Effect of non-erupted 3rd molars on distal roots and supporting structures of approximal teeth A radiographic survey of 202 cases

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Abstract

Root resorption of 2nd molars in proximity to non-erupted 3rd molars has been widely reported. The purpose of this study was to determine the prevalence of root resorption in second molars adjacent to non-erupted third molars. Its association to age and gender of the patient, location and inclination of the non-erupted third molar and to distal bone support of the 2nd molars was analyzed. A radiographic survey of 202 periapical radiographs taken in patients with clinically missing third molars was conducted. 3 examiners independently evaluated the radiographs and only those cases where at least 2 observers agreed were included in this report. Statistical analysis was performed on 186 radiographs. Associations were analyzed with the Pearson χ2 test. Radiographic evidence of root resorption was found in 45 2nd molars (24.2%) of which 12 (6.5%) showed moderate to complete root resorption. Non-erupted tooth apical position and mesio-inclination of 60° or more relative to the distal root of the second molar were significantly associated with root resorption (p=0.01368 and p=0.0194, respectively). Resorption was positively associated with age of patient (p=0.00606). These results may support early extraction of impacted 3rd molars especially in cases with a mesio-angulation of 60° or more and an apical location in proximity to the distal root of the 2nd molar.

Original languageEnglish
Pages (from-to)810-815
Number of pages6
JournalJournal of Clinical Periodontology
Volume23
Issue number9
DOIs
StatePublished - 1996

Keywords

  • Non-erupted third molars
  • Radiographic survey
  • Root resorption

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