Abstract The aim of this study was to investigate the
different variables in mesio-vertically positioned impact-
ed or erupted third molars in a group of volunteers in
Turkey to determine the angular changes and levels of
eruption radiographically using standardised panoramic
radiographs. There were 213 volunteers with impacted
and erupted third molars included in this study, most of
whom were dental students. Standardised panoramic ra-
diographs were taken from all the volunteers. The radio-
graphic parameters included angulation of tooth, level of
eruption, development of root, mesiodistal crown width,
retromolar space, and gonial angle. Statistical analysis
was done using the t-test for independent groups. It was
found that the mesiodistal angulation of third molars was
significantly greater while the retromolar space of third
molars was significantly smaller in the impacted group
(P<0.05). There was also a significant difference in
retromolar space/third molar crown width ratio (P<0.05).
Keywords Third molars · Prediction of impaction ·
Long-term follow-up · Panoramic radiograph
Introduction
The third molar operation is a common operation carried
out routinely in oral surgery clinics. Mandibular third
molars are the most frequently impacted teeth after the
maxillary third molars [1, 7]. It has been previously re-
ported that the early removal of impacted third molars
was not realistic [14]. Third molars should be removed
when they are associated with various pathological con-
ditions such as pericoronitis, cystic lesions, tumours,
dental caries, periodontitis, periapical infection, and root
resorption of adjacent teeth [1]. Third molars may also
cause an impact on arch crowding and stability of ortho-
dontic treatment [11].
It has been estimated that 54% of the mandibular
third molars are removed prophylactically without pre-
senting any subjective symptoms [13]. Lopes et al. [8]
reported that, in the United Kingdom, 30–50% of all re-
ferred mandibular third molars are removed every year
with no valid indications. To retain mandibular third mo-
lars might be beneficial for both orthodontic and prosth-
odontic treatment and also for transplantation [6]. Age at
eruption of third molars varies between different races,
being on average 14 years in Nigerians [10] but 24 years
in both Greeks [4] and Jordanians [5]. It has been previ-
ously reported that patterns of facial growth, jaw devel-
opment and tooth size are inherited and differ between
populations and races [6].
The aim of this study was to investigate the different
variables in mesio-vertically positioned impacted or
erupted third molars in a group of Turkish volunteers be-
tween the ages of 17 and 26 to determine the angular
changes and levels of eruption using standardised pan-
oramic radiographs.
Materials and methods
In this study, 213 volunteers participated, including 125
male and 88 female patients with a total of 557 mandibu-
lar third molars. All the volunteers had erupted or im-
pacted mesio-vertically positioned unilateral or bilateral
third molars. This study was carried out at the University
of Gazi, Faculty of Dentistry, Department of Oral and
Maxillofacial Surgery and Oral Radiology. The mean
age of the patients was 22 (range 17–26), with a mean
age of 20.2 in the impacted group and 23.9 in the erupted
N. Mollaoglu (
✉
) · S. Çetiner
Department of Oral and Maxillofacial Surgery,
Dental Faculty, University of Gazi, Ankara, Turkey
e-mail: nmollaoglu@hotmail.com
Tel.: +90-312-2126220/245, Fax: +90-312-2239226
K. Güngör
Department of Oral Diagnosis and Radiology,
Dental Faculty, University of Gazi, Ankara, Turkey
N. Mollaoglu
Bestekar sok. no. 61/8, Orta giris,
06680, Kavaklidere-Ankara, Turkey
Clin Oral Invest (2002) 6:109–113
DOI 10.1007/s00784-001-0144-1
ORIGINAL ARTICLE
Nur Mollaoglu · Sedat Çetiner · Kahraman Güngör
Patterns of third molar impaction in a group of volunteers in Turkey
Received: 18 June 2001 / Accepted: 22 October 2001 / Published online: 28 November 2001
© Springer-Verlag 2001