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Does the third molar position influence periodontal status and overall condition of patients with acute pericoronitis? A cross-sectional study.
Oral Maxillofac Surg. 2020 Jul 02 [Online ahead of print]OM

Abstract

PURPOSE

The teeth positioning may be an important associated factor for the pericoronitis' clinical signs. Our objective was to verify the association between lower third molar position according to the Pell and Gregory classification and clinical variables in patients with pericoronitis.

METHODS

Cross-sectional analysis of panoramic radiographs and medical records of patients with pericoronitis. Primary outcomes: pain and oral health-related quality of life (OHRQoL); secondary outcomes: mouth opening, edema/erythema extension, visible plaque index, bleeding on probing index, periodontal pocket probing depth, and distal alveolar bone crest height of the adjacent second molar.

RESULTS

The edema/erythema extension was higher in the IIA position compared with the IA position (p = 0.03). Regarding the OHRQoL, the OHIP-14 score was 21.0 (± 9.26, range from 4 to 44). The most scored domain was physical pain (5.24), followed by psychological discomfort (4.43). Third molars in IIA position are associated with worse OHRQoL than IB and IIB positions (p = 0.03).

CONCLUSIONS

There was a higher extension of edema/erythema and worse OHRQoL when the third molar was in IIA position. Prophylactic removal of mandibular third molar in position IIA may avoid the onset of mucosal edema/erythema and prevent pericoronitis from promoting impairment of individuals' quality of life.

Authors+Show Affiliations

Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil.Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil.Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil.Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil.Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil.Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil.Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil.Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais, 39100-000, Brazil. endilanza@yahoo.com.br.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32617697

Citation

Santos, Jahine Ferreira, et al. "Does the Third Molar Position Influence Periodontal Status and Overall Condition of Patients With Acute Pericoronitis? a Cross-sectional Study." Oral and Maxillofacial Surgery, 2020.
Santos JF, Santos LCR, da Silveira EM, et al. Does the third molar position influence periodontal status and overall condition of patients with acute pericoronitis? A cross-sectional study. Oral Maxillofac Surg. 2020.
Santos, J. F., Santos, L. C. R., da Silveira, E. M., Magesty, R. A., Flecha, O. D., Falci, S. G. M., Gonçalves, P. F., & Galvão, E. L. (2020). Does the third molar position influence periodontal status and overall condition of patients with acute pericoronitis? A cross-sectional study. Oral and Maxillofacial Surgery. https://doi.org/10.1007/s10006-020-00871-6
Santos JF, et al. Does the Third Molar Position Influence Periodontal Status and Overall Condition of Patients With Acute Pericoronitis? a Cross-sectional Study. Oral Maxillofac Surg. 2020 Jul 2; PubMed PMID: 32617697.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does the third molar position influence periodontal status and overall condition of patients with acute pericoronitis? A cross-sectional study. AU - Santos,Jahine Ferreira, AU - Santos,Leidjane Cândida Ribeiro, AU - da Silveira,Esmeralda Maria, AU - Magesty,Rafael Alvim, AU - Flecha,Olga Dumont, AU - Falci,Saulo Gabriel Moreira, AU - Gonçalves,Patricia Furtado, AU - Galvão,Endi Lanza, Y1 - 2020/07/02/ PY - 2019/10/14/received PY - 2020/06/23/accepted PY - 2020/7/4/entrez KW - Panoramic radiography KW - Pericoronitis KW - Quality of life KW - Third molar JF - Oral and maxillofacial surgery JO - Oral Maxillofac Surg N2 - PURPOSE: The teeth positioning may be an important associated factor for the pericoronitis' clinical signs. Our objective was to verify the association between lower third molar position according to the Pell and Gregory classification and clinical variables in patients with pericoronitis. METHODS: Cross-sectional analysis of panoramic radiographs and medical records of patients with pericoronitis. Primary outcomes: pain and oral health-related quality of life (OHRQoL); secondary outcomes: mouth opening, edema/erythema extension, visible plaque index, bleeding on probing index, periodontal pocket probing depth, and distal alveolar bone crest height of the adjacent second molar. RESULTS: The edema/erythema extension was higher in the IIA position compared with the IA position (p = 0.03). Regarding the OHRQoL, the OHIP-14 score was 21.0 (± 9.26, range from 4 to 44). The most scored domain was physical pain (5.24), followed by psychological discomfort (4.43). Third molars in IIA position are associated with worse OHRQoL than IB and IIB positions (p = 0.03). CONCLUSIONS: There was a higher extension of edema/erythema and worse OHRQoL when the third molar was in IIA position. Prophylactic removal of mandibular third molar in position IIA may avoid the onset of mucosal edema/erythema and prevent pericoronitis from promoting impairment of individuals' quality of life. SN - 1865-1569 UR - https://www.unboundmedicine.com/medline/citation/32617697/Does_the_third_molar_position_influence_periodontal_status_and_overall_condition_of_patients_with_acute_pericoronitis_A_cross-sectional_study L2 - https://dx.doi.org/10.1007/s10006-020-00871-6 DB - PRIME DP - Unbound Medicine ER -
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