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Published on: January 13, 2023
Relationship Between Third Mandibular Molar Angulation and Distal Cervical Caries in the Second Molar
Andreescu Claudia1, Horia Mihail Barbu1, Lorean Adi1
1University Titu Maiorescu, Bucharest, Romania.
Partially erupted wisdom teeth (third molars) are linked to cavities on the adjacent second molars. Monitoring these impacted teeth is crucial, as their position and eruption status influence the risk of developing distal cervical caries.
Area of Science:
- Dentistry
- Oral Health
- Radiology
Background:
- Partially erupted third lower molars (wisdom teeth) are a common clinical challenge.
- These impacted teeth can lead to pathologies in the adjacent second molars.
- The decision to extract or monitor wisdom teeth requires understanding associated risks.
Purpose of the Study:
- To investigate the association between mandibular third molars and distal cervical caries in the second molars.
- To evaluate how eruption status and angulation of third molars correlate with caries development in adjacent teeth.
Main Methods:
- Retrospective analysis of 55 digital orthopantograms from adult patients.
- Assessment of 95 mandibular third molars for eruption status, angulation, and presence of caries or restorations.
- Evaluation of the distal surface of adjacent second molars for radiographic evidence of caries or restorations.
Main Results:
- Distal cervical caries in second molars were associated with fully and partially erupted wisdom teeth in horizontal, mesioangular, and vertical positions.
- The presence of caries in the third molar showed a weaker association with distal caries in the second molar.
- Caries in distal second molars were observed in mesioangularly positioned third molars, particularly when the third molar was caries-free.
Conclusions:
- The eruption status and angulation of mandibular third molars are significant factors in the development of distal cervical caries in second molars.
- Radiographic monitoring of impacted wisdom teeth is essential to prevent secondary caries in adjacent teeth.
- Further research may elucidate the specific mechanisms linking impacted third molars to caries development.
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