Distal cervical caries in the mandibular second molar: an indication for the prophylactic removal of third molar teeth? Update |
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Authors: | Louis W McArdle Fraser McDonald Judith Jones |
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Institution: | 1. Department of Oral Surgery, KCL Dental Institute, Guy''s & St Thomas''s NHS Foundation Trust, Great Maze Pond, London SE1 9RT, United Kingdom;2. Department of Orthodontics, KCL Dental Institute, Guy''s & St Thomas''s NHS Foundation Trust, Great Maze Pond, London SE1 9RT, United Kingdom;3. Department of Oral Surgery, QMUL Dental Institute, The Royal London Hospital NHS Foundation Trust, Whitechapel, London E1 1BB, United Kingdom |
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Abstract: | In 2005 we reported the clinical findings of 100 patients who had mandibular third molars removed because of distal cervical caries in the mandibular second molar. The aim of this follow-up study was to find out whether the findings in a new group of patients corroborate those of our previous study. We report on the clinical features of 239 patients (mean (SD) age 32.1 (7.85) years, range 20–65) who had 288 mandibular third molars removed because of distal cervical caries in the second molar. Patients had better dental health than average, and 67% had a DMF (decayed, missing, or filled) score of 5 or less. In 89% of third molars the mesial angulation was between 40° and 80°. Distal cervical caries in second molars is a late complication of third molar retention. The prophylactic removal of a partially erupted mesioangular third molar will prevent distal cervical caries forming in the second molar tooth. |
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Keywords: | Third molar Indications Distal cervical caries |
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