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Journal of Zhejiang University SCIENCE B 2023 Vol.24 No.10 P.896-904

http://doi.org/10.1631/jzus.B2200617


Third molar-related knowledge, attitudes, behaviors, and medical history of 904 Chinese adults: a cross-sectional survey


Author(s):  Honglei QU, Yang YANG, Yi TIAN, Zhibang LI, Lijuan SUN, Faming CHEN, Beimin TIAN

Affiliation(s):  State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, School of Stomatology, the Fourth Military Medical University, Xi’an 710032, China; more

Corresponding email(s):   cfmsunhh@fmmu.edu.cn, beimin24@163.com

Key Words:  Third molar, Knowledge, Attitude, Practice, Medical history, Prevalence


Honglei QU, Yang YANG, Yi TIAN, Zhibang LI, Lijuan SUN, Faming CHEN, Beimin TIAN. Third molar-related knowledge, attitudes, behaviors, and medical history of 904 Chinese adults: a cross-sectional survey[J]. Journal of Zhejiang University Science B, 2023, 24(10): 896-904.

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author="Honglei QU, Yang YANG, Yi TIAN, Zhibang LI, Lijuan SUN, Faming CHEN, Beimin TIAN",
journal="Journal of Zhejiang University Science B",
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pages="896-904",
year="2023",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B2200617"
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%A Honglei QU
%A Yang YANG
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Abstract: 
This study investigated the perceptions and medical history of third molars (M3s) and assessed the prevalence of visible M3s (V-M3s) among 904 Chinese adults. The enrolled participants were interviewed to complete a structural questionnaire focused on sociodemographic information and their understanding of, attitudes toward, behaviors regarding, and medical history with respect to M3s. In addition, the number of V-M3s in the cohort was determined by oral examination. Logistic regression analysis was performed to explore the association between individuals’ sociodemographic characteristics and their perception of M3s or the presence of V-M3s. The Chi-square test was used to compare the actions taken against symptomatic M3s and the corresponding outcomes among different groups divided according to respondents’ sociodemographic factors. In total, 904 completed questionnaires were gathered and analyzed. Nearly half (43.9%) of the respondents knew nothing about M3s, and only 12.7% provided correct answers to all the questions asked. Male sex, older age, occupation involving physical labor, and no previous dental experience were active factors in unawareness of M3s. Male sex was also significantly associated with the presence of at least one V-M3 and negative behavior about symptomatic M3s. In terms of medical history, 192 participants reported having had at least one M3 extracted (438 in total), and 72.6% of the M3s were removed due to the presence of related symptoms or pathologies. In conclusion, the population investigated had a shortage of knowledge about M3s and adopted negative attitudes and actions about M3-related problems.

904名中国成年人对第三磨牙相关知识、态度、行为和病史的横断面研究

曲红蕾1,杨阳2,田义1,李治邦1,孙丽娟1,陈发明1,田蓓敏3
1第四军医大学口腔医学院,军事口腔医学国家重点实验室,国家口腔疾病临床医学研究中心,中国西安市,710032
2中国人民解放军联勤保障部队第九四〇医院口腔颌面外科,中国兰州市,730050
3第四军医大学口腔医学院牙周病科,中国西安市,710032
摘要:本研究调查了904 名中国成年人对第三磨牙(M3s)的认知度和病史,并探究了可见第三磨牙(V-M3s)的分布情况。所有研究对象均通过面对面采访的形式完成一份结构严谨的调查问卷,以收集他们的社会人口学信息、M3s相关知识、态度、行为和病史。此外,通过口腔检查确定该人群中V-M3s的数量。运用逻辑回归分析,评估研究对象的社会人口学特征与他们对M3s的认知度或与V-M3s 的存在之间的关系。根据受访者的社会人口学因素进行分组,采用卡方检验比较不同人群对有症状M3s采取的措施及相应结果。本研究共收集并分析了904份完整的调查问卷,结果显示,近一半(43.9%)受访者对M3s一无所知,只有12.7%的受访者对所有问题均给出了正确答案。男性、年龄较大、从事体力劳动的职业和无牙科就诊经验是对M3s认知度较差的风险因素。男性这一性别也与至少一颗V-M3s存在以及对有症状的M3s采取消极行为显著相关。在病史方面,192名受访者拔除过至少一颗M3s(合计438颗),其中72.6%是因为存在相关症状或病变。综上,被调查人群缺乏对M3s的了解,且对M3s所造成的相关问题采取了较为消极的态度和行动。

关键词:第三磨牙;认知;态度;行为;病史;流行率

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

[1]BoulouxGF, SteedMB, PerciaccanteVJ, 2007. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am, 19(1):117-128.

[2]BoulouxGF, BusaidyKF, BeirneOR, et al., 2015. What is the risk of future extraction of asymptomatic third molars? A systematic review. J Oral Maxillofac Surg, 73(5):806-811.

[3]BuiCH, SeldinEB, DodsonTB, 2003. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg, 61(12):1379-1389.

[4]ChuFCS, LiTKL, LuiVKB, et al., 2003. Prevalence of impacted teeth and associated pathologies ‒ a radiographic study of the Hong Kong Chinese population. Hong Kong Med J, 9(3):158-163.

[5]DawareSN, BalakrishnaR, DeogadeSC, et al., 2021. Assessment of postoperative discomfort and nerve injuries after surgical removal of mandibular third molar: a prospective study. J Family Med Prim Care, 10(4):1712-1717.

[6]FriedmanJW, 2007. The prophylactic extraction of third molars: a public health hazard. Am J Public Health, 97(9):1554-1559.

[7]GaraasR, MossKL, FisherEL, et al., 2011. Prevalence of visible third molars with caries experience or periodontal pathology in middle-aged and older Americans. J Oral Maxillofac Surg, 69(2):463-470. https://doi.org/10.1016/j.joms.2010.10.021

[8]GhaeminiaH, el NienhuijsM, ToedtlingV, et al., 2020. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Syst Rev, 5(5):Cd003879.

[9]HalvariAEM, HalvariH, BjørnebekkG, et al., 2010. Motivation and anxiety for dental treatment: testing a self-determination theory model of oral self-care behaviour and dental clinic attendance. Motiv Emot, 34(1):15-33.

[10]HounsomeJ, PilkingtonG, MahonJ, et al., 2020. Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation. Health Technol Assess, 24(30):1-116.

[11]IrjaV, 2014. Impacted third molars increase the risk for caries and periodontal pathology in neighboring second molars. J Evid Based Dent Pract, 14(2):89-90.

[12]JinX, ZhangXZ, JinCR, et al., 2021. Analysis of factors related to distal proximal caries on the distal surface of the mandibular second molar induced by an impacted mandibular third molar. Int J Gen Med, 14:3659-3667.

[13]KandasamyS, RinchuseD, RinchuseDJ, 2009. The wisdom behind third molar extractions. Aust Dent J, 54(4):284-292.

[14]KimJY, JeeHG, SongHC, et al., 2017. Clinical and pathologic features related to the impacted third molars in patients of different ages: a retrospective study in the Korean population. J Dent Sci, 12(4):354-359.

[15]LawalFB, OkeGA, 2020. Clinical and sociodemographic factors associated with oral health knowledge, attitude, and practices of adolescents in Nigeria. SAGE Open Med, 8:2050312120951066.

[16]LiDN, TaoYW, CuiMY, et al., 2019. External root resorption in maxillary and mandibular second molars associated with impacted third molars: a cone-beam computed tomographic study. Clin Oral Investig, 23(12):4195-4203.

[17]LiZB, QuHL, ZhouLN, et al., 2017a. Influence of non-impacted third molars on pathologies of adjacent second molars: a retrospective study. J Periodontol, 88(5):450-456.

[18]LiZB, QuHL, ZhouLN, et al., 2017b. Nonimpacted third molars affect the periodontal status of adjacent teeth: a cross-sectional study. J Oral Maxillofac Surg, 75(7):1344-1350.

[19]LiuYF, WangR, BaurDA, et al., 2018. A finite element analysis of the stress distribution to the mandible from impact forces with various orientations of third molars. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 19(1):38-48.

[20]LoureiroRM, SumiDV, TamesHLVC, et al., 2020. Cross-sectional imaging of third molar-related abnormalities. AJNR Am J Neuroradiol, 41(11):1966-1974.

[21]MarcianiRD, 2012. Is there pathology associated with asymptomatic third molars? J Oral Maxillofac Surg, 70(9, Suppl 1):S15-S19.

[22]MuthraS, HamiltonR, LeopoldK, et al., 2019. A qualitative study of oral health knowledge among African Americans. PLoS ONE, 14(7):e0219426.

[23]NunnME, FishMD, GarciaRI, et al., 2013. Retained asymptomatic third molars and risk for second molar pathology. J Dent Res, 92(12):1095-1099.

[24]Peñarrocha-DiagoM, Camps-FontO, Sánchez-TorresA, et al., 2021. Indications of the extraction of symptomatic impacted third molars. A systematic review. J Clin Exp Dent, 13(3):e278-e286.

[25]PhillipsC, NormanJ, JaskolkaM, et al., 2007. Changes over time in position and periodontal probing status of retained third molars. J Oral Maxillofac Surg, 65(10):2011-2017.

[26]PolatHB, OzanF, Karaİ, et al., 2008. Prevalence of commonly found pathoses associated with mandibular impacted third molars based on panoramic radiographs in Turkish population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 105(6):e41-e47.

[27]QuHL, TianBM, LiK, et al., 2017. Effect of asymptomatic visible third molars on periodontal health of adjacent second molars: a cross-sectional study. J Oral Maxillofac Surg, 75(10):2048-2057.

[28]SaadaldinaSA, EldwakhlyE, AlnazzawiAA, et al., 2020. Awareness and practice of oral health measures in Medina, Saudi Arabia: an observational study. Int J Environ Res Public Health, 17(23):9112.

[29]SayedN, BakathirA, PashaM, et al., 2019. Complications of third molar extraction: a retrospective study from a tertiary healthcare centre in Oman. Sultan Qaboos Univ Med J, 19(3):e230-e235.

[30]Shoshani-DrorD, ShiloD, GininiJG, et al., 2018. Controversy regarding the need for prophylactic removal of impacted third molars: an overview. Quintessence Int, 49(8):653-662.

[31]SteedMB, 2014. The indications for third-molar extractions. J Am Dent Assoc, 145(6):570-573.

[32]SunLJ, QuHL, TianY, et al., 2020. Impacts of non-impacted third molar removal on the periodontal condition of adjacent second molars. Oral Dis, 26(5):1010-1019.

[33]SunLJ, YangY, LiZB, et al., 2022. How the loss of second molars corresponds with the presence of adjacent third molars in Chinese adults: a retrospective study. J Clin Med, 11(23):7194.

[34]TianY, SunLJ, QuHL, et al., 2021. Removal of nonimpacted third molars alters the periodontal condition of their neighbors clinically, immunologically, and microbiologically. Int J Oral Sci, 13:5.

[35]van der LindenW, Cleaton-JonesP, LownieM, 1995. Diseases and lesions associated with third molars. review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 79(2):142-145.

[36]VentäI, KylätieE, HiltunenK, 2015. Pathology related to third molars in the elderly persons. Clin Oral Investig, 19(8):1785-1789.

[37]WuYM, LiuJ, SunWL, et al., 2013. Periodontal status and associated risk factors among childbearing age women in Cixi City of China. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 14(3):231-239.

[38]YangY, TianY, SunLJ, et al., 2022. Relationship between presence of third molars and prevalence of periodontal pathology of adjacent second molars: a systematic review and meta-analysis. Chin J Dent Res, 25(1):45-55.

[39]YangY, TianY, SunLJ, et al., 2023. The impact of anatomic features of asymptomatic third molars on the pathologies of adjacent second molars: a cross-sectional analysis. Int Dent J, 73(3):417-422.

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