Pattern of impacted teeth among patients at MNH
-
Kanankira Anandumi
,
Boniphace Kalyanyama
,
Jeremiah Robert Moshy
,
Karpal Singh Sohal
,
Elison NM Simon
Abstract
Introduction: An impacted tooth is the one which fails to attain its normal functional position within the expected developmental period. They are associated with various pathologies. Hence, the aim of this study was to determine the pattern of occurrence, presentation, and management of impacted teeth among patients attending Muhimbili National Hospital. Materials and Methods: This was a cross-sectional hospital-based study that included all patients aged≥21 years and had impacted teeth. The patients were interviewed using a specially designed questionnaire and later examined clinically and radiographically. Data obtained was analyzed using SPSS version 23.0. Results: A total of 4,668 patients comprising of 1938 (41.5%) males and 2730 (58.5%) females were attended. Among these, 264 (5.6%) patients comprising of 152 (57.6%) males and 112 (42.4%) females had impacted teeth. The 21-25 years age group was the most (59.2%) commonly affected.Mandibular third molars were the most (64.9%) impacted teeth followed by 167 (33.4%) maxillary third molars. Pain was the most common complaint in 79.1% of patients. Mesio-angular impaction was the most common angulation in 196 (39.9%) impacted teeth, followed by vertical impaction in 142 (28.7%) and disto-angular 103 (21.0%) impacted teeth. A majority (66.6%) of impacted teeth were treated by open surgical removal followed by 53 (10.5%) impactions by closed disimpaction. Conclusion: The occurrence of impacted teeth among the patients attended at MNH was 5.6%. Mandibular third molars were the most commonly impacted teeth with mesio-angular being the commonest type of angulation of impacted teeth. Pericoronitis was the most common pathology associated with impacted teeth, others included dental caries, ameloblastoma, and dentigerous cysts. Surgical disimpaction was the most frequently used treatment method with good healing results. Keywords: Impacted tooth; Mesio-angular impaction; Pericoronitis; Vertical impaction; Disto-angular impaction.
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17. Biswas G, Gupta P, Das D. Wisdom teeth - A major problem in young generation, study on the basis of types and associated complications. J Coll Med Sci. 1970;6:24–8.
18. Fidele N, Bourley S, Kazadi E, Feng D, Mana C, Alifi P, et al. Prevalence and Pattern of Impacted Teeth in the North-East China. Br J Med Med Res. 2016;16:1–7.
19. Al-Anqudi SM, Al-Sudairy S, Al-Hosni A, Al-Maniri A. Prevalence and pattern of third molar impaction: A retrospective study of radiographs in Oman. Sultan Qaboos Univ Med J. 2014;14:388–92.
20. Abdulai A., Nuamah I., Sackeyfio J, Hewlett S. Indications for surgical extraction of third molars: a hospital-base study in Accra, Ghana. Int J Med Biomed Res. 2014;3:155–60.
21. Hazza’a A, Bataineh A, Odat A albaset. Angulation of mandibular third molars as a predictive factor for pericoronitis. J Contemp Dent Pract. 2009;10:1–11.
22. Montero J, Mazzaglia G. Effect of removing an impacted mandibular third molar on the periodontal status of the mandibular second molar. J Oral Maxillofac Surg. 2011;69:2691–7.
23. Chukwuneke F, Anyanechi C. Survey of the reasons for dental extraction in Eastern Nigeria. Ann Med Health Sci Res. 2012;2:129.
24. Eshghpour M, Nezadi A, Moradi A, Mahvelati Shamsabadi R, Rezaei NM, Nejat A. Pattern of mandibular third molar impaction: A cross-sectional study in northeast of Iran. Niger J Clin Pract. 2014;17:673–7.
25. El-Khateeb SM, Arnout EA, Hifnawy T. Radiographic assessment of impacted teeth and associated pathosis prevalence: Pattern of occurrence at different ages in Saudi Male in Western Saudi Arabia. Saudi Med J. 2015;36:973–9.
26. Salemi F, Dalband F, Khamverdi M. Prevalence of Impacted Teeth and Their Radiographic Signs in Panoramic Radiographs of Patients Referred to Hamadan Dental School in 2009. 2011;3:21–7.
27. Sabra SM, Soliman MM. The prevalence of impacted mandibular wisdom with associated physical signs and microbial infections among under graduate girls at Taif University, KSA. World Appl Sci J. 2013;21:21–9.
28. Tsvetanov T. Association of the Mandibular Third Molar Position to the Pericoronitis. Int J Med Res Heal Sci. 2018;7:35–40.
29. Stathopoulos P, Mezitis M, Kappatos C, Titsinides S, Stylogianni E. Cysts and tumors associated with impacted third molars: Is prophylactic removal justified? J Oral Maxillofac Surg. Elsevier Inc.; 2011;69:405–8.
30. Vigneswaran AT, Shilpa S. The incidence of cysts and tumors associated with impacted third molars. J. Pharm. Bioallied Sci. 2015. p. S251–4.
31. Ouassime K, Rachid A, Amine K, Ousmane B, Faiçal S. The wisdom behind the third molars removal: A prospective study of 106 cases. Ann Med Surg [Internet]. Elsevier Ltd; 2021;68:102639. Available from: https://doi.org/10.1016/j.amsu.2021.102639
32. Martín-Ares M, Barona-Dorado C, Martínez-Rodríguez N, Cortés-Bretón-Brinkmann J, Sanz-Alonso J, Martínez-González JM. Does the postoperative administration of antibiotics reduce the symptoms of lower third molar removal? A randomized double blind clinical study. J Clin Exp Dent. 2017;9:e1015–22.
2. Almonaitiene R, Balciuniene I, Tutkuviene J. Factors influencing permanent teeth eruption: Part one - general factors. Stomatol Balt Dent Maxillofac J. 2010;12:67–72.
3. Punjabi SK, Khoso NA, Butt AM, Channar KA. Third molar impaction: Evaluation of the symptoms and pattern of impaction of Mandibular third molar teeth. J Liaquat Univ Med Heal Sci. 2013;12:26–9.
4. Altiparmak N. Prevalence of Distal Caries in Mandibular Second Molars Adjacent to Impacted Third Molars: A Retrospective Study Using Panoramic Radiography. J Dent Heal Oral Disord Ther. 2017;8:6–11.
5. Arabion H, Gholami M, Dehghan H. Prevalence of Impacted Teeth among Young Adults : A Retrospective Radiographic Study Oral and Maxillofacial Surgeon , Private Practice , Beirut , Lebanon. 2017;6:131–7.
6. Nazir A, Akhtar MU, Ali S. Assessment of Different Patterns of Impacted Mandibular Third Molars and their Associated Pathologies. J Adv Med Dent Sci Res |Vol. 2014;2:14–22.
7. Msagati F, Simon ENM, Owibingire S. Pattern of occurrence and treatment of impacted teeth at the Muhimbili National Hospital , Dar es Salaam , Tanzania. BMC Oral Health [Internet]. BMC Oral Health; 2013;13:1. Available from: BMC Oral Health
8. Muhamad A, Nezar W, Azzaldeen A. Prevalence of impacted mandibular third molars in population of Arab Israeli: a retrospective study. IOSR J Dent Med Sci e-ISSN. 2016;15:2279–0861.
9. Miranda Pedro FL, Bandéca MC, Ricci Volpato LE, Corrêa Marques AT, Borba AM, De Musis CR, et al. Prevalence of impacted teeth in a brazilian subpopulation. J Contemp Dent Pract. 2015;15:209–13.
10. Samyukta S, Jayraj G. Current trends in impaction in a hospital based population- A radiographic retrospective study. J Pharm Sci Res. 2015;7:901–3.
11. Raj Kumar V, Yadav P, Kahsu E, Girkar F, Chakraborty R. Prevalence and pattern of mandibular third molar impaction in eritrean population: A retrospective study. J Contemp Dent Pract. 2017;18:100–6.
12. Pahadia M, Sahu S, Joshi A, Suryawanshi D, Tiwari A. Clinical and Imaging Evaluation of Third Molars : A Review. J Appl Dent Med Sci. 2015;1:3–9.
13. Ali S, Nazir A. Dental Caries and Pericoronitis Associated With Impacted Mandibular Third Molars — a Clinical and Radiographic Study. Pakistan Oral Dent J. 2014;34:268–73.
14. Sokler K, Sandev S, Grgurević J. Surgical Treatment of Large Mandibular Cysts. Acta Stomatol Croat. 2001;35:253–7.
15. Bhat M, Hamid R, Mir A. Prevalence of impacted teeth in adult patients: A radiographic study. Int J Appl Dent Sci [Internet]. 2019;5:10–2. Available from: www.oraljournal.com
16. Syed KB, Alshahrani FS, Alabsi WS, Alqahtani ZA, Hameed MS, Mustafa AB, et al. Prevalence of distal caries among mandibular second molar due to impacted third molar teeth in Saudi population. J Clin Diagnostic Res. 2017;11:ZC28–30.
17. Biswas G, Gupta P, Das D. Wisdom teeth - A major problem in young generation, study on the basis of types and associated complications. J Coll Med Sci. 1970;6:24–8.
18. Fidele N, Bourley S, Kazadi E, Feng D, Mana C, Alifi P, et al. Prevalence and Pattern of Impacted Teeth in the North-East China. Br J Med Med Res. 2016;16:1–7.
19. Al-Anqudi SM, Al-Sudairy S, Al-Hosni A, Al-Maniri A. Prevalence and pattern of third molar impaction: A retrospective study of radiographs in Oman. Sultan Qaboos Univ Med J. 2014;14:388–92.
20. Abdulai A., Nuamah I., Sackeyfio J, Hewlett S. Indications for surgical extraction of third molars: a hospital-base study in Accra, Ghana. Int J Med Biomed Res. 2014;3:155–60.
21. Hazza’a A, Bataineh A, Odat A albaset. Angulation of mandibular third molars as a predictive factor for pericoronitis. J Contemp Dent Pract. 2009;10:1–11.
22. Montero J, Mazzaglia G. Effect of removing an impacted mandibular third molar on the periodontal status of the mandibular second molar. J Oral Maxillofac Surg. 2011;69:2691–7.
23. Chukwuneke F, Anyanechi C. Survey of the reasons for dental extraction in Eastern Nigeria. Ann Med Health Sci Res. 2012;2:129.
24. Eshghpour M, Nezadi A, Moradi A, Mahvelati Shamsabadi R, Rezaei NM, Nejat A. Pattern of mandibular third molar impaction: A cross-sectional study in northeast of Iran. Niger J Clin Pract. 2014;17:673–7.
25. El-Khateeb SM, Arnout EA, Hifnawy T. Radiographic assessment of impacted teeth and associated pathosis prevalence: Pattern of occurrence at different ages in Saudi Male in Western Saudi Arabia. Saudi Med J. 2015;36:973–9.
26. Salemi F, Dalband F, Khamverdi M. Prevalence of Impacted Teeth and Their Radiographic Signs in Panoramic Radiographs of Patients Referred to Hamadan Dental School in 2009. 2011;3:21–7.
27. Sabra SM, Soliman MM. The prevalence of impacted mandibular wisdom with associated physical signs and microbial infections among under graduate girls at Taif University, KSA. World Appl Sci J. 2013;21:21–9.
28. Tsvetanov T. Association of the Mandibular Third Molar Position to the Pericoronitis. Int J Med Res Heal Sci. 2018;7:35–40.
29. Stathopoulos P, Mezitis M, Kappatos C, Titsinides S, Stylogianni E. Cysts and tumors associated with impacted third molars: Is prophylactic removal justified? J Oral Maxillofac Surg. Elsevier Inc.; 2011;69:405–8.
30. Vigneswaran AT, Shilpa S. The incidence of cysts and tumors associated with impacted third molars. J. Pharm. Bioallied Sci. 2015. p. S251–4.
31. Ouassime K, Rachid A, Amine K, Ousmane B, Faiçal S. The wisdom behind the third molars removal: A prospective study of 106 cases. Ann Med Surg [Internet]. Elsevier Ltd; 2021;68:102639. Available from: https://doi.org/10.1016/j.amsu.2021.102639
32. Martín-Ares M, Barona-Dorado C, Martínez-Rodríguez N, Cortés-Bretón-Brinkmann J, Sanz-Alonso J, Martínez-González JM. Does the postoperative administration of antibiotics reduce the symptoms of lower third molar removal? A randomized double blind clinical study. J Clin Exp Dent. 2017;9:e1015–22.
| Files | ||
| Issue | Vol 8, No 3 (Summer 2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v8i3.8841 | |
| Keywords | ||
| Impacted tooth Mesio-angular impaction Pericoronitis Vertical impaction Disto- angular impaction | ||
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How to Cite
1.
Anandumi K, Kalyanyama B, Moshy J, Sohal K, Simon E. Pattern of impacted teeth among patients at MNH. J Craniomaxillofac Res. 2022;8(3):150-158.
