Ojeda Noelia, Rodríguez Yanina, Sanabria Sol, Fretes Vicente, Bañuelos Fátima, Gamarra José
Facultad de Odontologia, Universidad Nacional de Asuncion. Asuncion, Paraguay.
Rev Cient Odontol (Lima). 2024 Nov 23;12(4):e218. doi: 10.21142/2523-2754-1204-2024-218. eCollection 2024 Oct-Dec.
To determine the position of the mandibular third molar and its influence on the presence of pathologies in the mandibular second molar.
Descriptive, cross-sectional, retrospective study. A total of 262 radiographs were analyzed. For each panoramic radiograph selected, the mandibular third and second molars were identified. The Pell and Gregory classification was performed, as well as Winter's classification, subsequently the presence or absence of the following radiographic lesions was evaluated: caries in the adjacent second molar, periodontal bone loss in the distal aspect of the mandibular second molar, and root resorption of the second molar. The data from the radiographs was stored in electronic spreadsheets for tabulation by means of descriptive statistics using Excel software. Descriptive statistics were used to present the results using tables with frequencies and percentages. The chi-squared test was used to perform associations of interest in means of the R Epi info 7.0 program.
Regarding the position of the mandibular third molar, the most frequent was IA, with alveólisis being the most frequent pathology affecting the mandibular second molar in this position. In relation to the inclination of the teeth, the most frequent was mesioangular and the most frequent pathology affecting the second molar in this inclination was also alveólisis.
The IA position with mesioangular inclination of the mandibular third molar was the most common, causing alveolitis in the mandibular second molar. This is the most frequently reported pathology.
确定下颌第三磨牙的位置及其对下颌第二磨牙病变存在情况的影响。
描述性、横断面、回顾性研究。共分析262张X线片。对于每一张选定的全景X线片,识别下颌第三磨牙和第二磨牙。进行佩尔和格雷戈里分类以及温特分类,随后评估以下X线病变的存在与否:相邻第二磨牙的龋齿、下颌第二磨牙远中面的牙周骨丧失以及第二磨牙的牙根吸收。X线片数据存储在电子表格中,使用Excel软件通过描述性统计进行制表。使用频率和百分比表格呈现描述性统计结果。使用R Epi info 7.0程序的卡方检验进行感兴趣的关联分析。
关于下颌第三磨牙的位置,最常见的是IA型,牙槽炎是在此位置影响下颌第二磨牙最常见的病变。关于牙齿的倾斜度,最常见的是近中倾斜,在此倾斜度下影响第二磨牙最常见的病变也是牙槽炎。
下颌第三磨牙近中倾斜的IA位置最为常见,会导致下颌第二磨牙发生牙槽炎。这是最常报道的病变。