Does the third molar position influence periodontal status and overall condition of patients with acute pericoronitis? A
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ORIGINAL ARTICLE
Does the third molar position influence periodontal status and overall condition of patients with acute pericoronitis? A cross-sectional study Jahine Ferreira Santos 1 & Leidjane Cândida Ribeiro Santos 1 & Esmeralda Maria da Silveira 1 & Rafael Alvim Magesty 1 & Olga Dumont Flecha 1 & Saulo Gabriel Moreira Falci 1 & Patricia Furtado Gonçalves 1 & Endi Lanza Galvão 1 Received: 14 October 2019 / Accepted: 23 June 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose The teeth positioning may be an important associated factor for the pericoronitis’ clinical signs. Our objective was to verify the association between lower third molar position according to the Pell and Gregory classification and clinical variables in patients with pericoronitis. Methods Cross-sectional analysis of panoramic radiographs and medical records of patients with pericoronitis. Primary outcomes: pain and oral health-related quality of life (OHRQoL); secondary outcomes: mouth opening, edema/erythema extension, visible plaque index, bleeding on probing index, periodontal pocket probing depth, and distal alveolar bone crest height of the adjacent second molar. Results The edema/erythema extension was higher in the IIA position compared with the IA position (p = 0.03). Regarding the OHRQoL, the OHIP-14 score was 21.0 (± 9.26, range from 4 to 44). The most scored domain was physical pain (5.24), followed by psychological discomfort (4.43). Third molars in IIA position are associated with worse OHRQoL than IB and IIB positions (p = 0.03). Conclusions There was a higher extension of edema/erythema and worse OHRQoL when the third molar was in IIA position. Prophylactic removal of mandibular third molar in position IIA may avoid the onset of mucosal edema/erythema and prevent pericoronitis from promoting impairment of individuals’ quality of life. Keywords Pericoronitis . Panoramic radiography . Third molar . Quality of life
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10006-020-00871-6) contains supplementary material, which is available to authorized users. * Endi Lanza Galvão [email protected]
Olga Dumont Flecha [email protected]
Jahine Ferreira Santos [email protected]
Saulo Gabriel Moreira Falci [email protected]
Leidjane Cândida Ribeiro Santos [email protected]
Patricia Furtado Gonçalves [email protected]
Esmeralda Maria da Silveira [email protected] Rafael Alvim Magesty [email protected]
1
Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rua da Glória, 187, Centro, Diamantina, Minas Gerais 39100-000, Brazil
Oral Maxillofac Surg
Introduction Pericoronitis is an inflammatory condition caused by an increase in the number of bacteria, mainly anaerobic, under the pericoronal follicle during tooth eruption [1]. This condition causes signs and symptoms such as pain, edema, trismus, and dysphagia [2]. These signs and symptoms in the acute stage are the main reasons that lead a patient to seek dental c
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