Research Article
Volume 19 Issue 11 - 2020
Indications for Extraction of Impacted Mandibular Third Molar in South Western Region of Nigeria
Emmanuel A Adelusi*, Victoria N Okoje, Tosin O Babarinde, Folaranmi O Olaniran and Olusegun J Adediran
Department of Oral and Maxillofacial Surgery, University of Ibadan and University College Hospital, Ibadan, Nigeria
*Corresponding Author: Emmanuel A Adelusi, Department of Oral and Maxillofacial Surgery, University of Medical Sciences, and University of medical Science teaching Hospital, Ondo City, Ondo State, Nigeria.
Received: September 10, 2020; Published: October 27, 2020




Abstract

Background: One or more tooth/teeth may fail to erupt fully or fail to erupt at all into the oral cavity due to one reason or the others, such a tooth is termed impacted tooth. Indication for extraction of impacted third molar teeth has generated some levels of controversy in the literature. While some reported Caries, some reported pericoronitis, and other pathologies as the main indication for extraction of impacted third molar teeth.

Objective: To determine the indications for the extraction of impacted mandibular third molars in the oral surgery clinic of oral and maxillofacial surgery department in University College Hospital (UCH) Ibadan, Nigeria.

Materials and Method: A retrospective study of all the patients who presented at the Oral Surgery clinic in UCH Ibadan between 1997 and 2018 was carried out. Necessary information was extracted from the Oral Surgery daily record book and the patient case file. Variable extracted include Age, Gender, Tribe, presenting complaint, Diagnosis, Angulation of impaction according to Winter’s classifications, use of Antibiotics prior to presentation and Quadrant where the tooth was located. Data generated was analyzed using SPSS Version 23.0 and distributions of obtained values were compared using the Pearson χ2 test and student t -test.

Results: A total of 1223 patients were included in the study between age group 18 - 70 years. Majority of the Patients presented with pain 1130 (92.3%) followed by food impaction 40 (3.3%). The most common indication was peritonitis 1097 (89.7%) especially recurrent type 1057(86.4%). Majority of the patients 1100 (90.0%) had used antibiotics before presentation which probably was not prescribed by a medical professional (Doctor).

Conclusion: Conclusively, according to this study, pericoronitis is the main indication for extraction of mandibular third molar and self-medication is inevitable.

Keywords: Indication; Extraction; Mandibular Molar; Impaction; Pericoronitis

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Citation: Emmanuel A Adelusi., et al. “Indications for Extraction of Impacted Mandibular Third Molar in South Western Region of Nigeria”. EC Dental Science 19.11 (2020): 52-58.

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