Proposed scales as predictors of mandibular third molar extraction difficulty


Abdurrahman A Al-Samman*, Ghada Mohammed Sami, Rayyan Mohammed Abdullah, Omer Waleed Majid

Ninevah Health Directorate, Iraq.

: Dent Health Curr Res

Abstract


Background: The Prediction of extraction difficulty of impacted mandibular third molar (M3M) is extremely important for both patients and clinicians. Recently, many new difficulty-estimating indices had been proposed, among them indices. This study aimed to evaluate the validity of these new scales as preoperative predictors of the difficulty of surgical removal of impacted M3M. Material and Methods: The five scales under study predicted extraction difficulty of a series of 50-impacted M3M preoperatively, and postoperative difficulty was assessed with Parent scale (PS) and by the time required for surgery (TS). Results: The proposed indices had low to moderate sensitivity (21%-45%, 41%-67%) and variable in their specificity (21%-86%, 36%-85%). Only three out of five evaluated indices have shown a statistically significant correlation with both, the operation time and the surgical technique; namely, Zhang et al., Pernambuco, Lainez et al. indices. Conclusion: Indices can be used as preoperative predictors of the impacted M3M extraction difficulty.

Biography


Abdurrahman A Al-Samman is a dedicated professional associated with the Ninevah Health Directorate in Iraq. With a commitment to public health, he contributes significantly to healthcare initiatives in the region. Al-Samman’s expertise and contributions play a crucial role in advancing healthcare services for the community.

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