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Association between tooth impaction and odontogenic lesions: A matched case-control study.
Shervan Shoaee1,2,3, Pegah Khazaei4,5, Fatemeh Mashhadiabbas6,7
1Otolaryngology, Head and Neck Surgery Research Center, Hazrat-e Rasool General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Medical Journal of the Islamic Republic of Iran
|September 4, 2018
Summary
Impacted teeth, even without symptoms, are linked to a higher risk of developing odontogenic lesions. This study suggests that impacted teeth may be a significant risk factor for these dental conditions.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Radiology
- Oral Pathology
Background:
- Impacted teeth are a frequent dental issue, often extracted if symptomatic.
- The decision to extract asymptomatic impacted teeth remains a clinical challenge.
- This research investigates the link between untreated impacted teeth and odontogenic cysts/tumors.
Purpose of the Study:
- To determine the association between developmental odontogenic cysts and tumors and impacted/unerupted teeth.
- To evaluate the risk of developing odontogenic lesions in the presence of impacted teeth.
- To provide evidence for clinical decision-making regarding asymptomatic impacted teeth.
Main Methods:
- A matched case-control study involving 262 participants.
- Analysis of patient records from a dental school, focusing on impacted/unerupted teeth and odontogenic lesions.
- Conditional logistic regression used to analyze the association, controlling for age, gender, and jaw site.
Main Results:
- A significant association was found between odontogenic lesions and impacted teeth (Odds Ratio = 6.9).
- No significant association was observed between odontogenic lesions and unerupted teeth or the specific jaw involved.
- Impacted teeth demonstrated a notable risk factor for odontogenic lesion development.
Conclusions:
- Impacted teeth should be considered a potential risk factor for odontogenic lesions.
- Further research may clarify the management of asymptomatic impacted teeth.
- This study highlights the importance of monitoring impacted teeth for pathological changes.
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