Pathologies Associated With Impacted 3rd Molar In Kathua Population: An Observational Study

Abstract

Introduction- Complications associated with impacted 3^rd molars include pericoronitis, cyst, tumours, abscess, periodontal problems, dental caries and root resorption on adjacent 2^nd molar. Various types, positions and class of 3^rd molars effect the surrounding soft tissues and hard tissues differently. Depending upon the location the complications may vary.

Material and Methods- Patients between the age of 15- 40 years who reported to department of dentistry, GMC Kathua, with complaint of impacted mandibular 3rd molar were included in the study.  A total of 299 cases were examined. Pathologies around 3^rd molars and those associated with 2^nd molars due to impacted 3^rd molars were evaluated clinically and radiographically.

Results- Mesio-angular impactions (73.6%) were the most common type of impaction present in our study followed by vertical (10.4%), horizontal (9.4%) and disto-angular (6.7%).  Position B (Pell and Gregory classification) (63.5%) was most commonly present. Pericoronitis (18.10%) was the most commonly found pathology with mesio-angular impaction (17.40% of cases) being the most common type of impaction associated with pathologies.

Discussion- Knowledge about different type of impactions and the various pathologies associated with it helps in the decision making for prophylactic removal of third molars.