DEGREE OF DIFFICULTY IN MANDIBULAR 3RD MOLAR IMPACTIONS IN PATIENTS REPORTING TO KCD
DOI:
https://doi.org/10.33279/jkcd.v7i01.227Keywords:
Mandibular third molar, Impacted teeth, WHARFE difficulty indexAbstract
Objective: The objective of this study is to find out the difficulty index of impacted mandibular third molars and additional factors making the surgical procedure difficult for the surgical team.
Material and Methods: The present study is conducted at Khyber College of Dentistry, Peshawar, Pakistan during a period from 1st December, 2016 to 30th March, 2017. The sample contained 100 patients who reported with impacted mandibular third molars, between the ages of 15-45years and included both genders. Data collection tool was a specially designed and validated proforma. The structured questionnaire included variables related to the demographic factors of the patient (name, age, gender), side of the jaw involved, chief complain of the patient, and difficulty score of the impacted mandibular molar based on WHARFE scale. Some additional factors were also considered, presence or absence of bulky tongue, cheek, gag reflex, limited mouth opening and cooperation of the patient and radiographic factors. The data obtained was analyzed using SPSS version 19.
Results: Out of 100 patients, 61 were male while 39 were female with a male to female ratio of 1:1.56. Sixty one percent were in the age range of 15 to25 years and 35% were in the age range of 26-35years. Right mandibular third molar impactions were more commonly reported (53%). Pain was the predominant chief complain observed in patients. As per WHARFE’s Scale, majority of the patients had impactions with the degree of difficulty score ranging from 1-5 followed by 6-10 (36%). Contact with second molar (72%) and proximity to inferior alveolar nerve (69%) and bulky cheek (24%) were found to be the remarkable additional difficulty factors present in the study subjects.
Conclusion: majority of the patients are in the age range of 15-25 years; pain is the predominant presenting complaint with a WHAFE score of 1-5 in majority of patients.
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Copyright (c) 2016 Afshan Iqbal Khalil, Noor ul Ane, Sana Haider Ali, Basheer Rehman
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