Parameters associated with radiographic distal surface caries in the mandibular second molar adjacent to an impacted third molar

Verena Toedtling; Tim Forouzanfar; Henk S. Brand

doi:10.1186/s12903-023-02766-w

Parameters associated with radiographic distal surface caries in the mandibular second molar adjacent to an impacted third molar

Verena Toedtling^*, Tim Forouzanfar, Henk S. Brand

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: To determine the risk factors for the development of radiographic distal surface caries (rDSC) in patients who attend routine dental check-ups during an era of National Institute for Health Care Excellence third molar surgery guidelines. Methods: Radiographs taken during routine dental examinations involving 1012 patients from Manchester, UK were accessed. Clinical parameters, oral health, patient demographics, and socioeconomic factors were assessed. Risk factors were identified by multivariate logistic regression analysis. Results: The detected rate of rDSC was 63.9% and rDSC was distributed homogenously across all five socioeconomic groups (p = 0.425). Risk factors associated with rDSC (p < 0.001) were identified as partially erupted mesio-angularly impacted mandibular third molars, third molars with compromised molar to molar contact points, loss of lamina dura of ≥ 2 mm, male gender, increasing age, and a higher modified Decayed Missing Filled Tooth score. Conclusion: rDSC was significantly associated with the angulation of third molars, the compromised contact position of the adjacent third molar, the periodontal status of the distal aspect of the second molar and the cumulative history of oral health in a population governed by specific third molar guidelines. An active approach to third molar surgical management could reduce rDSC and serve this population, irrespective of patients’ socioeconomic or deprivation status.

Original language	English
Article number	125
Pages (from-to)	1-10
Number of pages	10
Journal	BMC Oral Health
Volume	23
DOIs	https://doi.org/10.1186/s12903-023-02766-w
Publication status	Published - 24 Feb 2023

Bibliographical note

Funding Information:
I would like to thank Ms Zainab Assy at the Academic Centre for Dentistry Amsterdam, the Netherlands for her help with the imaging and radiographic aspect of this study. I would also like to acknowledge that the UK data set derived from research I performed at the University of Manchester, Division of Dentistry, Faculty of Biology, Medicine and Health and Manchester University NHS Foundation Trust, University Dental Hospital of Manchester, Department of Oral and Maxillofacial Surgery was supervised by Hugh Devlin, Professor of Restorative Dentistry and Keith Horner, Professor of Oral and Maxillofacial Imaging and Consultant in Dental and Maxillofacial Radiology.

Publisher Copyright:
© 2023, The Author(s).

Funding

I would like to thank Ms Zainab Assy at the Academic Centre for Dentistry Amsterdam, the Netherlands for her help with the imaging and radiographic aspect of this study. I would also like to acknowledge that the UK data set derived from research I performed at the University of Manchester, Division of Dentistry, Faculty of Biology, Medicine and Health and Manchester University NHS Foundation Trust, University Dental Hospital of Manchester, Department of Oral and Maxillofacial Surgery was supervised by Hugh Devlin, Professor of Restorative Dentistry and Keith Horner, Professor of Oral and Maxillofacial Imaging and Consultant in Dental and Maxillofacial Radiology.

Keywords

Dental disease
Distal surface caries
Mandibular molar
Prevention
Proportion
Public health
Risk
Second molar
Surgery
Third molar

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10.1186/s12903-023-02766-w

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Cite this

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title = "Parameters associated with radiographic distal surface caries in the mandibular second molar adjacent to an impacted third molar",

abstract = "Background: To determine the risk factors for the development of radiographic distal surface caries (rDSC) in patients who attend routine dental check-ups during an era of National Institute for Health Care Excellence third molar surgery guidelines. Methods: Radiographs taken during routine dental examinations involving 1012 patients from Manchester, UK were accessed. Clinical parameters, oral health, patient demographics, and socioeconomic factors were assessed. Risk factors were identified by multivariate logistic regression analysis. Results: The detected rate of rDSC was 63.9% and rDSC was distributed homogenously across all five socioeconomic groups (p = 0.425). Risk factors associated with rDSC (p < 0.001) were identified as partially erupted mesio-angularly impacted mandibular third molars, third molars with compromised molar to molar contact points, loss of lamina dura of ≥ 2 mm, male gender, increasing age, and a higher modified Decayed Missing Filled Tooth score. Conclusion: rDSC was significantly associated with the angulation of third molars, the compromised contact position of the adjacent third molar, the periodontal status of the distal aspect of the second molar and the cumulative history of oral health in a population governed by specific third molar guidelines. An active approach to third molar surgical management could reduce rDSC and serve this population, irrespective of patients{\textquoteright} socioeconomic or deprivation status.",

keywords = "Dental disease, Distal surface caries, Mandibular molar, Prevention, Proportion, Public health, Risk, Second molar, Surgery, Third molar",

author = "Verena Toedtling and Tim Forouzanfar and Brand, {Henk S.}",

note = "Funding Information: I would like to thank Ms Zainab Assy at the Academic Centre for Dentistry Amsterdam, the Netherlands for her help with the imaging and radiographic aspect of this study. I would also like to acknowledge that the UK data set derived from research I performed at the University of Manchester, Division of Dentistry, Faculty of Biology, Medicine and Health and Manchester University NHS Foundation Trust, University Dental Hospital of Manchester, Department of Oral and Maxillofacial Surgery was supervised by Hugh Devlin, Professor of Restorative Dentistry and Keith Horner, Professor of Oral and Maxillofacial Imaging and Consultant in Dental and Maxillofacial Radiology. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

month = feb,

day = "24",

doi = "10.1186/s12903-023-02766-w",

language = "English",

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AU - Toedtling, Verena

AU - Forouzanfar, Tim

AU - Brand, Henk S.

N1 - Funding Information: I would like to thank Ms Zainab Assy at the Academic Centre for Dentistry Amsterdam, the Netherlands for her help with the imaging and radiographic aspect of this study. I would also like to acknowledge that the UK data set derived from research I performed at the University of Manchester, Division of Dentistry, Faculty of Biology, Medicine and Health and Manchester University NHS Foundation Trust, University Dental Hospital of Manchester, Department of Oral and Maxillofacial Surgery was supervised by Hugh Devlin, Professor of Restorative Dentistry and Keith Horner, Professor of Oral and Maxillofacial Imaging and Consultant in Dental and Maxillofacial Radiology. Publisher Copyright: © 2023, The Author(s).

PY - 2023/2/24

Y1 - 2023/2/24

N2 - Background: To determine the risk factors for the development of radiographic distal surface caries (rDSC) in patients who attend routine dental check-ups during an era of National Institute for Health Care Excellence third molar surgery guidelines. Methods: Radiographs taken during routine dental examinations involving 1012 patients from Manchester, UK were accessed. Clinical parameters, oral health, patient demographics, and socioeconomic factors were assessed. Risk factors were identified by multivariate logistic regression analysis. Results: The detected rate of rDSC was 63.9% and rDSC was distributed homogenously across all five socioeconomic groups (p = 0.425). Risk factors associated with rDSC (p < 0.001) were identified as partially erupted mesio-angularly impacted mandibular third molars, third molars with compromised molar to molar contact points, loss of lamina dura of ≥ 2 mm, male gender, increasing age, and a higher modified Decayed Missing Filled Tooth score. Conclusion: rDSC was significantly associated with the angulation of third molars, the compromised contact position of the adjacent third molar, the periodontal status of the distal aspect of the second molar and the cumulative history of oral health in a population governed by specific third molar guidelines. An active approach to third molar surgical management could reduce rDSC and serve this population, irrespective of patients’ socioeconomic or deprivation status.

AB - Background: To determine the risk factors for the development of radiographic distal surface caries (rDSC) in patients who attend routine dental check-ups during an era of National Institute for Health Care Excellence third molar surgery guidelines. Methods: Radiographs taken during routine dental examinations involving 1012 patients from Manchester, UK were accessed. Clinical parameters, oral health, patient demographics, and socioeconomic factors were assessed. Risk factors were identified by multivariate logistic regression analysis. Results: The detected rate of rDSC was 63.9% and rDSC was distributed homogenously across all five socioeconomic groups (p = 0.425). Risk factors associated with rDSC (p < 0.001) were identified as partially erupted mesio-angularly impacted mandibular third molars, third molars with compromised molar to molar contact points, loss of lamina dura of ≥ 2 mm, male gender, increasing age, and a higher modified Decayed Missing Filled Tooth score. Conclusion: rDSC was significantly associated with the angulation of third molars, the compromised contact position of the adjacent third molar, the periodontal status of the distal aspect of the second molar and the cumulative history of oral health in a population governed by specific third molar guidelines. An active approach to third molar surgical management could reduce rDSC and serve this population, irrespective of patients’ socioeconomic or deprivation status.

KW - Dental disease

KW - Distal surface caries

KW - Mandibular molar

KW - Prevention

KW - Proportion

KW - Public health

KW - Risk

KW - Second molar

KW - Surgery

KW - Third molar

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AN - SCOPUS:85148965540

SN - 1472-6831

VL - 23

SP - 1

EP - 10

JO - BMC Oral Health

JF - BMC Oral Health

M1 - 125

ER -

Parameters associated with radiographic distal surface caries in the mandibular second molar adjacent to an impacted third molar

Abstract

Bibliographical note

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Keywords

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