Assessment of Impacted Third Molar in Relation to Inferior Alveolar Canal: A Cross-Sectional Study to Compare Radiographic Precision of Intraoral Periapical Radiograph and Panoramic Radiograph in Relation to Cone Beam Computed Tomography
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Introduction: Extraction of impacted third molar is a routine procedure in oral and maxillofacial surgery, either for prophylactic or for symptomatic reasons. Objective: To compare the accuracy of intraoral periapical radiograph (IOPAR) and panoramic radiograph with that of cone beam computed tomography (CBCT) for determining the proximity of impacted lower third molar with mandibular canal. Materials and Methods: The present study consisted of 20 participants, in age group of 20 years and above with impacted mandibular third molar visiting the department of Oral surgery, D.J. College of Dental Science and Research (DJCDSR), Modinagar, Uttar Pradesh. Relationship of impacted mandibular third molar with the mandibular canal was assessed using IOPAR and panoramic radiographic signs and CBCT findings. The seven radiographic signs, i.e., darkening of root, deflection of root, narrowing of root, dark and bifid root, interruption of white line of canal, diversion of canal, narrowing of canal on both IOPAR, and PANORAMIC Radiographic, were correlated for the proximity and involvement with CBCT findings for the same. Results: After evaluation of seven radiographic signs seen in IOPARs with CBCT result states that darkening of root (P = 0.025), diversion of canal (P = 0.022), and interruption of white line of canal (P = 0.021) have significant value (P < 0.05) according to Pearson’s chi-squared whereas only two panoramic radiographic signs, i.e., darkening of root (P = 0.022) and interruption of white line of canal (P = 0.026) have significant value. Conclusion: This study showed the poor reliability of panoramic radiographic signs than IOPAR in predicting the proximity of mandibular third molar root with mandibular canal related to CBCT finding. Radiographic signs of IOPAR reliability with CBCT findings are found to be more precise and accurate as per for future prospects.
Authors and Affiliations
Ashish Mular, Varun Kumar, Jyotish Kumar Jha, Debiprasad Ghatak, Yogesh Bhalerao, Sunny Deshmukh
Keywords
Related Articles
- EP ID EP470990
- DOI -
- Views 150
- Downloads 0
Role of First-Trimester Uric Acid Level in Prediction of Gestational Diabetes Mellitus
Background: The aim of this study is to analyze the relationship between first-trimester uric acid levels and the risk of developing gestational diabetes mellitus (GDM). Method: A prospective study was conducted in 100 a...
Large Vesical Calculus Causing Labor Dystocia: A Case Report
Obstructed labor is a well-known clinical entity in maternity units, cephalopelvic disproportion being the most common cause. Here, we report a rare case of obstructed labor, where the cause was a large vesical calculus....
Surgical Management of Congenital Glaucoma - A Long-term Clinical Study and its Outcome
Introduction: Congenital glaucoma (CG) is more common, aggressive, and difficult to control. It results in raised intraocular pressure and diminished visual acuity in children. Many surgical procedures are described in t...
Comparative Evaluation of Antimicrobial Efficacy of Three Irrigating Solutions for Root Canal Treatment - An In Vitro Study
Background: Complete elimination of microorganisms from root canal system is one of the most important objectives in endodontic therapy. This cannot be achieved until all the pulp tissue, and bacteria’s present in dentin...
Varied Presentations and Management of Symptomatic Meckel’s Diverticulum
Meckel’s diverticulum is a true diverticulum arising from the antimesenteric border of the distal ileum. It is a remnant of vitellointestinal duct present. Majority of the population with Meckel’s diverticulum are asympt...