제3대구치의 발치가 인접 2대구치의 치주에 미치는 영향

The effect of third molar extraction on the periodontal status of the adjacent second molar

  • 김형섭 (전북대학교 치과대학 치주과학교실) ;
  • 김태균 (전북대학교 치과대학 치주과학교실) ;
  • 허수례 (전북대학교 치과대학 치주과학교실) ;
  • 조익현 (전북대학교 치과대학 치주과학교실)
  • Kim, Hyung-Seop (Department of Periodontology, College of Dentistry, Chonbuk National University) ;
  • Kim, Tae-Kyun (Department of Periodontology, College of Dentistry, Chonbuk National University) ;
  • Heo, Soo-Rye (Department of Periodontology, College of Dentistry, Chonbuk National University) ;
  • Cho, Ik-Hyun (Department of Periodontology, College of Dentistry, Chonbuk National University)
  • 발행 : 2003.09.30

초록

The aim of this study was to investigate the effect of third molar extraction on the periodontal status of the adjacent second molar. A total of 61 second molars in 31 adult periodontitis patients were examined. Among them, 27 second molars without adjacent third molars were included in the test group, and 34 second molars with third molar were included in the control group. Clinical parameters including plaque index, gingival index, and pocket depth and radiographic bone loss were measured around the second molar both in test and control group. The result showed that: (1) the mean plaque index and gingival index of control group were higher than these of the test group but the difference was not statistically significant, (2) the mean pocket depth of the control group was higher than the test group significantly at distal and buccal surface, (3) radiographic hone loss was greater in control group than test group significantly, (4) in Pearson correlation analysis between the age of extraction and radiographic bone loss in the test group, a positive relationship was shown(p<0.01). Within limitation of this study, it may be concluded that third molar extraction in periodontitis patients showed an improvement in periodontal status in contrast the patients group having third molar, therefore earlier a removal of third molar may minimize radiographic hone loss of the adjacent second molar.

키워드

참고문헌

  1. Mercier P., Precious D.: Risks and benefits of removal of impacted 3rd molars. J. Oral Maxillofac. Surg, 21: 17-27, 1992 https://doi.org/10.1016/S0901-5027(05)80447-3
  2. Ash M., Costich E. R., Hayward J. R.: A study of periodontal hazard of third molars. J. Periodontol. 33: 209-219, 1962 https://doi.org/10.1902/jop.1962.33.3.209
  3. Grassi M., Tellenbach R., Lang N. P.: Periodontal conditions of teeth adjacent to extraction sites. J. Clin, Periodontol, 14: 334-339, 1987 https://doi.org/10.1111/j.1600-051X.1987.tb00980.x
  4. Nemcovsky C. E., Libfeld H., Zubery Y.: Effect of non-erupted 3rd molars on distal roots and supporting structures of approximal teeth. J. Clin. Periodontol. 23: 810-815, 1996 https://doi.org/10.1111/j.1600-051X.1996.tb00616.x
  5. Chiapasco M., Cicco L. D., Marrone G.: Side effects and complications associated with third molar surgery. Oral. Surg. Oral. Med. Oral. Pathol. 76: 412-20, 1993 https://doi.org/10.1016/0030-4220(93)90005-O
  6. Knutsson K., Brehmer B., Lysell L., Rohlin M.: Pathoses associated with mandibular third molars subjected to removal. 82: 10-7, 1996
  7. Kugelberg, C. F., Ahlstrom, U., Ericson. S, and Hugoson, A.: Periodontal healing after impacted lower third molar surgery. Int. J. Oral Surg., 14: 29-40, 1985 https://doi.org/10.1016/S0300-9785(85)80007-7
  8. Kugelberg, C. F.: Periodontal healing two and four years after impacted lower third molar surgery: a comparative retrospective study. Int. J. Oral Maxillofac. Surg., 19: 341-5, 1990 https://doi.org/10.1016/S0901-5027(05)80077-3
  9. Kugelberg, C. F., Ahlstrom, U., Ericson, S., Hugoson, A. and Kvint, S.: Periodontal healing after impacted lower third molar surgery in adolescents and adults: a prospective study. Int. J. Oral Maxillofac. Surg. 20: 18-24, 1991 https://doi.org/10.1016/S0901-5027(05)80689-7
  10. Chin Quee TA., Gosselin D., Millar EP., Stamm JW.: Surgical removal of the fully impacted mandibular third molar. J. Periodontol. 56: 625-630, 1985 https://doi.org/10.1902/jop.1985.56.10.625
  11. Osborne W. H., Snyder A. J., Tempel T. R.: Attachment levels and crevicular depths at the distal of mandibular second molars following removal of adjacent third molars. J. Periodontol. 53: 93-95, 1982 https://doi.org/10.1902/jop.1982.53.2.93
  12. De Boer MP., Raghoebar GM., Stegenga B., Schoen PJ., Boering G.: Complications after mandibular third molar extraction. Quintessence Int. 26: 779-84, 1995
  13. Peng K. Y., Tseng Y. C., Shen E. C., Chiu S. C., Fu E., Huang Y. W.: Mandibular second molar periodontal status after third molar extraction. J. Periodontol. 72: 1647-1651, 2001 https://doi.org/10.1902/jop.2001.72.12.1647
  14. Giglio J. A., Gunsolley J. C., Laskin D. M., Short K.: Effect of removing impacted third molars on plaque and gingival indices. J. Oral. Maxillofac. Surg, 52: 584-587, 1994 https://doi.org/10.1016/0278-2391(94)90095-7
  15. Machtei E. E., Zubrey Y., Yehuda A. B., Soskolne W. A.: Proximal bone loss adjacent to periodontally 'hopeless' teeth with and without extraction. J. Periodontol. 60: 512-525, 1989 https://doi.org/10.1902/jop.1989.60.9.512
  16. Marmary Y., Brayer, L., Tzukert, A. & Feller, L.: Alveolar bone repair following extraction of impacted mandibular third molars. Oral. Surg, Oral. Med, Oral. Pathol, 60: 324-326, 1986
  17. DeVore C. H., Beck F. M., Horton J. E.: Retained 'Hopeless' teeth: Effects on the proximal periodontium of adjacent teeth. J. Periodontol, 59: 647-651, 1988 https://doi.org/10.1902/jop.1988.59.10.647
  18. Wojcik M. S., DeVore C. H., Beck M., Horton J, E.: retained 'hopeless' teeth: lack of effect peri-odontally-treated teeth have on the proximal periodontium of adjacent teeth 8-years later. J. Periodontol, 63: 663-666, 1992 https://doi.org/10.1902/jop.1992.63.8.663
  19. Mombelli A., Buser D., Lang N. P., Berthold H.: Suscepted periodontopathogens in erupting third molar sites of periodontally healthy individuals. J. Clin, Periodontol. 17:48-54, 1990 https://doi.org/10.1111/j.1600-051X.1990.tb01047.x
  20. Rajasuo A., Jukka H., Meurman M. D., Murtomaa H., Torkko H.: Effect of extraction of partly erupted third molars on subgingival microorganisms. Oral. Surg, Oral. Med, Oral. Pathol, 74: 431-6, 1992 https://doi.org/10.1016/0030-4220(92)90288-2
  21. Krekmanov. L.. Nordnram. A.: Postoperative complications after surgical removal of mandibular third molars. Effects of penicillin V and chlorhexidine. Int. J. Oral Maxillofac. Surg, 15: 25-9. 1986 https://doi.org/10.1016/S0300-9785(86)80007-2
  22. Lang N. P., Schild U., Bragger U.: Effect of chlorhexidine(0.12%) rinses on periodontal tissue healing after tooth extraction. (I). Clinical parameters. J. Clin. Periodontol., 21: 415-21, 1994 https://doi.org/10.1111/j.1600-051X.1994.tb00739.x
  23. Jerreira C. E., Grossi S. G., Novaes A. B., Dunford R. G., Feres-Filho E. J.: Effect of mechanical treatment on healing after third molar extraction. Int. J. Periodont, Rest. Dent. 17: 251-259, 1997
  24. Jakse N., Bankaoglu V., Wimmer G., Eskici A., Pertl C.: Primary wound healing after lower third molar surgery. 93: 7-12, 2002
  25. Rosa A., Carneiro M. G., Lavrador M. A., Novaes A. B.: Influence of flap design on periodontal healing of second molars after extraction of impacted mandibular third molars
  26. Oxford G. E., Quintero G., Stuller C. B., Gher M. E.: Treatment of 3rd molar-induced periodontal defects with guided tissue regeneration. J. Clin. Periodontol, 24: 464-469, 1997 https://doi.org/10.1111/j.1600-051X.1997.tb00213.x
  27. Karapataki S., Hugoson A., Kugelberg C. F.: Healing following GTR treatment of bone defects distal to mandibular 2nd molars after surgical removal of impacted 3rd molars. J. Clin, Periodontol, 27: 325-32, 2000 https://doi.org/10.1034/j.1600-051x.2000.027005325.x