Periodontal status of mandibular second molar after extraction  of impacted mandibular third molars- a prospective clinical trial

Singh Swathi; Sruthima Gottumukkala Naga; Konathala Santosh; Penmetsa Subhadra; Doraisami Dwarakanath; Bypalli Vivek

doi:https://dx.doi.org/10.26650/eor.2022992668

Research Article

DOI :10.26650/eor.2022992668 IUP :10.26650/eor.2022992668 Full Text (PDF)

Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial

Swathi Singh, Naga Venkata Satya Sai Sruthima Gottumukkala, Santosh Venkata Ramesh Konathala, Subhadra Gautami Penmetsa, Dwarakanath Chinniswami Doraisami, Vivek Bypalli

Mandibular third molar (M3) extraction is the common surgical procedures carried out; however, one of the complications is development of periodontal disease in adjacent second molars (M2). Hence the purpose of this study was to evaluate the effect of extraction of M3 on the periodontal status of M2. Materials and Methods Study included 120 sites with mandibular M2 adjacent to the impacted M3. Plaque index(PI), gingival index(GI), probing pocket depths(PD), clinical attachment levels(CAL), Gingival recession(GR) and alveolar bone height(ABH) before and 9-12 months after surgical extraction of M3 were assessed. Patients perception was assessed using dichotomous rating. Four types of impactions(IMP) were included along with surgical cofactors like degree of impaction, flap design, bone removal, tooth sectioning. Results At baseline mesioangular and horizontal IMP showed greater PPD and CAL. After extraction of M3 there was significant decrease in PPD & CAL. 14% cases showed significant increase gingival recession at the distobuccal of M2. Although 10.9% of patients had an alveolar bony defect(ABD) distal to the M2, there was considerable improvement in ABH from baseline. The ABDs are mostly associated with mesioangular and horizontal IMP. Conclusion Extraction of impacted M3 proves to be beneficial on periodontal status of M2. However, occasionally, mesioangular and horizontal IMP are likely to develop ABD distal to M2 and hence can be followed by regenerative procedures to prevent the formation of ABD.

Keywords: Alveolar bone defect, impacted tooth, mandibular third molar, mandibular second molar, tooth extraction

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APA

Singh, S., Sruthima Gottumukkala, N.V., Konathala, S.V., Penmetsa, S.G., Doraisami, D.C., & Bypalli, V. (2022). Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial. European Oral Research, 56(3), 110-116. https://doi.org/10.26650/eor.2022992668

AMA

Singh S, Sruthima Gottumukkala N V, Konathala S V, Penmetsa S G, Doraisami D C, Bypalli V. Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial. European Oral Research. 2022;56(3):110-116. https://doi.org/10.26650/eor.2022992668

ABNT

Singh, S.; Sruthima Gottumukkala, N.V.; Konathala, S.V.; Penmetsa, S.G.; Doraisami, D.C.; Bypalli, V. Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial. European Oral Research, [Publisher Location], v. 56, n. 3, p. 110-116, 2022.

Chicago: Author-Date Style

Singh, Swathi, and Naga Venkata Satya Sai Sruthima Gottumukkala and Santosh Venkata Ramesh Konathala and Subhadra Gautami Penmetsa and Dwarakanath Chinniswami Doraisami and Vivek Bypalli. 2022. “Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial.” European Oral Research 56, no. 3: 110-116. https://doi.org/10.26650/eor.2022992668

Chicago: Humanities Style

Singh, Swathi, and Naga Venkata Satya Sai Sruthima Gottumukkala and Santosh Venkata Ramesh Konathala and Subhadra Gautami Penmetsa and Dwarakanath Chinniswami Doraisami and Vivek Bypalli. “Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial.” European Oral Research 56, no. 3 (Mar. 2023): 110-116. https://doi.org/10.26650/eor.2022992668

Harvard: Australian Style

Singh, S & Sruthima Gottumukkala, NV & Konathala, SV & Penmetsa, SG & Doraisami, DC & Bypalli, V 2022, 'Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial', European Oral Research, vol. 56, no. 3, pp. 110-116, viewed 20 Mar. 2023, https://doi.org/10.26650/eor.2022992668

Harvard: Author-Date Style

Singh, S. and Sruthima Gottumukkala, N.V. and Konathala, S.V. and Penmetsa, S.G. and Doraisami, D.C. and Bypalli, V. (2022) ‘Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial’, European Oral Research, 56(3), pp. 110-116. https://doi.org/10.26650/eor.2022992668 (20 Mar. 2023).

MLA

Singh, Swathi, and Naga Venkata Satya Sai Sruthima Gottumukkala and Santosh Venkata Ramesh Konathala and Subhadra Gautami Penmetsa and Dwarakanath Chinniswami Doraisami and Vivek Bypalli. “Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial.” European Oral Research, vol. 56, no. 3, 2022, pp. 110-116. [Database Container], https://doi.org/10.26650/eor.2022992668

Vancouver

Singh S, Sruthima Gottumukkala NV, Konathala SV, Penmetsa SG, Doraisami DC, Bypalli V. Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial. European Oral Research [Internet]. 20 Mar. 2023 [cited 20 Mar. 2023];56(3):110-116. Available from: https://doi.org/10.26650/eor.2022992668 doi: 10.26650/eor.2022992668

ISNAD

Singh, Swathi - Sruthima Gottumukkala, NagaVenkata Satya Sai - Konathala, SantoshVenkata Ramesh - Penmetsa, SubhadraGautami - Doraisami, DwarakanathChinniswami - Bypalli, Vivek. “Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial”. European Oral Research 56/3 (Mar. 2023): 110-116. https://doi.org/10.26650/eor.2022992668

Volume 56, Issue 32022, P. 110-116

TIMELINE

Submitted	08.09.2021
Accepted	22.12.2021
Published Online	29.09.2022

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