244 Complications Associated with The Occurrence of Impacted Mandibular Third Molars in Saudi Arabian Sub-Population: Najran Province Experience Copyright@ Braimah Ramat Oyebunmi --------------------------------------------------------------------------------------------------------------------------------- This work is licensed under Creative Commons Attribution 4.0 License AJBSR.MS.ID.000669 Research Article Braimah Ramat Oyebunmi 1 *, Dawood Ali-Alsuliman 1 , Yahyah Alsalah 1 , Hakeem O Agbaje 2 , Nasser Naji Alalhareth 1 and Nahal M Alsawas 1 1 Department of Oral and Maxillofacial Surgery, Najran Specialty Regional Dental Center, Shurfah Kingdom of Saudi Arabia. 2 Department of Orthodontics, International Medical Complex, Kingdom of Saudi Arabia *Corresponding author: Braimah Ramat Oyebunmi, Department of Oral and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Nigeria. To Cite This Article: Braimah Ramat Oyebunmi. Complications Associated with The Occurrence of Impacted Mandibular Third Molars in Saudi Arabian Sub-Population: Najran Province Experience. Am J Biomed Sci & Res. 2019 - 3(3). AJBSR.MS.ID.000669. DOI: 10.34297/AJBSR.2019.03.000669 Received: May 23, 2019 | Published: June 10, 2019 American Journal of Biomedical Science & Research ISSN: 2642-1747 www.biomedgrid.com Introduction Apt assessment of retained third molars when local symptoms are present, should incorporate all-inclusive clinical and radiographic evaluation [1]. Because of limitations in the use of periapical radiographs to properly assess impacted third molars, panoramic radiograph is highly advocated [1]. Impacted third molars impaction is a global clinical condition that is rising [2]. Literature is still lacking on the reported cases of associated pathologies with impacted mandibular third molars despite its richness in prevalence and its surgical removal [3,4]. When impacted mandibular molars are symptoms free, it does not necessarily relate to lack of other pathologic conditions [5]. Also, symptoms associated with the sequelae of presence and removal Abstract Introduction: Impacted third molars impaction is a global clinical condition that is rising. Literature is still lacking on the reported cases of associated pathologies with impacted mandibular third molars despite its richness in prevalence and its surgical removal. Materials and Methods: This is a retrospective study with data such as gender and age of patients, special relationships of the impacted molars, reason for extraction, tooth extracted and associated pathologies collected from the Department of Oral and Maxillofacial Surgery, Najran Specialty Regional Dental Center, Najran Kingdom of Saudi Arabia from 2015-2018. The data were processed and analyzed using IBM SPSS software version 25 for IOS (Armonk, NY: IBM Corp). Results: A total of 1024 mandibular third molar extractions was carried out during the study period from 609 (59.5%) females and 415 (40.5%) males (F:M = 1.5:1) (Table 1). Out of this number, 570 (55.7%) had associated pathology with 270 (47.4%) males and 300 (52.6%) females and prevalence rate of 55.7%. The age ranged from 17 to 69 years (mean ± SD, 31.4 ± 9.6years) with majority in the age group (21-30) years. Distal caries on the second molar tooth accounted for the highest number of associated pathologies 193 (18.8%) followed closely by pocket alone between the second and third molars 157 (15.3%). Conclusion: Distal second molar root caries and pocket formation between the impacted tooth and second molar tooth was the most associated pathology with the impacted molar in the current study. These were frequently associated with a mesio-angular impaction Keywords: Associated pathology; Caries; Mandibular third molar Abbrevations: D7C: Distal 7Caries; D7RR: Distal 7 Root Resorption; POCK: Pocket; D7C+POCK: Distal 7Caries+Pocket; D7RR+POCK: Distal 7 Root Resorption+Pocket; MA: Mesioangular; VER: Vertical; DA: Distoangular; HOR: Horizontal.