Odontogenic lesions associated with impacted teeth: A 5-year retrospective institutional study
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Abstract
Introduction: Odontogenic lesions related to impacted teeth are common findings in routine dental exams, with the potential to cause tooth pain, displacement, bone expansion, or even bone erosion. Thus, their early detection is important. This study aimed to evaluate the frequency of such lesions based on patient age, gender, and location at the Tehran University of Medical Sciences, School of Dentistry, over five years. Materials and Methods: This retrospective study evaluated records from the oral pathology department, covering a five-year period. The association of odontogenic lesions with impacted teeth was assessed. Data on lesion type, patient age and gender, involved jaw, lesion location, and affected teeth were extracted from patient records. Statistical analysis was performed using SPSS 24. Results: Out of 815 odontogenic lesions, 44.4% were associated with impacted teeth. The patient distribution was 52.48% male and 47.52% female. Lesions were most prevalent in the third decade of life (24.58%), and third molars (59.39%) were frequently involved. The posterior mandible (68.5%) and mandibular third molar (55%) were common sites. Dentigerous cysts had the highest frequency (35.4%), with odontogenic cysts (developmental) occurring more frequently (70.7%) than odontogenic tumors. Conclusion: The study underscores a significant association between odontogenic lesions and impacted or unerupted teeth. Periodic follow-ups are crucial for retaining impacted teeth based on these findings. Keywords: Tooth; Impacted; Odontogenic cysts; Odontogenic tumors; Jaw; Pathology; Oral.
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[13] Khalesi S, Kargahi N, Shekarian S. Frequency of jaw pathologic lesions related to impacted teeth in Isfahan Dental School, Iran. J Oral Health Oral Epidemiol 2021; 10 (4): 218-24.
[14] Saghravanian N, Mohtasham N, Talebmehr M. Ten-year-evaluation of odontogenic cysts and tumors related to the impacted teeth. Iran J Otorhinolaryngol 2007:143-150.
[15] Sina M, Behkar S, Emamverdizadeh P. Frequency of Lesions Associated with Impacted Teeth in Patients Referring to the Department of Oral Pathology, Tabriz Faculty of Dentistry from 2004 to 2013 and Its Relationship with Age, Gender, Location and Type of Lesion. Int j sci res innov technol. 2017:65-70.
[16] Anand S, Kashyap B, Kumar GR, Shruthi BS, Supriya AM.Pericoronal Radiolucencies with Significant Pathology: Clinico histopathologic Evaluation.Biomed J 2015:148-152.
[17] Vigneswaran AT, Shilpa S. The incidence of cysts and tumors associated with impacted third molars. J Pharm Bioallied Sci. 2015;7:251–254.
[18] Curran AE, Damm DD, Drummond JF. Pathologically Significant Pericoronal Lesions in Adults: Histopathologic Evaluation:2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:613-617, 2002:613-617.
[19] 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. 2011;69(2):405-8.
[20] Seyedmajidi M, Nafarzadeh Sh. Frequency of odontogenic cysts and tumors associated with the impacted teeth in Babol dental faculty (2003-2010). JQUMS2013;17(1):95-98.
[2] Kumaraswamy K.L, Arvind Babu R.S, Sheshadri P, Santhosh Kumaran.Pericoronal Occurrence of Cemento-Ossifying Fibroma: An Unexemplified and Unusual Case Report with Review of Literat. J Clin Diagn Res. 2014;8(3):277–279.
[3] Tambuwala AA, Oswal RG, Desale RS, Oswal NP, Mall PE, Sayed AR, Pujari AT. An evaluation of pathologic changes in the follicle of impacted mandibular third molars. J Int Oral Health. 2015;7(4):58–62.
[4] Farah CS, Savage NW. Pericoronal radiolucencies and the significance of early detection. Aust Dent J. 2002 Sep;47(3):262-5.
[5] Adelsperger J, Campbell JH, Coates DB, Summerlin DJ, Tomich CE. Early soft tissue pathosis associated with impacted third molars without pericoronal radiolucency. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89(4): 402-6.
[6] Saravana GH, Subhashraj K. Cystic changes in dental follicle associated with radiographically normal impacted mandibular third molar. Br J Oral Maxillofac Surg 2008; 46(7): 552-3.
[7] Daley TD, Wysocki GP. The small dentigerous cyst: A diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79(1): 77-81.
[8] Pedro FL, Bandéca MC, Volpato LE, Marques AT, Borba AM, Musis CR, et al. Prevalence of impacted teeth in a Brazilian subpopulation. J Contemp Dent Pract. 2014;15:209–13.
[9] Ghaeminia H, Nienhuijs ME, Toedtling V, Perry J, Tummers M, Hoppenreijs TJ, et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Syst Rev. 2020;5(5):CD003879.
[10] Zou R, Qiao Y, Lin Y, Piao Z, Zhao T, Wu Q, et al. Is it necessary to remove bone-impacted teeth? A retrospective study. J Stomatol Oral Maxillofac Surg. 2022; 5:S2468-7855(22)00297-X.
[11] Shoaee S, Khazaei P, Mashhadiabbas F, Varshosaz M, Sharifi F, HessarI H. Association between tooth impaction and odontogenic lesions: A matched case-control study. Med J Islam Repub Iran. 2018; 32:57.
[12] Kadeh H, Saravani SH, Nosratzehi T, Rasulizadeh F. Frequency of Odontogenic Tumors in Zahedan-Iran from 2000 to 2010. J Mash Dent Sch 2012; 36(2): 149-56.
[13] Khalesi S, Kargahi N, Shekarian S. Frequency of jaw pathologic lesions related to impacted teeth in Isfahan Dental School, Iran. J Oral Health Oral Epidemiol 2021; 10 (4): 218-24.
[14] Saghravanian N, Mohtasham N, Talebmehr M. Ten-year-evaluation of odontogenic cysts and tumors related to the impacted teeth. Iran J Otorhinolaryngol 2007:143-150.
[15] Sina M, Behkar S, Emamverdizadeh P. Frequency of Lesions Associated with Impacted Teeth in Patients Referring to the Department of Oral Pathology, Tabriz Faculty of Dentistry from 2004 to 2013 and Its Relationship with Age, Gender, Location and Type of Lesion. Int j sci res innov technol. 2017:65-70.
[16] Anand S, Kashyap B, Kumar GR, Shruthi BS, Supriya AM.Pericoronal Radiolucencies with Significant Pathology: Clinico histopathologic Evaluation.Biomed J 2015:148-152.
[17] Vigneswaran AT, Shilpa S. The incidence of cysts and tumors associated with impacted third molars. J Pharm Bioallied Sci. 2015;7:251–254.
[18] Curran AE, Damm DD, Drummond JF. Pathologically Significant Pericoronal Lesions in Adults: Histopathologic Evaluation:2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:613-617, 2002:613-617.
[19] 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. 2011;69(2):405-8.
[20] Seyedmajidi M, Nafarzadeh Sh. Frequency of odontogenic cysts and tumors associated with the impacted teeth in Babol dental faculty (2003-2010). JQUMS2013;17(1):95-98.
| Files | ||
| Issue | Vol 10, No 3 (Summer 2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v10i3.14631 | |
| Keywords | ||
| Tooth; Impacted; Odontogenic cysts; Odontogenic tumors; Jaw; Pathology; Oral. | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Vaez R, Moradzadeh Khiavi M, Abdal K, Borhani H. Odontogenic lesions associated with impacted teeth: A 5-year retrospective institutional study. J Craniomaxillofac Res. 2023;10(3):99-106.
