CORRELATION BETWEEN THE POSITION OF THE IMPACTED THIRD MANDIBULAR MOLAR AND THE POSTOPERATIVE COMPLICATIONS – A CLINICAL AND RADIOGRAPHIC EVALUATION

Albina Ajeti Abduramani, Marija Peeva Petreska, Boris Velickovski, Fjolla Ajeti

Abstract

Third molars are the last teeth to erupt in oral cavity, in most cases they are impacted, because of their inappropriate position. The aim of this study is to analyze the correlation between the position of the impacted third mandibular molar and the postoperative complications after surgical extraction of the tooth. The sample of the study consisted of a total of 80 patients, of both sexes, diagnosed with fully or partially impacted third mandibular molars, who were followed up after the surgery for a three-month period. For all participants in the research panoramic radiography was taken before the intervention, to analyze the angulation, the depth of impaction and the relation to the covering tissue of the impacted third mandibular molar. Postoperative complications were recorded and analyzed after surgical extraction of the impacted third mandibular molar. The most manifested postoperative complications after the impacted third mandibular molar surgery were trismus, swelling and dry socket. All the pathologies were associated with the tooth position. Trismus was most common for the mesioangular position of impacted third mandibular molar, class III B. Swelling occurs predominantly in the impacted third mandibular molars with mesioangular position, class II B. Dry socket was more prevalent in impacted third mandibular molars with vertical position, class II A. The position of the impacted third mandibular molar has a significant correlation with the development of the postoperative complications after the surgical tooth extraction.

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