Received: 15.01.2024/Accepted: 09.03.2024/Published online: 29.04.2024
UDC: 616.314-089(045)
DOI: 10.53511/pharmkaz.2024.54.70.013
M.А. Mugalbayeva1, U.R. Mirzakulova1, G.B. Zaitenova2, Z.S.Uglanov1, N.B. Izenbayev2
1 Asfendiyarov Kazakh National Medical University, Almaty city, Republic of Kazakhstan
2 Kazakh-Russian Medical University, Almaty city, Republic of Kazakhstan
UNRAVELING THE OUTCOMES:
A RETROSPECTIVE ANALYSIS OF ABERRANTLY POSITIONED IMPACTED THIRD MOLAR EXTRACTIONS
Background: In the realm of dentistry, the extraction of third molars occupying abnormal positions poses a formidable
challenge. These enigmatic teeth, deviating from their anticipated anatomical location, demand meticulous evaluation and
specialized approaches to ensure their successful removal. Intriguingly, the evaluation of such cases has remained
unexplored in the context of Kazakhstan until now.
Aim: The objective of this study is to examine the occurrence of mandibular third molar impaction and its correlation with
factors such as impaction type, impaction side, age, and gender among patients.
Methods: A retrospective review was conducted on the medical records of 2351 patients who underwent surgical extraction
of impacted mandibular third molars.
Results: The findings revealed a remarkable prevalence of mesioangular impaction (56.15%) in the lower third molars. The
highest number of patients were observed in the age group of 18–30 years (25.05%), and a majority of cases involved the left
side (75.75%). A notable female predominance (66.35%) was also observed. The most frequent indication for surgical
removal was recurrent pericoronitis (24.25%).
Conclusion: This pioneering study in Kazakhstan provides insights into extraction success for impacted third molars. It
reveals a remarkable prevalence of mesioangular impaction in the lower molars, predominantly on the left side with a
notable female predominance. Recurrent pericoronitis is the primary reason for surgical removal. Early removal of
symptomatic impacted molars prevents future complications, but careful patient selection is crucial. Further research is
needed to understand these findings in the Kazakhstani population.
Keywords: Impaction, Indication, Retrospective, SRIMTM (surgical removal of impacted mandibular third molar), IMTM
(impacted mandibular third molar), third molar.
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