Panoramic radiograph – a useful tool to assess the difficulty in extraction of third molars

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dc.contributor.authorAdamska, Paulina
dc.contributor.authorAdamski, Łukasz Jan
dc.contributor.authorMusiał, Dominika
dc.contributor.authorTylek, Katarzyna
dc.contributor.authorStudniarek, Michał
dc.contributor.authorWychowański, Piotr
dc.contributor.authorKaczoruk-Wieremczuk, Magdalena
dc.contributor.authorPyrzowska, Dorota
dc.contributor.authorJereczek-Fossa, Barbara Alicja
dc.contributor.authorStarzyńska, Anna
dc.contributor.organizationDepartment of Oral Surgery, Medical University of Gdańsk, Polanden
dc.contributor.organizationStudent Scientific Circle at the Department of Oral Surgery, Medical University of Gdańsk, Polanden
dc.contributor.organizationDepartment of Radiology I, Medical University of Gdańsk, Polanden
dc.contributor.organizationDepartment of Oral Surgery, Medical University of Warsaw, Polanden
dc.contributor.organizationDivision of Radiotherapy, IEO European Institute of Oncology, Italyen
dc.contributor.organizationDepartment of Oncology and Hematooncology, University of Milan, Italyen
dc.date.accessioned2022-07-08T08:02:12Z
dc.date.available2022-07-08T08:02:12Z
dc.date.issued2020-09-16
dc.description.abstractIntroduction: Third molars (TMs) are the most frequently impacted teeth due to the frequent lack of space in the dental arch resulting in their malposition or inability to erupt. Partially erupted TMs that cause recurrent inflammatory conditions must be removed. The aim of this study was to assess TM position on panoramic radiographs. Materials and methods: We evaluated 200 panoramic radiographs of patients 18-72 years of age. Teeth were assessed in terms of the presence of dental follicle, cervix/root ratio and root development stage. Maxillary TMs were assessed using the Archer and Pell and Gregory classifications, whereas the mandibular ones according to Pell and Gregory, Winter, IAN and Pederson classifications. Results: 622 TMs were assessed. In the maxilla, the most common type was A-positioned, vertically angulated TM with completely formed root/roots. In the mandible, the most common type was A1-positioned, mesioangular TM with completely formed root/roots and without enlarged follicle. According to Pederson’s index, 59.44% TMs were moderately difficult to extract. Most roots were in contact with inferior alveolar nerve. Conclusions: The use of the classifications mentioned above is helpful in assessment of the surgery difficulty level. In the long term this allows to increase the predictability of the procedure and minimize the intra- and post-operative complications.en
dc.identifier.citationAdamska P, Adamski ŁJ, Musiał D, Tylek K, Studniarek M, Wychowański P, Kaczoruk-Wieremczuk M, Pyrzowska D, Jereczek-Fossa BA, Starzyńska A. Panoramic radiograph – a useful tool to assess the difficulty in extraction of third molars. Eur J Transl Clin Med. 2020;3(2):44-52. DOI: 10.31373/ejtcm/126928en
dc.identifier.doi10.31373/ejtcm/126928
dc.identifier.issn2657-3156
dc.identifier.urihttps://open.icm.edu.pl/handle/123456789/21414
dc.language.isoen
dc.publisherMedical University of Gdańsken
dc.rightsUznanie autorstwa-Na tych samych warunkach 4.0 Międzynarodowe*
dc.rights.urihttp://creativecommons.org/licenses/by-sa/4.0/*
dc.subjectArcher classificationen
dc.subjectPell and Gregory classificationen
dc.subjectIAN classificationen
dc.subjectPederson scaleen
dc.subjectWinter classificationen
dc.titlePanoramic radiograph – a useful tool to assess the difficulty in extraction of third molarspl
dc.typearticleen
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