Pattern of mandibular third molar impaction: A cross‑sectional study in northeast of Iran

Objectives: Impacted teeth, if left untreated, have a potential to induce various complications. The aim of the current study was to determine the prevalence and pattern of impacted mandibular third molar in the Iranian population.Study Design: This cross‑sectional study was performed in patients who were referred to the Department of Oral Radiology between July 2009 and October 2010 to obtain an orthopantomogram (OPG). Data were collected regarding age and gender, prevalence of impacted mandibular third molars, angulation of impacted teeth (Winter’s classification), level of impaction (Pell and Gregory classification), and relationship of the mandibular third molar with the ramus (Pell and Gregory classification). The collected data were analyzed using SPSS software version 11.0 with a confidence interval of 95%.Results: Among the 1433 patients included in the study, 489 (34.12%) patients were male and 944 (65.88%) were female. Of the total OPGs performed, 871 (60.78%) OPGs demonstrated at least one impacted mandibular third molar. In addition, of the 2866 mandibular third molars investigated, 1397 (48.74%) were found to be impacted. A significant association was observed between gender and the number of impacted teeth or the presence of impaction of any mandibular tooth (or teeth) (P < 0.05). The most common type of tooth angulation was mesioangular (48.67%). In addition, the most prevalent type of impaction level and ramus relationship was level B (63.85%) and Class II (48.46%), respectively. There were no significant differences between the two sides of the mandible for the prevalence of impacted third molar (P > 0.05).Conclusion: The pattern of mandibular third molars in the Northeast region of Iran revealed a high prevalence of impaction, which was mostly mesioangular, level B, and Class II with a gender predilection for females.Keywords: Impaction, Iran, mandibular third molar, orthopantomogram, patter

Clinical repercussions and epidemiological considerations of supernumerary canines : a 26 case series

To establish the prevalence of supernumerary canines (SNC) in a sector of the population of Madrid (Spain), as well possible complications associated with this unusual developmental variation. This observational study was performed between 2005 and 2017, among 21,615 patients seeking dental treatment at the Faculty of Dentistry, Complutense University of Madrid (Spain), and at the Virgen de la Paloma Hospital, Madrid (Spain); 22 patients with 26 SNCs were diagnosed. These 22 patients underwent clinical and radiological exploration, registering patient data. SNCs presented a prevalence of 0.10% of the study population. The supernumerary teeth (SNT) were located in the upper maxilla more frequently (61.54%) than the mandible (38.46%). 69.23% were found to be impacted, also causing the impaction of the permanent canine in 53.85% of these cases. In 15.38%, follicular expansion > 3mm was observed. SNCs were associated with other SNT in only four patients. Despite of the fact that the SNCs are usually diagnosed casually in the course of radiological exploration, in the present study over half of them (53.85%) caused impaction of the permanent canine. Early diagnosis allows optimal patient management and treatment planning, with intervention at an appropriate time to prevent complications in development and so reduce later treatment need

Soft tissue pathosis associated with asymptomatic impacted lower third molars

Objective: The aim of this study was to identify the prevalence of pathological changes in the pericoronal tissue of asymptomatic impacted lower third molars and to assess the correlation between pathological changes and patient demographic, radiographic and morphological characteristics. Study Design: Follicles associated with fully impacted lower third molars were submitted for histological examination after surgical extraction from 50 patients. The correlation between pathological changes in the dental follicle and age, gender, depth of impaction, angular position, and coverage and tooth development was analyzed. Results: Cystic changes were observed in 10% of specimens and inflammatory changes in 62%. Incidence of pathological changes was significantly higher in Class B impacted teeth when compared to Class C impacted teeth. A significant correlation was found between epithelial cell activity and the completion of tooth development. Conclusion: We recommend monitoring all third molars whether or not they are symptomatic and conducting histopathological analyses on all surgically extracted follicle tissue. © Medicina Oral S. L

Prevalence of impacted teeth and associated pathologies - A radiographic study of the Hong Kong Chinese population

Objectives. To investigate the prevalence and pattern of impacted teeth and associated pathologies in the Hong Kong Chinese population. Setting. The Reception and Primary Care Clinic, Prince Philip Dental Hospital, Hong Kong. Design. Retrospective study. Subjects and methods. The records of 7486 patients were examined to determine whether the chief complaints were related to impacted teeth and associated pathologies, which were investigated using panoramic radiographs. Results. A total of 2115 (28.3%) patients presented with at least one impacted tooth. Among the 3853 impacted teeth, mandibular third molars were the most common (82.5%), followed by maxillary third molars (15.6%), and maxillary canines (0.8%). Approximately 8% of mandibular second molars associated with impacted third molars had periodontal bone loss of more than 5 mm on their distal surfaces. Caries were also found on the same surfaces in approximately 7% of the second molars. Approximately 30% of patients with dental impaction had symptoms, and 75% had complaints limited to one side of the mouth. Conclusions. The prevalence of impacted teeth was high, and there was a predilection for impacted third molars in the mandible. More than 50% of maxillary third molars had erupted, creating potential trauma of the pericoronal tissues of the partially erupted mandibular third molars. Caries and periodontal diseases were commonly seen in relation to the impacted third molars, whereas cystic pathology and root resorption were rarely observed.published_or_final_versio

To plan a museum garden : Glimmingehus as case study

Det här arbetet har undersökt hur en trovärdig historisk trädgård skulle kunna implementeras i museiverksamheten vid Glimmingehus, som är en medeltidsborg i högreståndsmiljö på Österlen i Skåne. Uppsatsen börjar med att sätta Glimmingehus i sin historiska kontext. Jag undersökte också om det fanns några möjliga belägg för en trädgård på platsen sedan tidigare. För att museiträdgården skulle bli historiskt trovärdig studerade jag utformningar och innehåll av medeltida trädgårdar både i Europa och Skandinavien. De vanligaste trädgårdsanläggningarna i Skandinavien, både för högre och lägre stånd, har varit kål-, örta-, humle- och frukt(träd)gård, men innehållet verkar inte ha varit strikt uppdelat eftersom en växt kunde ha flera funktioner. I det europeiska källmaterialet nämns paradisträdgården mest för högreståndsmiljöer, men det går att anta att det förekom nyttoträdgårdar. Själva växtmaterialet är svårare att närma sig. Jag har använt mig av skriftliga källor, men även av arkeologiska undersökningar. Eftersom det finns lite material att utgå ifrån har jag fått samla information från olika källor och pussla ihop trädgårdens utseende och innehåll. Jag har även utgått från museiverksamhetens krav på tillgänglighet och möjlighet för pedagogisk verksamhet i mitt förslag på utformning och innehåll. Mitt arbete mynnar ut i ett gestaltnings- och innehållsförslag för hur en museiträdgård kan utformas för att fungera i verksamheten vid Glimmingehus idag.This study has investigated how a historical accurate garden could be implemented in the activities in the museum at Glimmingehus, which is a medieval castle in high nobility context located in Österlen in Scania. The thesis starts by putting Glimmingehus in its historic context. I also studied if there were any possible evidence of a garden at the site at earlier time. For the museum garden to be historical accurate I studied forms and content of the medieval gardens in Europa and Scandinavia. The most common gardens in Scandinavia, for both high and low social classes, were the cabbage-, herb-, hop- and fruit gardens, but the content does not seem to be as strictly divided since a plant could have more than one funktion. In the European sources it is the garden of paradise that seem to be the most common in the aristocratic setting. But one can assume that there were utility gardens. The plant material is harder to come close to. I have used written sources but also archaeological investigations. Since there is a scarcity of sources I have had to collect information from many different sources and piece together the form and content of the garden. I have also taken into account the requirements from the museum regarding accessibility and the suitability for educational activities when I propose form and contents of the garden. My work results in a design- and content proposal for how a museum garden can be designed to operate in the activities at Glimmingehus today

Incidence of impacted mandibular and maxillary third molars: a radiographic study in a Southeast Iran population

Objectives: The aim of this study is to evaluate the position of impacted third molars based on the classifications of Pell & Gregory and Winter in a sample of Iranian patients. Study design: In this retrospective study, up to 1020 orthopantomograms (OPG) of the patients who were referred to the radiology clinics from October 2007 to January 2011 were evaluated. Data including the age, gender, the angulation type, width and depth of impaction were evaluated by statistical tests. Results: Among 1020 patients, 380(27.3%) were male and 640(62.7%) were female with the sex ratio was 1:1.7. Of the 1020 OPGs, 585 cases showed at least one impacted third molar, with significant difference between males (205; 35.1%) and females (380; 64.9%) (P = 0.0311). Data analysis showed that impacted third molars were 1.9 times more likely to occur in the mandible than in the maxilla (P =0.000). The most common angulation of impaction in the mandible was mesioangular impaction (48.3%) and the most common angulation of impaction in the maxilla was the vertical (45.3%). Impaction in the level IIA was the most common in both maxilla and mandible. There was no significant diffe-rence between the right and left sides in both the maxilla and the mandible. Conclusion: The pattern of third molar impaction in the southeast region of Iran is characterized by a high prevalence of impaction, especially in the mandible. Female more than male have teeth impaction. The most common angulation was the mesioangular in the mandible, and the vertical angulation in the maxilla. The most common level of impaction was the A and there was no any significant difference between the right and left sides in both jaws

Follicular Jaw Cysts

The aim of this study was to examine the occurrence, localization, size, ways of diagnosing and treatment of a follicular jaw cyst. Assessment of the patients’ motives and their earlier health status was recorded, as well as their postoperative clinical course. Most of the patients were admitted because of pain, swelling, trismus, or other difficulties associated with cyst formation. Follicular cysts with persisting primary predecessor had an asymptomatic development, and were discovered after orthodontic examination or by chance. In most cases pathohistological finding and description of the formation have coincided with each other (p<0.05). Cysts of different sizes were treated by different surgical approaches, most commonly alveolotomy and cystectomy in small cysts, while alveolotomy and cystectomy with suction or iodine tampon in large cysts. Cooperation of a dentist, an oral surgeon, a pathologist, and other specialists can lead to early diagnose and prevention of further growth of a follicular jaw cyst, thus preventing substantial bone damage

Garden restoration in Russia: St Petersburg Summer Garden as a case study

Since the Great Patriotic War (1941-1945) Russia has developed a very strong scientific school of restoration and reconstruction of historic gardens. This paper discusses the main concept and principles of this garden restoration school, called the St. Petersburg Garden Restoration School, using the case study of the Summer Garden, the oldest garden in St. Petersburg

Pericoronal Follicles of Asymptomatic Impacted Teeth: A Radiographic, Histomorphologic, and Immunohistochemical Study

Objective. To associate radiographic and histopathological features of pericoronal follicles (PFs) of asymptomatic impacted teeth and evaluate cell proliferation and apoptosis in the epithelium. Study Design. Epithelium and mesenchyme of radiographically normal (NPF ≤ 2.5 mm) and hyperplastic (HPF 2.6 to 5 mm) PF (n = 140) were studied histologically. Cell proliferation (PI) and epithelial apoptosis were evaluated by Ki-67 and bcl-2 expression in 14 NPFs and 10 dentigerous cysts (DCs). Results. Radiographically, 127 were NPFs and 13 were HPFs; 87.8% of total PFs exhibited epithelium on the surface. Reduced enamel epithelium was observed in 78 (61.4%) NPFs and 6 (46.2%) HPFs, squamous metaplasia in 17 (13.4%) NPFs and 4 (30.8%) HPFs, and cystic epithelium in 15 (11.8%) NPFs and 3 (23%) HPFs. Mean PI was 1.97 ± 1.25 and 7.97 ± 1.74 in the epithelial component of NPF and DC, respectively; bcl-2 positive expression was observed in 9 (64.3%) NPFs and 7 (70%) DCs. Conclusion. The scant epithelial remnant proliferation could imply low risk for development of odontogenic pathologies in the absence of an additional stimulus