Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
The objective of this study was to verify whether caries and periodontal diseases, when present on the distal surface of the second molars (M2s), are associated with the eruption of the third molars (M3s). In this split-mouth study, we evaluated 70 elderly patients with unilateral maxillary or mandi...
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doaj-5260373f11a24c20a8b1e21ae56475a12020-11-24T21:28:55ZengWileyKaohsiung Journal of Medical Sciences1607-551X2017-05-0133524625110.1016/j.kjms.2017.03.001Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patientsYu-Hsiang Chou0Pei-Shan Ho1Kun-Yen Ho2Wen-Chen Wang3Kai-Fang Hu4Division of Periodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanFaculty of Dental Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Dentistry, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanThe objective of this study was to verify whether caries and periodontal diseases, when present on the distal surface of the second molars (M2s), are associated with the eruption of the third molars (M3s). In this split-mouth study, we evaluated 70 elderly patients with unilateral maxillary or mandibular M3s who presented to the outpatient clinics of two hospitals. Patients underwent comprehensive oral examinations and radiographical measurements, and we assessed the outcomes of periodontal disease and caries. Periodontal measurements included plaque index, bleeding on probing, and periodontal probing pocket depth (PD). Moreover, caries were assessed through visual–tactile examination and radiography. We performed the χ2 test to determine factors associated with M3 and non-M3 outcomes. Eighty-one unilateral erupted M3s were observed in the study patients. Both the distobuccal region (p<0.0001) and the distolingual region (p=0.006) had a higher PD on the nonextraction side than the extraction side, and the caries rate was significantly higher on the nonextraction side than on the extraction side (p <0.0001 on M2 with caries and p=0.003 on M2 with distal caries). M3 eruption, at the same or different occlusal plane levels of M2, is a risk factor for periodontal diseases and caries in M2s in elderly patients. M3s may continue to negatively impact dental health well into later life.http://www.sciencedirect.com/science/article/pii/S1607551X17301444Elderly patientsPeriodontitisSecond molar cariesThird molar |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yu-Hsiang Chou Pei-Shan Ho Kun-Yen Ho Wen-Chen Wang Kai-Fang Hu |
spellingShingle |
Yu-Hsiang Chou Pei-Shan Ho Kun-Yen Ho Wen-Chen Wang Kai-Fang Hu Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients Kaohsiung Journal of Medical Sciences Elderly patients Periodontitis Second molar caries Third molar |
author_facet |
Yu-Hsiang Chou Pei-Shan Ho Kun-Yen Ho Wen-Chen Wang Kai-Fang Hu |
author_sort |
Yu-Hsiang Chou |
title |
Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients |
title_short |
Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients |
title_full |
Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients |
title_fullStr |
Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients |
title_full_unstemmed |
Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients |
title_sort |
association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients |
publisher |
Wiley |
series |
Kaohsiung Journal of Medical Sciences |
issn |
1607-551X |
publishDate |
2017-05-01 |
description |
The objective of this study was to verify whether caries and periodontal diseases, when present on the distal surface of the second molars (M2s), are associated with the eruption of the third molars (M3s). In this split-mouth study, we evaluated 70 elderly patients with unilateral maxillary or mandibular M3s who presented to the outpatient clinics of two hospitals. Patients underwent comprehensive oral examinations and radiographical measurements, and we assessed the outcomes of periodontal disease and caries. Periodontal measurements included plaque index, bleeding on probing, and periodontal probing pocket depth (PD). Moreover, caries were assessed through visual–tactile examination and radiography. We performed the χ2 test to determine factors associated with M3 and non-M3 outcomes. Eighty-one unilateral erupted M3s were observed in the study patients. Both the distobuccal region (p<0.0001) and the distolingual region (p=0.006) had a higher PD on the nonextraction side than the extraction side, and the caries rate was significantly higher on the nonextraction side than on the extraction side (p <0.0001 on M2 with caries and p=0.003 on M2 with distal caries). M3 eruption, at the same or different occlusal plane levels of M2, is a risk factor for periodontal diseases and caries in M2s in elderly patients. M3s may continue to negatively impact dental health well into later life. |
topic |
Elderly patients Periodontitis Second molar caries Third molar |
url |
http://www.sciencedirect.com/science/article/pii/S1607551X17301444 |
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