A clinical analysis of impacted teeth in 37 elder patients

Abstract

Abstract: PURPOSE : To analyze the clinical characteristics of impacted teeth in the elderly and provide reference for diagnosis and treatment of them. METHODS : Thirty-seven patients including 17 males and 20 females whose ages ranged from 58 to 82 years were referred to our department from 2010 to 2014. Most of them were associated with systemic diseases. After taking pantomograms and computed tomograms and evaluation of systemic condition, the patients underwent extraction of impacted teeth with different METHODS. The position and impacted type of each tooth, as well as associated lesions were recorded and analyzed. RESULTS : Of all the impacted teeth, mandibular third molars accounted for 80%, of which horizontal and inverted impaction types were mostly seen. Maxillary third molars and supernumerary teeth accounted for 13.3% and 6.7%, respectively. Dentigerous cysts were found in 7 teeth and 5 teeth were accompanied by local osteomyelitis. CONCLUSIONS : Extraction of impacted teeth in elder patients should be performed gently with minor injury after adequate preparation and full evaluation. Elective extraction of impacted teeth was proposed for elder patients when the impaction depth was less than 2 mm, in order to reduce the incidence of pericoronitis, cysts or infection.

Key words: Elderly, Bony impacted teeth, Piezosurgery

CLC Number:

R782.1

HU Ying-kai, XU Guang-zhou, YANG Chi. A clinical analysis of impacted teeth in 37 elder patients[J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(1): 72-75.

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