TY - JOUR
T1 - Mesial inclination of impacted third molars and its propensity to stimulate external root resorption in second molars - A cone-beam computed tomographic evaluation
AU - Oenning, Anne Caroline Costa
AU - Sousa Melo, Saulo Leonardo
AU - Groppo, Francisco Carlos
AU - Haiter-Neto, Francisco
N1 - Publisher Copyright:
© 2015 American Association of Oral and Maxillofacial Surgeons.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - Purpose To investigate the presence of external root resorption (ERR) in second molars adjacent to horizontally and mesioangular impacted mandibular third molars by cone-beam computed tomography. In addition, patient characteristics (age and gender) and third molar depth were correlated with the presence of ERR. Materials and Methods The sample consisted of 116 scans (58 acquired on the i-CAT Classic and 58 on the Picasso-Trio) of 70 women and 46 men (mean age, 23.7 yr). Two observers recorded the presence of ERR in the second molars, inclination and depth of third molars in relation to bone and soft tissues, third molars classification according to Pell and Gregory, and location and severity of ERR. Data were analyzed by analysis of variance, Mann-Whitney test, and χ2 test. The κ test was used to analyze intraobserver agreement. Results The overall prevalence of ERR was 49.43%. There were no statistically significant differences in the detection of ERR by gender, images from the 2 devices, or third molar inclination (P >.05). The κ test showed excellent reproducibility values (κ = 0.7778). There was a smaller proportion of affected patients 14 to 24 years old and ERR in teeth adjacent to Class C third molars. Conclusion Mesially inclined third molars (mesioangular and horizontal) have a greater potential of being associated with ERR in second molars, which was shown by the high prevalence of the condition in the overall sample. Class A and B third molars in patients older than 24 years were more associated with the presence of ERR in adjacent teeth.
AB - Purpose To investigate the presence of external root resorption (ERR) in second molars adjacent to horizontally and mesioangular impacted mandibular third molars by cone-beam computed tomography. In addition, patient characteristics (age and gender) and third molar depth were correlated with the presence of ERR. Materials and Methods The sample consisted of 116 scans (58 acquired on the i-CAT Classic and 58 on the Picasso-Trio) of 70 women and 46 men (mean age, 23.7 yr). Two observers recorded the presence of ERR in the second molars, inclination and depth of third molars in relation to bone and soft tissues, third molars classification according to Pell and Gregory, and location and severity of ERR. Data were analyzed by analysis of variance, Mann-Whitney test, and χ2 test. The κ test was used to analyze intraobserver agreement. Results The overall prevalence of ERR was 49.43%. There were no statistically significant differences in the detection of ERR by gender, images from the 2 devices, or third molar inclination (P >.05). The κ test showed excellent reproducibility values (κ = 0.7778). There was a smaller proportion of affected patients 14 to 24 years old and ERR in teeth adjacent to Class C third molars. Conclusion Mesially inclined third molars (mesioangular and horizontal) have a greater potential of being associated with ERR in second molars, which was shown by the high prevalence of the condition in the overall sample. Class A and B third molars in patients older than 24 years were more associated with the presence of ERR in adjacent teeth.
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U2 - 10.1016/j.joms.2014.10.008
DO - 10.1016/j.joms.2014.10.008
M3 - Article
C2 - 25577457
AN - SCOPUS:84922693256
SN - 0278-2391
VL - 73
SP - 379
EP - 386
JO - Journal of Oral and Maxillofacial Surgery
JF - Journal of Oral and Maxillofacial Surgery
IS - 3
ER -