Acute inflammation in horizontal incompletely impacted third molar with radiolucency in the elderly.
Although radiolucency has been shown as a risk of infection, the poorly understood effects of aging on radiolucency correlate with acute pericoronitis, which has a high risk of infection extending any complications. We reviewed the records of 346 consecutive patients aged more than 41 years to evaluate whether pericoronal radiolucency below the crown in mandibular horizontal incompletely impacted third molars is related to acute inflammation. The frequency of acute inflammation in teeth with pericoronal radiolucency below the crown was similar to that in teeth without; however, the odds ratio of acute inflammation exhibited in women aged more than 61 years compared to women aged 41-50 years was 9.77 (95% confidence interval [CI]: 1.67-57.29; P < <0.05), and in women aged more than 61 years compared to women aged 51-60 years was 26.25 (95% CI: 2.94-234.38; P < 0.01). The odds ratio of severe acute inflammation exhibited in men aged more than 61 years compared to men aged 41-50 years was 16.67 (95% CI: 1.76-158.27; P < 0.01). These odds ratios indicate an association of acute pericoronitis, including the severe forms of acute inflammation that result from pericoronitis, with pericoronal radiolucency below the crown in the elderly.
Yamaoka
Minoru
M
Matsumoto Dental University, Oral and Maxillofacial surgery, shiojiri, nagano, Japan. yamaoka@po.mdu.ac.jp
Ono
Yusuke
Y
Takahashi
Masahiro
M
Ishizuka
Masahide
M
Uchihashi
Takayuki
T
Yasuda
Kouichi
K
Uematsu
Takashi
T
Furusawa
Kiyofumi
K
D000208:Acute Disease; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007249:Inflammation / Q000175:diagnosis / Q000000981:diagnostic imaging*; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging; D008875:Middle Aged; D008964:Molar, Third / Q000000981:diagnostic imaging / Q000276:immunology* / Q000503:physiopathology; D016017:Odds Ratio; D011859:Radiography; D012189:Retrospective Studies; D014095:Tooth, Impacted / Q000276:immunology*
J Craniomaxillofac Surg. 1997 Feb;25(1):24-33
9083398
Community Dent Oral Epidemiol. 1994 Aug;22(4):231-4
7924237
Oncogene. 2006 Oct 30;25(51):6831-43
17072331
Clin Cosmet Investig Dent. 2009 May 11;1:27-34
23674902
Indian J Dent Res. 2008 Jul-Sep;19(3):208-12
18797096
Br J Oral Maxillofac Surg. 2002 Feb;40(1):64-7
11883974
Am J Roentgenol Radium Ther Nucl Med. 1970 Mar;108(3):488-96
5415924
Community Dent Health. 2003 Dec;20(4):229-35
14696742
Br J Oral Maxillofac Surg. 1999 Aug;37(4):259-60
10475645
Cell. 2008 Feb 8;132(3):344-62
18267068
Br J Oral Maxillofac Surg. 1990 Jun;28(3):185-8
2135659
Nat Rev Immunol. 2008 Nov;8(11):837-48
18927578
Int J Oral Maxillofac Surg. 1989 Oct;18(5):277-80
2509580
J Oral Maxillofac Surg. 1993 Jan;51(1):79-81
8419578
Int J Med Sci. 2008 Feb 08;5(1):36-40
18311329