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How will mandibular third molar surgery affect mandibular second molar periodontal parameters?
Reza Tabrizi1, Hamidreza Arabion, Mehdi Gholami
1Department of Oral and Maxillofacial Surgery, Dental Faculty, Shiraz University of Medical Science, Shiraz, Iran.
Dental Research Journal
|October 17, 2013
Summary
Surgical extraction of impacted third molars significantly increased probing depth and decreased attachment level in adjacent second molars. Further research is needed to understand long-term periodontal effects.
Area of Science:
- Dentistry
- Periodontology
- Oral Surgery
Background:
- Conflicting literature exists on the periodontal effects of impacted third molar surgery on adjacent teeth.
- Some studies report improved periodontal health, while others show attachment loss and reduced bone height.
Purpose of the Study:
- To evaluate changes in periodontal health parameters distal to the second molar after impacted third molar extraction.
Main Methods:
- 42 patients with mesioangular impacted mandibular third molars (C1 class) underwent surgical extraction.
- Pre- and post-operative probing depth (PD) and attachment level (AL) were measured on the distobuccal aspect of the second molars.
- Data analyzed using paired-samples and one-sample t-tests.
Main Results:
- Surgical extraction led to a significant increase in PD distal to the second molar.
- A significant decrease in AL was observed on the distobuccal aspect of the second molar post-surgery (P < 0.05).
Conclusions:
- This study found a significant increase in PD and decrease in AL, contrasting with some previous research.
- Long-term clinical and radiological follow-up is necessary to fully understand the effects of third molar extraction on adjacent periodontal parameters.
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