Is third molar development affected by third molar impaction or impaction-related parameters? 2021

Rosalina Intan Saputri, and Jannick De Tobel, and Myrthel Vranckx, and Anna Ockerman, and Martine Van Vlierberghe, and Steffen Fieuws, and Patrick Thevissen
Forensic Odontology, Department of Imaging & Pathology, KU Leuven, Kapucijnenvoer 7, blok a - box 7001, 3000, Leuven, Belgium. rosalina.saputri@gmail.com.

OBJECTIVE To evaluate the effect of third molar impaction and impaction-related parameters on third molar development. METHODS Panoramic radiographs (N=3972) from 473 males and 558 females between 3.2 and 23.5 years old were analysed. Three parameters of impaction were examined: hindering contact between third and adjacent second molar, retromolar space availability (only in lower third molars), and angulation between the third and adjacent second molar. From the separate parameters, a definition for impaction was derived. Third molars' development was staged according to a modified Köhler et al. staging technique. A linear model was used to compare within-stage and overall age, as a function of hindering contact, retromolar space, and impaction. Furthermore, a quadratic function was used to study the correlation between age and angulation. RESULTS Significant differences were found in mean age as a function of hindering contact and retromolar space, depending on third molar location and stage. There was a significant relation between angulation and age, depending on the stage, with all third molars evolving to a more upright position (closer to 0°). Mean ages of subjects with impacted third molars were significantly lower in certain third molar stages, but the differences were clinically small (absolute differences ≤0.65 years). Moreover, after correction for stage differences, no significant differences in age could be demonstrated. CONCLUSIONS The development of impacted and non-impacted third molars can be considered clinically equal in our study population. CONCLUSIONS There is no distinction required between impacted and non-impacted third molars for dental age estimation.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D008964 Molar, Third The aftermost permanent tooth on each side in the maxilla and mandible. Tooth, Wisdom,Teeth, Wisdom,Molars, Third,Third Molar,Third Molars,Wisdom Teeth,Wisdom Tooth
D011862 Radiography, Panoramic Extraoral body-section radiography depicting an entire maxilla, or both maxilla and mandible, on a single film. Orthopantomography,Panoramic Radiography,Pantomography,Orthopantomographies,Panoramic Radiographies,Pantomographies,Radiographies, Panoramic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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