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Investigation of the relationship between the mandibular third molar teeth and the inferior alveolar nerve using posteroanterior radiographs: a pilot study.
Apaydin, Burak Kerem; Icoz, Derya; Uzun, Ezgi; Orhan, Kaan.
Afiliación
  • Apaydin BK; Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Pamukkale University, Denizli, 20160, Turkey. drkeremapaydin@gmail.com.
  • Icoz D; Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Selcuk University, Konya, 42100, Turkey.
  • Uzun E; Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Pamukkale University, Denizli, 20160, Turkey.
  • Orhan K; Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, 06500, Turkey.
BMC Oral Health ; 24(1): 371, 2024 Mar 22.
Article en En | MEDLINE | ID: mdl-38519914
ABSTRACT

BACKGROUND:

The most severe complication that can occur after mandibular third molar (MM3) surgery is inferior alveolar nerve (IAN) damage. It is crucial to have a comprehensive radiographic evaluation to reduce the possibility of nerve damage. The objective of this study is to assess the diagnostic accuracy of panoramic radiographs (PR) and posteroanterior (PA) radiographs in identifying the association between impacted MM3 roots and IAN.

METHODS:

This study included individuals who had PR, PA radiographs, and cone beam computed tomography (CBCT) and who had at least one impacted MM3. A total of 141 impacted MM3s were evaluated on CBCT images, and the findings were considered gold standard. The relationship between impacted MM3 roots and IAN was also evaluated on PR and PA radiographies. The data was analyzed using the McNemar and Chi-squared tests. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy of PR and PA radiographies were determined.

RESULTS:

Considering CBCT the gold standard, the relationship between MM3 roots and IAN was found to be statistically significant between PR and CBCT (p = 0.00). However, there was no statistically significant relationship between PA radiography and CBCT (0.227). The study revealed that the most prevalent limitation of the PR in assessing the relationship between MM3 roots and IAN was the identification of false-positive relationship.

CONCLUSIONS:

PA radiography may be a good alternative in developing countries to find out if there is a contact between MM3 roots and IAN because it is easier to get to, cheaper, and uses less radiation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Impactado / Tercer Molar Límite: Humans Idioma: En Revista: BMC Oral Health Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Impactado / Tercer Molar Límite: Humans Idioma: En Revista: BMC Oral Health Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Reino Unido