Risk Factors Associated with the Severity of Pericoronitis of Mandibular Third Molar

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2024 May 11

PMID 38733524

Authors

Bao-Ngoc Thi Nguyen

Chi-Tam Nguyen-Le

Bich-Ly Thi Nguyen

Son Hoang Le

Affiliations

Soon will be listed here.

Abstract

Purpose: The factors related to pericoronitis severity are unclear, and this study aimed to address this knowledge gap.

Materials And Methods: In total, 113 patients with pericoronitis were included, and their demographic, clinical, and radiographic characteristics were recorded. The Patient-Clinician Pericoronitis Classification was used to score and categorize the severity of pericoronitis. Statistical analysis was conducted to examine the participants' characteristics, validity of the Patient-Clinician Pericoronitis Classification, and risk factors associated with the severity of pericoronitis.

Results: The demographic, clinical, and radiographic characteristics of males and females were similar, except for Winter's classification, pain, and intraoral swelling. The constructive validity of the Patient-Clinician Pericoronitis Classification was confirmed with three latent factors, including infection level, patient discomfort, and social interference. Ordinal logistic multivariate regression analysis revealed that upper respiratory tract infection was the sole risk factor associated with pericoronitis severity in males (odds ratio = 4.838). In females, pericoronitis on the right side (odds ratio = 2.486), distal radiolucency (odds ratio = 5.203), and menstruation (odds ratio = 3.416) were significant risk factors.

Conclusion: This study demonstrated the constructive validity of the Patient-Clinician Pericoronitis Classification. Among females, pericoronitis in mandibular third molars on the right side with radiolucency in menstruating individuals was more severe. In males, upper respiratory tract infection was the sole risk factor associated with pericoronitis severity.

Clinical Relevance: Individuals with risk factors should be aware of severe pericoronitis in the coming future.

Citing Articles

Multivariable Analysis of Correlation Between Anatomical Features of Mandibular Third Molars and Pericoronitis.

Nguyen B, Nguyen-Le C, Nguyen B, Le S Int J Dent. 2024; 2024:8260559.

PMID: 39703785 PMC: 11658846. DOI: 10.1155/ijod/8260559.

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