AI Article Synopsis
- The study examined how impacted mandibular third molars affect the incidence of bad splits during bilateral sagittal split osteotomy (BSSO) in patients with class 3 skeletal discrepancies.
- Among 140 patients, those with impacted third molars experienced a 3.7 times higher rate of bad split occurrences compared to those who had the molars removed six months prior to surgery.
- The findings suggest that females and older patients are at greater risk for these complications, leading to the recommendation of removing impacted third molars to reduce bad split incidence during BSSO.
Article Abstract
Background: The possibility of mandibular bad spilt might happen during bilateral sagittal split osteotomy (BSSO). This study investigated the effect of impacted mandibular third molars on bad spilt incidence during BSSO.
Methods: Totally, 140 patients under 40 years old who were candidates for BSSO surgery due to class 3 skeletal discrepancy were divided randomly into two equal groups. The impacted mandibular third molars were presented in one group during BSSO (Exposed), and the third molars were removed at least six months before surgery for the other group (Unexposed). All cases underwent BSSO using the same technique by a single surgeon. A bad split was diagnosed by inter-operative clinical examination and postoperative panoramic radiography.
Results: Four bad split occurrences were observed including three patients in the group which impacted mandibular third molars were presented and one patient in the group without impacted mandibular third molars. The incidence of bad fracture in the exposed group was 3.7 times more than the unexposed group. The incidence of the bad fracture in exposed group was 3.7 times more than unexposed group. The chance of fractures in females was 1.7 times higher than males. With one year addition to the patient's age, chance of fracture increased 0.985 times more.
Conclusion: Overall incidence of bad split fracture in presence of mandibular third molars in females and at older ages increased during BSSO. The extraction of impacted mandibular third molars, six months before the BSSO is recommended to prevent the bad split incidence during the operation.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016376 | PMC |
| http://dx.doi.org/10.29252/wjps.10.1.37 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Is ADDM graft practical? A comparative study to evaluate ADDM graft in third molar surgery.
Oral Maxillofac Surg
January 2025
Teerthanker Mahaveer University, Morādābād, India.
Background: It has been outlined that LTM (Lower third molar) extracted from patients in which grinding, cleaning, sterilization & demineralization prove to be highly effective as graft material for filling the alveolar socket of the very same patient. These investigations aim to assess the efficiency of ADDM (Autogenous Demineralized Dentin Matrix) graft in third molar extraction sockets.
Purpose: To check the effectiveness of ADDM as graft material in extraction socket by evaluating pain, swelling, trismus, PD (Probing Depth) and bone density.
Background: Current evidence links poor oral health, especially tooth loss, with impaired cognition. However, role of underlying causes of tooth loss e.g.
View Article and Find Full Text PDFUnilateral Chronic Rhinosinusitis as a Presenting Sign of a Maxillary Dentigerous Cyst.
J Allergy Clin Immunol Pract
January 2025
Birmingham VA Medical Center Department of Medicine, Birmingham, Ala; University of Alabama at Birmingham Department of Medicine, Birmingham, Ala. Electronic address:
An unusual case of dens invaginatus on a mandibular second molar: a case report.
Restor Dent Endod
January 2025
Faculty of Dental Surgery, University of Strasbourg, Strasbourg, France.
The present case report describes the endodontic treatment of a type III B dens invaginatus (DI) in a three-rooted mandibular second molar since the invagination invades the root and extends apically. Clinical and cone-beam computed tomography examination of the mandibular second molar showed a broadened coronal morphology, DI, a third root, periapical radiolucency, and compression of a distal root canal by the invagination, which developed an atypical semilunar shape. The tooth was diagnosed with pulpal necrosis, symptomatic apical, and peri-invagination periodontitis.
View Article and Find Full Text PDFBiomechanics of Osseointegration of a Dental Implant in the Mandible Under Shock Wave Therapy: In Silico Study.
Materials (Basel)
December 2024
State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, Beijing 100081, China.
The most time-consuming aspect of dental prosthesis installation is the osseointegration of a metal implant with bone tissue. The acceleration of this process may be achieved through the use of extracorporeal shock wave therapy. The objective of this study is to investigate the conditions for osseointegration of the second premolar implant in the mandibular segment through the use of a poroelastic model implemented in the movable cellular automaton method.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!