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Caries experience and periodontal pathology in erupting third molars.
J Oral Maxillofac Surg. 2008 May; 66(5):948-53.JO

Abstract

PURPOSE

This study was conducted to document the prevalence of occlusal caries experience and periodontal pathology for erupting third molars in young adults.

PATIENTS AND METHODS

The data are from 49 subjects enrolled in an institutional review board-approved trial with at least one third molar below the occlusal plane at baseline that erupted by longest follow-up. Teeth were considered erupted if they reached the occlusal plane. Caries experience on the occlusal surface of third molars was assessed by a visual-tactile examination. At least 1 periodontal probing depth (PD) >or=4 mm in the third molar region was considered indicative of periodontal pathology. The third molar region was defined as the 6 probing sites around third molars and 2 sites on the distal of second molars. The prevalence of third molar caries experience and periodontal pathology at longest follow-up was assessed.

RESULTS

Most of the 49 subjects were female (51%), Caucasian (76%), and educated at least through high school (82%). Median age was 20.5 years (interquartile range [IQR] 18.4 to 24.1 years). Median follow-up was 5.1 years (IQR = 3.4 to 6.9 years). At baseline, none of the subjects had occlusal caries experience in a third molar; 51% of subjects had at least 1 PD >or=4 mm in a third molar region. At follow-up, 27% of the subjects had occlusal caries experience in at least 1 third molar that erupted to the occlusal plane; 61% had at least 1 PD >or=4 mm in a third molar region. Twenty-nine percent had occlusal caries in at least 1 third molar at the occlusal plane and at least 1 PD >or=4 mm in a third molar region. Thirty-seven percent had no third molar occlusal caries experience and all third molar region PD <4 mm.

CONCLUSIONS

For third molars that erupted "late," periodontal pathology was more prevalent than occlusal caries.

Authors+Show Affiliations

School of Dentistry, University of North Carolina, Chapel Hill, NC 27599, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18423285

Citation

Ahmad, Nazir, et al. "Caries Experience and Periodontal Pathology in Erupting Third Molars." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 66, no. 5, 2008, pp. 948-53.
Ahmad N, Gelesko S, Shugars D, et al. Caries experience and periodontal pathology in erupting third molars. J Oral Maxillofac Surg. 2008;66(5):948-53.
Ahmad, N., Gelesko, S., Shugars, D., White, R. P., Blakey, G., Haug, R. H., Offenbacher, S., & Phillips, C. (2008). Caries experience and periodontal pathology in erupting third molars. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 66(5), 948-53. https://doi.org/10.1016/j.joms.2007.11.013
Ahmad N, et al. Caries Experience and Periodontal Pathology in Erupting Third Molars. J Oral Maxillofac Surg. 2008;66(5):948-53. PubMed PMID: 18423285.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Caries experience and periodontal pathology in erupting third molars. AU - Ahmad,Nazir, AU - Gelesko,Savannah, AU - Shugars,Daniel, AU - White,Raymond P,Jr AU - Blakey,George, AU - Haug,Richard H, AU - Offenbacher,Steven, AU - Phillips,Ceib, PY - 2007/07/17/received PY - 2007/09/25/revised PY - 2007/11/06/accepted PY - 2008/4/22/pubmed PY - 2008/5/6/medline PY - 2008/4/22/entrez SP - 948 EP - 53 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J Oral Maxillofac Surg VL - 66 IS - 5 N2 - PURPOSE: This study was conducted to document the prevalence of occlusal caries experience and periodontal pathology for erupting third molars in young adults. PATIENTS AND METHODS: The data are from 49 subjects enrolled in an institutional review board-approved trial with at least one third molar below the occlusal plane at baseline that erupted by longest follow-up. Teeth were considered erupted if they reached the occlusal plane. Caries experience on the occlusal surface of third molars was assessed by a visual-tactile examination. At least 1 periodontal probing depth (PD) >or=4 mm in the third molar region was considered indicative of periodontal pathology. The third molar region was defined as the 6 probing sites around third molars and 2 sites on the distal of second molars. The prevalence of third molar caries experience and periodontal pathology at longest follow-up was assessed. RESULTS: Most of the 49 subjects were female (51%), Caucasian (76%), and educated at least through high school (82%). Median age was 20.5 years (interquartile range [IQR] 18.4 to 24.1 years). Median follow-up was 5.1 years (IQR = 3.4 to 6.9 years). At baseline, none of the subjects had occlusal caries experience in a third molar; 51% of subjects had at least 1 PD >or=4 mm in a third molar region. At follow-up, 27% of the subjects had occlusal caries experience in at least 1 third molar that erupted to the occlusal plane; 61% had at least 1 PD >or=4 mm in a third molar region. Twenty-nine percent had occlusal caries in at least 1 third molar at the occlusal plane and at least 1 PD >or=4 mm in a third molar region. Thirty-seven percent had no third molar occlusal caries experience and all third molar region PD <4 mm. CONCLUSIONS: For third molars that erupted "late," periodontal pathology was more prevalent than occlusal caries. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/18423285/Caries_experience_and_periodontal_pathology_in_erupting_third_molars_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(07)02099-X DB - PRIME DP - Unbound Medicine ER -