The Effect of Demographic and Radiographic Variables on Surgical Difficulty of Impacted Mandibular Third Molar: A Prospective Observational Study
1
Department of Oral Surgery, College of Dentistry, AL Hikma University Collage, Baghdad, Iraq, Iraq
2
Department of Oral Diagnosis, College of Dentistry, AL Hikma University Collage, Baghdad, Iraq, Iraq
3
Department of Orthodontics, College of Dentistry, Bilad Alrafidain University, Diyala, Iraq, Iraq
Submission date: 2025-03-02
Final revision date: 2025-04-26
Acceptance date: 2025-05-27
Publication date: 2025-07-30
Corresponding author
Shahad Ihsan Kadhum
Department of Oral Diagnosis, College of Dentistry, AL Hikma University Collage, Baghdad, Iraq, Iraq
Department of Oral Diagnosis, College of Dentistry, AL Hikma University Collage, Baghdad, Iraq, Iraq
Wiadomości Lekarskie 2025;(7):1375-1380
KEYWORDS
TOPICS
ABSTRACT
Aim:
Background: Surgical extraction of the impacted lower third molar is one of the most common procedures performed by oral and maxillofacial surgeons. There are many variables (clinical, anatomical, and radiographical) that predict third molar difficulty. Objectives: The aim of this study was to evaluate the effect of varies demographical and radiographical variables including retromolar space on surgical difficulty of impacted mandibular third molar.
Material and methods:
Materials and methods: This prospective observational study included a total of 53 patients who underwent surgical removal of impacted lower third molars. The independent variables included demographic data (age, sex) and radiographic findings (Winter’s angulation, Pell and Gregory’s classification, and retromolar space), retromolar space was measured from the anterior border of mandibular ramus and the distal surface of mandibular second molar in millimeter. Dependent variables were surgical difficulty determined by technique and operation time.
Results:
Results: There was a statistically significant relationship between the retromolar space and Pell and Gregory’s classification with the duration of surgery and technique of extraction. There was a non-significant difference in the duration of surgery among the age, sex of patients and angulation of impacted teeth.
Conclusions:
Conclusion: This study shows that the retromolar space and Pell and Gregory’s classification have a strong influence in lower third molar surgical difficulty.
Background: Surgical extraction of the impacted lower third molar is one of the most common procedures performed by oral and maxillofacial surgeons. There are many variables (clinical, anatomical, and radiographical) that predict third molar difficulty. Objectives: The aim of this study was to evaluate the effect of varies demographical and radiographical variables including retromolar space on surgical difficulty of impacted mandibular third molar.
Material and methods:
Materials and methods: This prospective observational study included a total of 53 patients who underwent surgical removal of impacted lower third molars. The independent variables included demographic data (age, sex) and radiographic findings (Winter’s angulation, Pell and Gregory’s classification, and retromolar space), retromolar space was measured from the anterior border of mandibular ramus and the distal surface of mandibular second molar in millimeter. Dependent variables were surgical difficulty determined by technique and operation time.
Results:
Results: There was a statistically significant relationship between the retromolar space and Pell and Gregory’s classification with the duration of surgery and technique of extraction. There was a non-significant difference in the duration of surgery among the age, sex of patients and angulation of impacted teeth.
Conclusions:
Conclusion: This study shows that the retromolar space and Pell and Gregory’s classification have a strong influence in lower third molar surgical difficulty.
| eISSN: | 2719-342X |
| ISSN: | 0043-5147 |
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