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Cellular injury is any process that disrupts a cell’s ability to maintain homeostasis, leading to structural or functional changes. It is broadly classified based on etiology (cause) and mechanism of damage.Classification by EtiologyCellular injury may result from several causes. Hypoxic injury happens due to reduced oxygen delivery, most commonly from inadequate blood supply, such as arterial obstruction; for example, coronary artery thrombosis can cause myocardial infarction. Chemical...
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A Morphometric and Cellular Analysis Method for the Murine Mandibular Condyle
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Mandibular second molar impaction: introducing a novel and validated 3D classification system.

Selene Barone1, Lucia Cevidanes2, Tecla Bocchino3

  • 1Department of Health Sciences, Magna Graecia University of Catanzaro, Catanzaro, Viale Europa - 88100, Italy. selene.barone@unicz.it.

BMC Oral Health
|October 10, 2024
PubMed
Summary
This summary is machine-generated.

Three-dimensional (3D) imaging significantly improves the diagnosis and treatment planning for impacted mandibular second molars (M2M). A validated 3D classification system enhances clinical decisions for surgical and orthodontic approaches.

Keywords:
3D classification systemDegree of difficultyMandibular molar eruption disturbanceMandibular second molar impactionSurgical-orthodontic assessmentThree-dimensional assessment

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Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Orthodontics

Background:

  • Mandibular second molar (M2M) impaction is a common dental development issue.
  • Understanding its impact on clinical and therapeutic decisions is crucial.

Purpose of the Study:

  • To investigate how three-dimensional (3D) characterization influences clinical and therapeutic decisions for M2M impaction.
  • To introduce and validate a 3D classification system for M2M impaction.

Main Methods:

  • Collected and analyzed 2D and 3D radiological records of 15 impacted M2M.
  • Ten experienced clinicians (oral surgeons and orthodontists) evaluated cases using 2D and 3D data.
  • A novel 3D classification system was used to assess treatment difficulty.

Main Results:

  • 3D imaging provided superior visualization of M2M impaction, aiding diagnosis of root proximity to nerves and bone.
  • The 3D classification altered clinical decisions regarding surgical-orthodontic approach, biomechanics, and treatment timelines.
  • Validation analysis showed high concordance among clinicians using the 3D classification system.

Conclusions:

  • 3D evaluation enhances diagnostic accuracy for impacted M2Ms.
  • A validated 3D classification system, developed with high clinician concordance, improves treatment planning for M2M impaction.