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Correlation between mandibular third molar and mandibular incisor crowding: A retrospective CBCT-based study.
Seerab Husain1, Sri Rengalakshmi1
1Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospital, Chennai, India.
Journal of Dental Research, Dental Clinics, Dental Prospects
|January 24, 2022
Summary
Late mandibular incisor crowding in adults is linked to the presence of mandibular third molars. This study found a significant positive correlation, suggesting third molars contribute to incisor crowding.
Area of Science:
- Dentistry
- Orthodontics
- Dental Imaging
Background:
- Late mandibular incisor crowding is a common issue in growing adults.
- The exact causes of this crowding remain debated and not fully understood.
- Investigating potential contributing factors is crucial for effective orthodontic treatment.
Purpose of the Study:
- To examine the relationship between mandibular third molars and mandibular incisor crowding.
- To utilize Cone-beam computed tomography (CBCT) for precise anatomical assessment.
- To provide evidence for the etiological factors of late incisor crowding.
Main Methods:
- A sample of 40 CBCT images were analyzed, divided into two groups: with and without mandibular third molars.
- Crowding was quantified using Little's irregularity index on axial views.
- Pearson's correlation test was employed for statistical analysis.
Main Results:
- A statistically significant positive correlation was observed between mandibular third molars and incisor crowding (P = 0.033).
- The mean irregularity index was higher in the group with third molars (6.799) compared to the group without (4.26).
Conclusions:
- The findings indicate a significant association between mandibular third molars and the development of late mandibular incisor crowding.
- This suggests that mandibular third molars may play a role in the etiology of incisor crowding.
- Further research can explore intervention strategies targeting third molars.

