Tambuwala Aruna Azhar, Oswal Rakesh Gulabchand, Desale Rushikesh Suresh, Oswal Nitin Prakash, Mall Prashant Edwin, Sayed Aatif Riyaz, Pujari Aniket Tarachand
Professor and HOD, Department of Oral and Maxillofacial Surgery, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
Reader, Department of Oral and Maxillofacial Surgery, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
J Int Oral Health. 2015 Apr;7(4):58-62.
The purpose of this study was to evaluate the early pathologic changes in the follicular tissue of completely impacted mandibular third molar.
52 patients, between 18 and 52 years of age of which 25 were males and 27 were females, were selected. They had impacted mandibular third molars, which were indicated for extraction. After extraction, the follicle was sent for a histopathological evaluation to two different oral pathologists.
The results showed that 80.8% of the specimen had normal follicles. 11.5% specimen suggested cystic changes while 7.7% suggested infected follicle.
It is desirable to consider prophylactic removal of impacted mandibular third molar presenting at a younger age, whereas their removal remains an enigma for the older age group and should only be considered appropriate in those cases where frank causes for its removal are established.
本研究的目的是评估完全埋伏下颌第三磨牙滤泡组织的早期病理变化。
选取52例年龄在18至52岁之间的患者，其中男性25例，女性27例。他们有需要拔除的埋伏下颌第三磨牙。拔牙后，将滤泡组织送去让两位不同的口腔病理学家进行组织病理学评估。
结果显示，80.8%的标本滤泡正常。11.5%的标本提示有囊性改变，7.7%提示滤泡感染。
对于较年轻患者，考虑预防性拔除埋伏下颌第三磨牙是可取的，而对于老年患者，其拔除仍是一个难题，只有在明确有拔除的正当理由时才应考虑拔除。
