Assessment of Electrosensitivity of the Pulp of the Mandibular Second Molar after Surgical Removal of an Impacted Mandibular Third Molar

Despite the frequent discussion of complications associated with surgical removal of wisdom teeth in the scientific literature, increased mobility of the second molar, which can affect the clinical status of the pulp, is often downplayed or overlooked. This study aimed to evaluate surgical removal of an impacted third molar on the change in the electrosensitivity of the pulp of the mandibular second molar. Sixty patients consecutively presenting to the Department of Oral Surgery to remove an impacted mandibular third molar were included in the study. Clinical examinations of pulp sensitivity of second molars in both the study and control groups were evaluated before the procedure, seven days after the procedure, and eight weeks after the procedure. The surgical removal of an impacted mandibular third molar significantly affected the pulp sensitivity of the second molar.

[1]  H. Sui,et al.  Relationship between the difference in electric pulp test values and the diagnostic type of pulpitis , 2021, BMC Oral Health.

[2]  G. Trybek,et al.  The Pattern of Mandibular Third Molar Impaction and Assessment of Surgery Difficulty: A Retrospective Study of Radiographs in East Baltic Population , 2021, International journal of environmental research and public health.

[3]  Fahim Vohra,et al.  Influence of Surgical Flap Design (Envelope and Szmyd) for Removal of Impacted Mandibular Third Molars on Clinical Periodontal Parameters: A Clinical Trial , 2021, International journal of environmental research and public health.

[4]  G. Trybek,et al.  The Impact of Using Kinesio Tape on Non-Infectious Complications after Impacted Mandibular Third Molar Surgery , 2021, International journal of environmental research and public health.

[5]  R. Jacobs,et al.  A retrospective long-term pulpal, periodontal, and esthetic, follow-up of palatally impacted canines treated with an open or closed surgical exposure technique using the Maxillary Canine Aesthetic Index. , 2020, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[6]  Chi Yang,et al.  Adjacent tooth trauma in complicated mandibular third molar surgery: Risk degree classification and digital surgical simulation , 2016, Scientific Reports.

[7]  Rajani Punna,et al.  Evaluation of threshold response and appropriate electrode placement site for electric pulp testing in fluorosed anterior teeth: An in vivo study , 2016, Dental research journal.

[8]  Y. Oğuz,et al.  Incidence of root canal treatment of second molars following adjacent impacted third molar extraction , 2015, Journal of dental sciences.

[9]  Farnaz Younessian,et al.  The Effect of Orthodontic Forces on Tooth Response to Electric Pulp Test , 2015, Iranian endodontic journal.

[10]  H. Mythri,et al.  Pulp vitality tests - an overview on comparison of sensitivity and vitality , 2015 .

[11]  Pravin K. Patel,et al.  Ferraro’s fundamentals of maxillofacial surgery , 2015 .

[12]  E. Goulart,et al.  Pulpal response to sensibility tests after traumatic dental injuries in permanent teeth. , 2014, Dental traumatology : official publication of International Association for Dental Traumatology.

[13]  P. Abbott,et al.  Strategies to minimise the consequences of trauma to the teeth. , 2014, Oral health and dental management.

[14]  Greg J. Huang,et al.  Recommendations for third molar removal: a practice-based cohort study. , 2014, American journal of public health.

[15]  G. Romanos,et al.  Loss of pulp vitality after maxillary sinus augmentation: a surgical and endodontic approach. , 2014, Journal of periodontology.

[16]  O. Osunde,et al.  Effect of Age, Sex and Level of Surgical Difficulty on Inflammatory Complications After Third Molar Surgery , 2015, Journal of Maxillofacial and Oral Surgery.

[17]  C. Vervaet,et al.  A Four-Year Monocentric Study of the Complications of Third Molars Extractions under General Anesthesia: About 2112 Patients , 2013, International journal of dentistry.

[18]  L. Levin.  Pulp and periradicular testing. , 2013, Journal of endodontics.

[19]  D. Macan,et al.  Evaluation of sensitivity of teeth after mandibular fractures. , 2011, International journal of oral and maxillofacial surgery.

[20]  I. Satko,et al.  Complications after third molar surgery. , 2010, Bratislavske lekarske listy.

[21]  P. Abbott,et al.  Dental Pulp Testing: A Review , 2009, International journal of dentistry.

[22]  Ashraf Abd-Elmeguid,et al.  Dental pulp neurophysiology: part 1. Clinical and diagnostic implications. , 2009, Journal.

[23]  N P Chandler,et al.  Electric pulp testing: a review. , 2008, International endodontic journal.

[24]  A. Bruzda-Zwiech,et al.  Analiza porównawcza wyników badań żywotności miazgi za pomocą testów konwencjonalnych oraz pomiarów przepływu krwi (LDF)* A comparative analysis of results of vitality testing of the dental pulp with conventional tests and pulpal blood flow (LDF) , 2005 .

[25]  L. Cheung,et al.  Prevalence of impacted teeth and associated pathologies--a radiographic study of the Hong Kong Chinese population. , 2003, Hong Kong medical journal = Xianggang yi xue za zhi.

[26]  E Hjørting-Hansen,et al.  Effect of treatment delay upon pulp and periodontal healing of traumatic dental injuries -- a review article. , 2002, Dental traumatology : official publication of International Association for Dental Traumatology.

[27]  J. Peltola.  A panoramatomographic study of the teeth and jaws of Finnish university students. , 1993, Community dentistry and oral epidemiology.

[28]  A. Nattestad,et al.  Pulp sensibility and pulp necrosis after Le Fort I osteotomy. , 1989, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.