Evaluation of the Effect of Surgical Extraction of an Impacted Mandibular Third Molar on the Periodontal Status of the Second Molar-Prospective Study

Overview

Journal J Clin Med

Specialty General Medicine

Date 2021 Jul 2

PMID 34208701

Citations 10

Authors

Magda Aniko-Wlodarczyk

Aleksandra Jaron

Olga Preuss

Anna Grzywacz

Grzegorz Trybek

Affiliations

Soon will be listed here.

Abstract

Dental injury to the second molar (SM) caused by the surgical extraction of the impacted third molar tends to be underestimated. The necessity of assessment of the impact of the removal of the wisdom tooth in the mandible on the second molar arose. The study group ( = 60) was the one with the second molar on the surgical side, and the control group ( = 60) was the one with the tooth on the opposite side of the alveolar arch. Before the surgery, the difficulty level was assessed according to the Pederson scale. The periodontal status of the SM was assessed by probing depth (PD), gingival index (GI), tooth mobility (TM) examination by the percussion method and resonance frequency. Measurements were taken before and after the surgery, 7 days and 8 weeks after the surgery. The study demonstrated the significant impact of the surgical removal of the wisdom tooth on the PD, GI and TM of the SM. The predicted degree of difficulty of the very difficult surgery had an influence on the increase in PD on the distal buccal and lingual surface of the SM, and on the GI in the proximity of the examined tooth. The results of the presented research confirm the necessity of the clinical assessment of the lower SM before and after the surgical removal of the impacted wisdom tooth in the mandible.

Citing Articles

Assessing the Management and Evaluation of Impacted Wisdom Teeth in a Dental Teaching Hospital.

Al Subaie A, Alruwili R, Alkhuadher B, Alzawwad S, Alzamil W, Al-Khalifa K Dent J (Basel). 2025; 13(2).

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Effect of intra-socket application of hyaluronic acid gel on soft and hard tissue healing following impacted mandibular third molars extraction (a randomized controlled clinical trial).

Elkady O, Sweedan O, Amer T BMC Oral Health. 2025; 25(1):214.

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Cone-beam computed tomographic investigation of the association between impacted mandibular third molars and the development of distal caries in adjacent second molars in a Chinese population.

Zhou W, Xiong Z, Fan J, Yang T, Gu Y Heliyon. 2024; 10(23):e40655.

PMID: 39654787 PMC: 11626789. DOI: 10.1016/j.heliyon.2024.e40655.

The Radiographic Characteristics of Mandibular Wisdom Teeth That Can Cause Severe Deep Neck Infection.

Iwata E, Kusumoto J, Hasegawa T, Tachibana A, Akashi M Cureus. 2024; 16(10):e70791.

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Non-Impacted Third Molars: Angels or Devils?.

Wu R, Tian B, Gao R, Chen F J Clin Med. 2023; 12(13).

PMID: 37445490 PMC: 10342553. DOI: 10.3390/jcm12134455.

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