Impacted Lower Third Molar Profile at Dental Hospital of Padjadjaran University
Abstract
Introduction: Impacted teeth are teeth that erupt incompletely in the normal eruption period. This situation can be caused by hard or soft tissue obstructions or a lack of arch jaw. Objectives: This study aimed to determine the impacted lower third molar teeth profile by age, sex, class, angulation, treatment, and anesthesia at RSGM UNPAD in 2017-2019. Methods: The study was conducted from February 8, 2020, to March 8, 2020. The study represents the impacted lower third molar teeth profile of patients referred to Outpatient Installation, Central Surgical Installation, and the Radiology Installation. Classification of tooth impaction was based on Pell & Gregory and Winter classifications using ImageJ application, while Intraclass Correlation Coefficient (ICC) was used to confirm data validity. Results: There were 146 impacted dental cases, with a total case of 62 (42.5%) for males and 84 (57.5%) for females. Most impacted teeth occurred in the 12-25 years age group up to 72 (49.3%). A total of 177 impacted teeth mostly occurred in 48 teeth, as many as 91 (51.4%). Impaction class Pell & Gregory class B with 110 (62.1%) cases were found the most. Based on the anterior border of ramus, class II with 164 (91.1%) cases was found the most. Horizontal (79 cases, 44.6%) became the most frequent angulation. The procedures taken were all odontectomy 177 (100%) with more use of local anesthesia 136 (93.2%) compared to general anesthesia 10 (6.8%). Conclusion: Cases of impacted lower third molar teeth at RSGM UNPAD in 2017-2019, were most common in females and mostly in the 12-25 years age group, with Pell & Gregory class IIB classification and Winter horizontal angulation classification, all procedures performed were odontectomy, majority using local anesthesia.
References
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Amanat N, Rcs FDS, Mirza D, Rizvi KF, Rcs D. Pattern of third molar impaction : frequency and types among patients attending urban Teaching Hospital of Karachi. Pakistan Oral Dent J. 2014;34(1):1–4.
Gümrükçü Z, Balaban E, Karabağ M. Is there a relationship between third ‑ molar impaction types and the dimensional / angular measurement values of posterior mandible according to Pell & Gregory / Winter Classification ? Oral Radiol [Internet]. 2021;37(1):29–35. Available from: https://doi.org/10.1007/s11282-019-00420-2
Kerner S, Etienne D, Malet J, Mora F, Monnet-Corti V, Bouchard P. Root coverage assessment: Validity and reproducibility of an image analysis system. J Clin Periodontol. 2007;34(11):969–76.
Zhang X, Wang L, Gao Z. Development of a new index to assess the difficulty level of surgical removal of impacted mandibular third molars in an asian population. J Oral Maxillofac Surg [Internet]. 2019;77(7):1358.e1-1358.e8. Available from: https://doi.org/10.1016/j.joms.2019.03.005
Deshpande P, V. Guledgud M, Patil K. Proximity of Impacted Mandibular Third Molars to the Inferior Alveolar Canal and Its Radiographic Predictors: A Panoramic Radiographic Study. J Maxillofac Oral Surg. 2013;12(2):145–51.
Heryono A, Pramono D, Utarini A. Lama waktu operasi, luas daerah operasi, banyaknya larutan irigasi dan jenis anestesi dengan komplikasi yang terjadi pascaodontektomi. Manaj pelayanan Kesehat. 2012;15(03):140–6.
Worrall SF, Riden K, Haskell R, Corrigan AM. UK National Third Molar project: The initial report. Br J Oral Maxillofac Surg. 1998;36(1):14–8.
Malamed SF. Sedation: a Guide To Patient Management. 6th ed. Mosby. 2017:779–797.
Soeprapto A, Latif AL, Julia V. Profile of odontectomy cases in an Indonesian Teaching Hospital. J Dent Indones. 2011;18(1):6–9.
Nelson SJ. Wheelers’s Dental Anatomy, Physiology, and Occlusion. 10th ed. Elsevier. St. Louis, Missouri 63043; 2015. 30–36 p.
Afify AR, Zawawi KH. The prevalence of dental anomalies in the Western Region of Saudi Arabia. ISRN Dent. 2012;2012:1–5.
Bereket C, Çakir-Özkan N, Şener I, Kara I, Aktan AM, Arici N. Retrospective analysis of impacted first and second permanent molars in the turkish population: a multicenter study. Med Oral Patol Oral Cir Bucal. 2011;16(7):12–6.
Alsehimy M. Prevalence of impacted third molars in Jeddah , Saudi Arabia : a retrospective study. J Am Sci. 2014;10(October 2014):1–4.
Outbi R. Gambaran sosiodemografi serta prevalensi dan insidensi kasus gigi impaksi di RSUD Dr Moewardi Surakarta periode 2013-2017. 2018:1–11.
Hashemipour MA, Tahmasbi-Arashlow M, Fahimi-Hanzaei F. Incidence of impacted mandibular and maxillary third molars: a radiographic study in a southeast Iran population. Med Oral Patol Oral Cir Bucal. 2013;18(1):1–6.
Siagian KV. Penatalaksanaan impaksi gigi molar ketiga bawah dengan komplikasinya pada dewasa muda. J Biomedik. 2013;3(3):186–94.
Lanucci JM, Howerton LJ. Dental Radiography Principles And Techniques. Elsevier; 2012. 256–268 p.
Šečić S, Prohić S, Komšić S, Vuković A. Incidence of impacted mandibular third molars in population of Bosnia and Herzegovina: a retrospective radiographic study. J Heal Sci. 2013;3(2):151–8.
Miloro M, Ghali GE, Larsen PE, Waite PD. Peterson’s Principles of Oral and Maxillofacial Surgery - Third Edition. 3rd ed. Vol. 115, People’s Medical Publishing House-USA. People’s Medical Publishing House-USA; 2011.
Rahayu S. Odontektomi, tatalaksana gigi bungsu impaksi. E-Journal Widya Kesehat dan Lingkung [Internet]. 2014;Vol 1, No:81–9. Available from: http://e-journal.jurwidyakop3.com/index.php/kes-ling/article/download/181/159
Rasyida AZ, Rizqiawan A. Considerations in performing odontectomy under general anesthesia: case series. Dent J (Majalah Kedokt Gigi). 2018;51(4):185.
Chandha MH, Nurul Z. Pengaruh bentuk gigi geligi terhadap terjadinya impaksi gigi molar ketiga rahang bawah. Dentofasial J Kedokt Gigi. 2007;2(6):65–65.
Winata L, Umboh JM., Riwudjeru. Gambaran gigi impaksi pasien yang berkunjung di BP-RSGM Universitas Sam Ratulangi pada tahun 2011. e-GIGI. 2013;1(2):189.
Hendriyana A. RSGM Unpad raih izin operasional rumah sakit khusus kelas a - Universitas Padjadjaran [Internet]. [cited 2019 Aug 26]. Available from: http://www.unpad.ac.id/2015/05/rsgm-unpad-raih-izin-operasional-rumah-sakit-khusus-kelas-a/
Webster M. Profile [Internet]. [cited 2019 Nov 30]. Available from: https://www.merriam-webster.com/dictionary/profile
Khojastepour L, Khaghaninejad MS. Does the Winter or Pell and Gregory Classification System Indicate the Apical Position of Impacted Mandibular Third Molars? J Oral Maxillofac Surg [Internet]. 2019;77(11):2222.e1-2222.e9. Available from: https://doi.org/10.1016/j.joms.2019.06.004
Balaji S.M. Textbook of Oral and Maxillofacial Surgery. 3rd ed. Elsevier India Pvt Ltd. Chennai, Tamil Nadu, India; 2018:835–929.
Koo TK, Li MY. A Guideline of Selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med [Internet]. 2016;15(2):155–63. Available from: http://dx.doi.org/10.1016/j.jcm.2016.02.01
Fan Y, Penington A, Kilpatrick N, Hardiman R, Schneider P, Clement J, et al. Quantification of mandibular sexual dimorphism during adolescence. J Anat. 2019;234(5):709–17.
Amanat N, Rcs FDS, Mirza D, Rizvi KF, Rcs D. Pattern of third molar impaction : frequency and types among patients attending urban Teaching Hospital of Karachi. Pakistan Oral Dent J. 2014;34(1):1–4.
Gümrükçü Z, Balaban E, Karabağ M. Is there a relationship between third ‑ molar impaction types and the dimensional / angular measurement values of posterior mandible according to Pell & Gregory / Winter Classification ? Oral Radiol [Internet]. 2021;37(1):29–35. Available from: https://doi.org/10.1007/s11282-019-00420-2
Kerner S, Etienne D, Malet J, Mora F, Monnet-Corti V, Bouchard P. Root coverage assessment: Validity and reproducibility of an image analysis system. J Clin Periodontol. 2007;34(11):969–76.
Zhang X, Wang L, Gao Z. Development of a new index to assess the difficulty level of surgical removal of impacted mandibular third molars in an asian population. J Oral Maxillofac Surg [Internet]. 2019;77(7):1358.e1-1358.e8. Available from: https://doi.org/10.1016/j.joms.2019.03.005
Deshpande P, V. Guledgud M, Patil K. Proximity of Impacted Mandibular Third Molars to the Inferior Alveolar Canal and Its Radiographic Predictors: A Panoramic Radiographic Study. J Maxillofac Oral Surg. 2013;12(2):145–51.
Heryono A, Pramono D, Utarini A. Lama waktu operasi, luas daerah operasi, banyaknya larutan irigasi dan jenis anestesi dengan komplikasi yang terjadi pascaodontektomi. Manaj pelayanan Kesehat. 2012;15(03):140–6.
Worrall SF, Riden K, Haskell R, Corrigan AM. UK National Third Molar project: The initial report. Br J Oral Maxillofac Surg. 1998;36(1):14–8.
Malamed SF. Sedation: a Guide To Patient Management. 6th ed. Mosby. 2017:779–797.
Published
2023-01-09
How to Cite
AKBAR, Muhammad Fauzi et al.
Impacted Lower Third Molar Profile at Dental Hospital of Padjadjaran University.
Journal of Indonesian Dental Association, [S.l.], v. 5, n. 2, p. 91-98, jan. 2023.
ISSN 2621-6175.
Available at: <http://jurnal.pdgi.or.id/index.php/jida/article/view/902>. Date accessed: 20 apr. 2024.
doi: https://doi.org/10.32793/jida.v5i2.902.
Section
Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
