ArticleDento maxillo facial radiology2017
Radiographic signs of pathology determining removal of an impacted mandibular third molar assessed in a panoramic image or CBCT.
Article in Dento maxillo facial radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Association between impacted third molars and external root resorption on adjacent second molars based on cone-beam computed tomography: a systematic review and meta-analysis.BMC oral health · 2026Pooled it
- Comparison of CBCT and panoramic radiography for the assessment of bone loss and root resorption on the second molar associated with third molar impaction: a systematic review.Dento maxillo facial radiology · 2022Pooled it
- Comparison of the effects of antibiotic therapy and photobiomodulation with red and infrared lasers on the healing of postextraction sockets of third molars: A randomised controlled trial.Lasers in medical science · 2025Trial
- Assessment of marginal bone loss, distal caries, and external root resorption in second molars adjacent to impacted third molars: a retrospective CBCT and panoramic study.BMC oral health · 2025Article
- Retention of Asymptomatic Impacted Third Molars: Effects on Alveolar Bone at the Distal Surface of Second Molars over Time.Diagnostics (Basel, Switzerland) · 2025Article
- Prevalence and predictive parameters of external root resorption caused by retained wisdom teeth.Clinical oral investigations · 2024Article
- Improved soft-tissue visibility on cone-beam computed tomography with an image-generating artificial intelligence model using a cyclic generative adversarial network.Oral radiology · 2024Article
- Is the third molar the most frequently extracted tooth? A population-based study utilizing dental panoramic radiographs in adults.Clinical oral investigations · 2024Article
- The Accuracy of Bone Assessment Distal to Lower Second Molars Using Panoramic Radiography: A Systematic Review and Meta-Analysis.Dentistry journal · 2024Review
- The effect of impacted third molars on second molar external root resorption, a cross-sectional cone beam computed tomography study.Medicina oral, patologia oral y cirugia bucal · 2023Article
- Cone-beam computed tomography-based radiographic considerations in impacted lower third molars: Think outside the box.Imaging science in dentistry · 2023Article
- Present status and future directions: Root resorption.International endodontic journal · 2022Review
- Periodontal Healing after Lower Third Molars Extraction: A Clinical Evaluation of Different Flap Designs.Healthcare (Basel, Switzerland) · 2022Article
- Impact of the presence of partially erupted third molars on the local radiographic bone condition.Scientific reports · 2022Article
- Vertical direction impaction of kissing molars: A case report.World journal of clinical cases · 2022Article
- Article
- Minimum size and positioning of imaging field for CBCT-scans of impacted lower third molars: a retrospective study.BMC oral health · 2021Article
- Can diagnostic changes caused by cone beam computed tomography alter the clinical decision in impacted lower third molar treatment plan?Dento maxillo facial radiology · 2021Article
- Marginal bone loss in the second molar related to impacted mandibular third molars: comparison between panoramic images and cone beam computed tomography.Medicina oral, patologia oral y cirugia bucal · 2020Article
- External root resorption in maxillary and mandibular second molars associated with impacted third molars: a cone-beam computed tomographic study.Clinical oral investigations · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo (1) compare pathological findings related to the mandibular third molar in panoramic images (PAN) and CBCT; (2) estimate the frequency of removals if pathological findings were indicative; and (3) assess factors in PAN associated with resorption and marginal bone loss at the second molar as observed in CBCT.
methods379 mandibular third molars were examined with PAN and CBCT. Four observers registered resorption and marginal bone loss at the second molar and increased periodontal space at the third molar in both imaging modalities. Agreement between PAN and CBCT, frequency of removals based on pathological findings in either of the two modalities and interobserver reproducibility was calculated. Logistic regression analyses assessed factors in PAN, which could predict marginal bone loss and resorption observed in CBCT.
resultsAgreement between PAN and CBCT: resorption 54-74%; marginal bone loss 66-85%; and increased periodontal space 92-97%. Removals based on CBCT and PAN: 58-71% and 36-65%. Interobserver percentage accordance and kappa values ranged from 57 to 98% and 0.10-0.91 for PAN and 61-97% and 0.22-0.78 for CBCT, respectively. Mesioangulated/horizontally positioned third molars were associated with marginal bone loss [odds ratio (OR) = 7.0-31.3; p < 0.001] and resorption (OR = 2.9-35.6; p < 0.001) in CBCT. Overprojection between the third and the second molars in PAN predicted resorption observed in CBCT (OR = 5.6-21.2; p < 0.001).
conclusionsPathology associated with the third molar is more often observed in CBCT than in PAN. More third molars would be removed if pathological findings are based on CBCT. Mesioangulated/horizontally positioned third molars overprojecting the cervical/root part of the second molar in PAN are strongly associated with pathology observed in CBCT.
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Registered trials
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