Open AccessBurden Of Cysts And Tumors Around Impacted Third Molars
Author(s) -
Muhammad Shahzad,
Adnan Aslam,
Imtiaz Ahmad,
Daud Mirza
Publication year - 2019
Publication title -
the journal of bahria university medical and dental college
Language(s) - English
Resource type - Journals
eISSN - 2617-9482
pISSN - 2220-7562
DOI - 10.51985/jbumdc2018069
Subject(s) - molar , medicine , dentigerous cyst , pathological , dentistry , maxilla , radiological weapon , oral and maxillofacial surgery , mandible (arthropod mouthpart) , impacted tooth , cyst , radiography , mandibular second molar , orthodontics , surgery , pathology , botany , biology , genus
Objective: To assess the frequency of cysts and tumors around impacted third molars. Study Design and Setting: Cross-sectional study was conducted at the OMFS department, Lahore Medical & Dental College, from August 2015 to January 2018. Methodology: A total of 2057 patients were operated for the removal of 2354 impacted third molars and analyzed for their associated pathological lesions(cysts/tumors). Patients were evaluated with thorough history, clinical and radiological examination. Panoramic and periapical radiographs were primarily used to assess the site of third molar impactions (maxilla/mandible) and their associated pathologies confirmed with histopathological examination. Data was analyzed using SPSS version 20. Results: The patients’ ages were between 17 to 62 years (Mean±SD, 28.12±8.585). There were n=709 (34.47%) females and n=1348 (65.53%) male with female to male ratio of 1.9:1. The mandibular to maxillary impacted third molars ratio was 1.66:1. An overall frequency of 1.36% for cysts and 0.72% for tumor associated with impacted third molars was demonstrated in the current study. The most frequently diagnosed cyst was dentigerous whereas ameloblastoma was the most commonly identified tumor. Conclusion: A relatively lower frequency (2.08%) of pathological lesions was found around third molars. The study reported a smaller number of pathological lesions affecting a significant minority of patients. It is recommended that a dentist/oral maxillofacial surgeon should be consulted at the earliest if any symptoms in the third molar region arise along with imaging of the area.