Measurements were taken before and after the surgery, 7 days and 8 weeks after the surgery. The study demonstrated the significant impact of the surgical removal of the wisdom tooth on the PD, GI and TM of the SM. The predicted degree of difficulty of the very difficult surgery had an influence on the increase in PD on the distal buccal and lingual surface of the SM, and on the GI in the proximity of the examined tooth. The results of the presented research confirm the necessity of the clinical assessment of the lower SM before and after the surgical removal of the impacted wisdom tooth in the mandible. |
| Databáze: | OpenAIRE |
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