Comparative Analysis of Mandibular Third Molar Impaction in Different Facial Growth Types

Authors

  • Urooj Ashfaq Rehman College of Dentistry, Rehman Medical Institute, Peshawar, Khyber Pakhtunkhwa, Pakistan.
  • Hira Noor Assistant Professor, Khyber Medical University, Peshawar, Khyber Pakhtunkhwa, Pakistan.

DOI:

https://doi.org/10.65293/jbkcd.v1i02.18

Keywords:

Mandibular Third Molar Impaction, Vertical Skeletal Face Type, Hyper Divergent, Mesioangular Impaction, Logistic Regression

Abstract

Objective: This study aims to assess the prevalence of mandibular third molar impaction among individuals with different vertical skeletal facial types and to investigate relationships with demographic factors such as age and sex.

Study Design: Cross-sectional study

Place and Duration of the Study: Orthodontics Department of Rehman College of Dentistry, Peshawar, Pakistan, from January 2023 to June 2024.

Materials and Methods: A cross-sectional study was conducted on a sample of 100 individuals categorized into norm divergent (40%), hypo divergent (30%), and hyper divergent (30%) skeletal facial types. The occurrence and classification of mandibular third molar impaction were documented. Logistic regression analysis was used to examine the association between facial type and impaction.

Results: Impaction occurred in 70% of the sample, with mesioangular impaction being the most common (50%). Individuals with a hyper divergent skeletal facial type showed a significantly higher likelihood of impaction (OR = 2.50, 95% CI: 1.00–6.25, p = 0.048). Age exhibited a trend towards significance (p = 0.065), indicating higher susceptibility among younger individuals, while sex was not significantly associated with impaction.

Conclusion: The findings suggest that individuals with a hyperdivergent skeletal profile are at an increased risk of mandibular third molar impaction. This highlights the importance of considering skeletal morphology in the assessment and management of early third molars. Further studies with larger sample sizes are recommended to validate these findings.

Author Biography

Hira Noor, Assistant Professor, Khyber Medical University, Peshawar, Khyber Pakhtunkhwa, Pakistan.

Corresponding Author: noorehira@kmu.edu.pk

References

1. Viqar S, Karachi Medical and Dental College, Rizwan S, Faisal SS, Hussain SS. The frequency of mandibular third molar impaction in different types of vertical skeletal faces. J Pak Dent Assoc [Internet]. 2021;30(02):118–23. Available from: http://dx.doi.org/10.25301/jpda.302.118

2. Pathak A. Assessment of Third molar impaction in different facial types and mandibular length: An observational study. Journal of Advanced Medical and Dental Sciences Research. 2021;9(5):47–9.

3. Keerthana A, Neelakandan RS, Zachariah T. A radiographic correlation of impacted mandibular third molars with facial skeletal Characteristics. AdvBiores. 2022;13:151–60.

4. Barone S, Antonelli A, Averta F, Diodati F, Muraca D, Bennardo F, et al. Does mandibular gonial angle influence the eruption pattern of the lower third molar? A three-dimensional study. J Clin Med [Internet]. 2021;10(18):4057. Available from: http://dx.doi.org/10.3390/jcm10184057

5. Zaman MU, Almutairi NS, Abdulrahman Alnashwan M, Albogami SM, Alkhammash NM, Alam MK. Pattern of mandibular third molar impaction in nonsyndromic 17760 patients: A retrospective study among Saudi population in central region, Saudi Arabia. Biomed Res Int [Internet]. 2021;2021(1):1880750. Available from: http://dx.doi.org/10.1155/2021/1880750

6. Soós B, Janovics K, Tóth Á, Di Nardo MD, Szalma J. Association between third molar impaction status and angle or condylar fractures of the mandible: A retrospective analysis. J Oral Maxillofac Surg [Internet]. 2020;78(7):1162.e1-1162.e8. Available from: http://dx.doi.org/10.1016/j.joms.2020.02.005

7. Zarzora A, Foda MY, El Dawlatly MM, Dehis HM. Evaluation of the position and incidence of impaction of mandibular third molars in different anteroposterior and vertical skeletal patterns: A retrospective study. Open Access Maced J Med Sci [Internet]. 2022;10(D):389–97. Available from: http://dx.doi.org/10.3889/oamjms.2022.10301

8. Zarzora A, Foda MY, El Dawlatly MM, Dehis HM. Evaluation of the position and incidence of impaction of mandibular third molars in different anteroposterior and vertical skeletal patterns: A retrospective study. Open Access Maced J Med Sci [Internet]. 2022;10(D):389–97. Available from: http://dx.doi.org/10.3889/oamjms.2022.10301

9. Shrivastava A, Shrivastava A. Assessment Of Third Molar Impaction Status In Different Facial Types And Mandibular Length. European Journal of Molecular and Clinical Medicine. 2022;9(7):1786–91.

10. Gabhane C, Gupta A, Singh V. Incidence of a relationship between mandibular third molar impaction and different skeletal facial types: An: in vitro: study. Saudi Journal of Oral Sciences. 2023;10:35–41.

11. Hasan KM, Sobhana CR, Rawat SK, Singh D, Mongia P, Fakhruddin A. Third molar impaction in different facial types and mandibular length: A cross-sectional study: A cross-sectional study. Natl J Maxillofac Surg [Internet]. 2021;12(1):83–7. Available from: http://dx.doi.org/10.4103/njms.NJMS_111_20

12. Breik O, Grubor D. The incidence of mandibular third molar impactions in different skeletal face types. Aust Dent J [Internet]. 2008;53(4):320–4. Available from: http://dx.doi.org/10.1111/j.1834-7819.2008.00073.x

13. Zaman MU, Almutairi NS, Abdulrahman Alnashwan M, Albogami SM, Alkhammash NM, Alam MK. Pattern of mandibular third molar impaction in nonsyndromic 17760 patients: A retrospective study among Saudi population in central region, Saudi Arabia. Biomed Res Int [Internet]. 2021;2021(1):1880750. Available from: http://dx.doi.org/10.1155/2021/1880750

14. Haider O, Sharaf MA, Abdulqader AA, Alhashimi N, Sharhan HM, Chen C, et al. Three-dimensional relationship between the degree of bilateral impacted mandibular third molars angulation and the mandibular dental arch parameters: a cross-sectional comparative study. Clin Oral Investig [Internet]. 2023;27(8):4301–11. Available from: http://dx.doi.org/10.1007/s00784-023-05047-6

15. Arefi AH, Samimi SM, Ghorbani R. Molar impaction patterns and skeletal malocclusions. Journal of Craniomaxillofacial Research [Internet]. 2022; Available from: http://dx.doi.org/10.18502/jcr.v8i4.11072

16. Abu Alhaija ESJ, AlBhairan HM, AlKhateeb SN. Mandibular third molar space in different antero-posterior skeletal patterns. Eur J Orthod [Internet]. 2011;33(5):570–6. Available from: http://dx.doi.org/10.1093/ejo/cjq125

17. Noor H, Ashfaq U. Impaction Patterns of Mandibular Third Molars Across Different Vertical Skeletal Facial Types. Journal of Bacha Khan College of Dentistry. 2023;1(02):38–43.

18. Afridi SU, Baseer N, Durrani Z, Afridi MI, Jehan S. Association between angulation of mandibular third molar impactions with facial skeletal types and cephalometric landmarks. Khyber Med Univ J [Internet]. 2022;14(1):47–55. Available from: http://dx.doi.org/10.35845/kmuj.2022.22111

19. Bin Rubaiaan MA, Neyaz A, Talic F, Alkhamis A, Alghabban A, Assari A. The association between skeletal facial types and third molars impaction in a Saudi Arabian subpopulation: A CBCT study. Clinical, cosmetic and investigational dentistry. 2023;143–56.

20. Zeb M, Ishfaq M, Arbab S, Khattak AA, Khattak I, Rehman A. Agenesis, position, class and angulation of impacted mandibular third molar teeth in 21-25 years old subjects visiting dental teaching hospital in Peshawar. The Professional Medical Journal. 2022;29:1569–75.

21. Shokri A, Mahmoudzadeh M, Baharvand M, Mortazavi H, Faradmal J, Khajeh S, et al. Position of impacted mandibular third molar in different skeletal facial types: First radiographic evaluation in a group of Iranian patients. Imaging Sci Dent [Internet]. 2014;44(1):61–5. Available from: http://dx.doi.org/10.5624/isd.2014.44.1.61

22. Sahibzada S, Khan A, Sardar T, Aurangzeb U, Afridi N, Amanat I. Impacted mandibular third molars associated pathologies. Pakistan Journal of Medical and Health Sciences [Internet]. 2022;16(8):919–21. Available from: http://dx.doi.org/10.53350/pjmhs22168919

23. Sobouti F, Dadgar S, Goleyjani P, Rakhshan V. Associations across 22 dental and craniovertebral anomalies or variations, sagittal skeletal relationships, and vertical growth patterns: a comprehensive epidemiological study of 43 dentoskeletal traits. BMC Oral Health [Internet]. 2023;23(1):877. Available from: http://dx.doi.org/10.1186/s12903-023-03504-y

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Published

2023-12-31

How to Cite

1.
Ashfaq U, Noor H. Comparative Analysis of Mandibular Third Molar Impaction in Different Facial Growth Types. JBKCD [Internet]. 2023 Dec. 31 [cited 2026 May 20];1(02):52-8. Available from: https://jbkcd.bkcd.edu.pk/index.php/website/article/view/18

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Original Articles