Saudi Dental Journal最新文献

{"title":"Oral surgery considerations in patients at high-risk of complications related to drug intake: A systematic review","authors":"D. Morgado-Sevillano ,&nbsp;J. Rodríguez-Molinero ,&nbsp;C. García-Bravo ,&nbsp;J.F. Peña-Cardelles ,&nbsp;J.A. Ruiz-Roca ,&nbsp;I. García-Guerrero ,&nbsp;R Gómez-de Diego","doi":"10.1016/j.sdentj.2024.12.004","DOIUrl":"10.1016/j.sdentj.2024.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to identify and comprehend the management of the most frequent complications in oral surgery that arise from the consumption of multiple drugs.</div></div><div><h3>Materials and Methods</h3><div>A comprehensive review of 23 articles was conducted, focusing on the complications that arise from the consumption of drugs in patients undergoing oral surgery treatment, in addition to the strategies for prevention and treatment.</div></div><div><h3>Results</h3><div>All the reviewed articles offered insightful knowledge into preventing complications through well-defined protocols that encompass both pre- and post-operative measures. These measures include local interventions such as periodontal treatments, dental prophylaxis, and hygiene instructions, as well as systemic approaches like antibiotic prophylaxis and post-surgical antibiotic coverage. Additionally, specific measures like monitoring prothrombin time with the International Normalized Ratio in patients with coagulation disorders, and implementing hemostatic techniques, were also discussed.</div></div><div><h3>Conclusion</h3><div>The most prevalent complications in oral surgery are hemorrhage in anticoagulated patients, infections in immunosuppressed patients, and osteonecrosis in patients who take antiresorptive drugs. Edema, pain, and inflammation are also common post-operative concerns. When managing high-risk patients pharmacologically, it is crucial to provide effective antibiotic coverage both pre- and post-procedure and to utilize minimally invasive dental procedures with local hemostatic measures.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1503-1508"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Current challenges in dental education","authors":"Dalia E. Meisha (Guest Editor)","doi":"10.1016/j.sdentj.2024.12.006","DOIUrl":"10.1016/j.sdentj.2024.12.006","url":null,"abstract":"<div><div>This special issue delves into the multifaceted and evolving landscape of dental education, addressing innovations such as Artificial intelligence (AI) integration and emphasizing student perspectives. The topics explored diverse insights, urging dental educators to adapt and innovate while upholding the foundational principles of clinical excellence and ethical care. The collaboration between two prominent societies and contributions from global stakeholders highlight a shared dedication to ensuring dental education responds effectively to the dynamic needs of students and society.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1641-1642"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploratory assessment of GPT-4o and GPT-4 performance on the Japanese National Dental Examination","authors":"Masaki Morishita ,&nbsp;Hikaru Fukuda ,&nbsp;Shino Yamaguchi ,&nbsp;Kosuke Muraoka ,&nbsp;Taiji Nakamura ,&nbsp;Masanari Hayashi ,&nbsp;Izumi Yoshioka ,&nbsp;Kentaro Ono ,&nbsp;Shuji Awano","doi":"10.1016/j.sdentj.2024.11.006","DOIUrl":"10.1016/j.sdentj.2024.11.006","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Multiple large language models (LLMs) have been released since 2022, including OpenAI’s GPT-3.5 and GPT-4. The latest model, GPT-4o, introduced on May 13, 2024, significantly improves GPT-4. Previous studies have shown the potential of LLMs as educational tools in medical and dental exams. This study evaluates the accuracy of GPT-4 and GPT-4o responses for the Japanese National Dental Examination (JNDE) to assess their potential as educational tools for dental education.</div></div><div><h3>Materials and methods</h3><div>We obtained the dataset of the 117th JNDE, administered in January 2024, consisting of 360 questions. After excluding questions with images and inappropriate ones, 202 questions were selected. GPT-4 and GPT-4o were used to generate responses. Standardized prompts ensured consistent input. Data analysis used Qlik Sense® and GraphPad Prism, employing Fisher’s exact test.</div></div><div><h3>Results</h3><div>GPT-4o showed a significantly higher correct response rate (73.8%) than GPT-4 (63.3%). In the compulsory section, GPT-4o achieved 88.6% accuracy, significantly higher than GPT-4′s 74.3%. Though not statistically significant, the general section saw an improvement with GPT-4o (66.4%) over GPT-4 (58.0%).</div></div><div><h3>Conclusion</h3><div>GPT-4o significantly outperformed GPT-4 in accuracy for JNDE questions, suggesting its improved potential as an educational tool in dental education. Further studies are needed to evaluate GPT-4o’s capabilities with visual materials and in diverse question sets to fully ascertain its utility in educational settings.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1577-1581"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-perceived cultural competence skills among graduating dental students in Saudi Arabia","authors":"Dalia E. Meisha","doi":"10.1016/j.sdentj.2024.11.001","DOIUrl":"10.1016/j.sdentj.2024.11.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Graduating culturally competent dentists is crucial for providing a high standard of care for patient outcomes and satisfaction. The objectives of this study were to assess the self-perceived cultural competence (CC) among graduating dental students and to explore factors that may influence the development of these competencies.</div></div><div><h3>Methods</h3><div>A cross-sectional survey design was employed, utilizing a self-administered electronic questionnaire. The survey was distributed to graduating dentists at the end of their internship year. The survey included demographic data, academic information, and self-rating of CC skills adapted from the Knowledge, Efficacy, and Practices Instrument rated on a 4-point Likert scale.</div></div><div><h3>Results</h3><div>Of 660 respondents, the majority (57.3%) were female, and most participants (87.7%) were raised in urban cities. Self-perceived CC was highest for treating patients of the same gender and lowest for patients with special needs. Bilingualism, gender, and school type were significant predictors of CC scores, with female dental providers, graduates of private or international high schools, and bilingual individuals performaing better in treating patients from diverse backgrounds. Clinical rotations in varied settings were reported by 93.2% of students to improve their CC skills.</div></div><div><h3>Conclusions</h3><div>The findings suggest that experiential exposure to service learning and diverse patient populations has a positive impact on dental students’ CC skills. Mastering a second language emerged as a key factor in CC development, with treating patients with special needs identified as an area for further curricular improvement.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1668-1672"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of salivary flow rate, pH and anti-CCP antibodies in relation to oral manifestations in patients with Rheumatoid Arthritis: A matched case-control study in Sulaimaniyah, Iraq","authors":"Hevi Nihad Mohammed Fadhil,&nbsp;Khadija Mohammed Ahmed","doi":"10.1016/j.sdentj.2024.11.013","DOIUrl":"10.1016/j.sdentj.2024.11.013","url":null,"abstract":"<div><h3>Background</h3><div>Rheumatoid arthritis (RA) affects the oral cavity, mainly through exocrine salivary gland dysfunction, leading to reduced salivary flow rate. Recently, salivary antibodies against cyclic citrullinated peptide (CCP) have been suggested as diagnostic and prognostic tools in patients with RA.</div></div><div><h3>Objectives</h3><div>To assess salivary flow rate, pH, and oral manifestations in patients with RA and evaluate salivary anti-CCP antibody levels as biomarkers of inflammation.</div></div><div><h3>Subjects and methods</h3><div>A matched case-control study was conducted at the Rheumatology Centre in Sulaimaniyah, Iraq, on 90 subjects (50 patients with RA and 40 healthy controls) between January 2021 and January 2022. The oral cavity was examined for signs of oral and temporomandibular joint (TMJ) involvement along with the assessment of the Decayed, Missed, Filled Teeth (DMFT) index and oral health status. Saliva samples were collected from each subject to measure the flow rate, pH, and anti-CCP antibodies using ELISA.</div></div><div><h3>Results</h3><div>The salivary flow rate was substantially reduced in patients with RA. The main oral manifestations include oral ulcerations, tongue redness, dry/cracked lips, buccal mucosal dryness, taste disturbances, angular cheilitis, and candidiasis. TMJ involvement and higher DMFT scores were also more frequent in patients with RA. However, there was no significant difference between the groups regarding the oral hygiene index or salivary anti-CCP antibody levels.</div></div><div><h3>Conclusions</h3><div>Patients with RA exhibit decreased salivary flow rates and generally poorer oral health status. Salivary anti-CCP antibody levels were deficient but without a significant difference between the RA and control groups.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1606-1610"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing the VR-haptic thinkers group: Insights and progress in dental training technologies","authors":"Szabolcs Felszeghy ,&nbsp;Mikko Liukkonen ,&nbsp;Nicla Flacco ,&nbsp;Mahmoud M. Bakr ,&nbsp;Sarah Rampf ,&nbsp;Simona-Georgiana Schick ,&nbsp;Maria F. Sittoni-Pino ,&nbsp;Kristin Ackerman ,&nbsp;Santiago Arias-Herrera ,&nbsp;Ben Audsley ,&nbsp;Santiya Bell ,&nbsp;Samantha Byrne ,&nbsp;Giorgia Carpegna ,&nbsp;Mark R. Durham ,&nbsp;Kandace Gourley ,&nbsp;Outi Huhtela ,&nbsp;Hanna Hytönen ,&nbsp;Carlos López-Roig ,&nbsp;David Morton ,&nbsp;Masako Nagasawa ,&nbsp;Murat Mutluay","doi":"10.1016/j.sdentj.2024.11.008","DOIUrl":"10.1016/j.sdentj.2024.11.008","url":null,"abstract":"<div><div>In today’s fast-paced, digitalized world, dental educators and professionals alike need to try and stay up to date on current learning methods to provide the best possible education to the new generations of students. VR-haptic training allows educators to guide students in performing dental exercises within a digital environment using input methods with tactile force feedback features. This can reduce the mental burden of students due to fear of failure, as material losses are no longer a factor. Additionally, students can practice in their own time and pace, outside of teaching hours. Despite being digital, this mode of teaching has been shown to enable skill transfer to the real world, affording educators more flexibility with how to teach their students both before and during traditional methods of practical dental education. To help support the embracement of this new technology, a global VR-Haptic Thinkers Consortium was established in early 2024 and is now formed of 36 partner universities, institutions, and industrial companies. The second VR-Haptic Thinkers Meetup, held in mid-2024, was given the theme of “VR-Haptic Dentistry, Pedagogy, and Curriculum Evolution”. The theme of the meetup was timely as in recent years dental educators have all faced many challenges in education and research and have had to deal with rapid changes in supportive VR-haptic education. A robust program was featured to engage with the dental community members who are curious about the new technological advancements in dental education.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1655-1659"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying the NHS restorative dentistry index of treatment need to clinical decision-making in Saudi Arabia","authors":"Raghad A. Al-Dabbagh ,&nbsp;Abdulelah J. Alrasheedy ,&nbsp;Mohammed K. Jawi ,&nbsp;Afaf A. Almabadi ,&nbsp;Osama M. Felemban","doi":"10.1016/j.sdentj.2024.11.014","DOIUrl":"10.1016/j.sdentj.2024.11.014","url":null,"abstract":"<div><h3>Objective</h3><div>Making appropriate referrals for patients with<!--> <!-->complex restorative needs<!--> <!-->can be challenging. The NHS Restorative Dentistry Index of Treatment Need (IOTN) is an important guideline and tool that helps to ensure that patients receive the appropriate level of restorative dental care for their needs. The objective of this study was to test, via structured training, the usability and utility of the IOTN as a screening tool for referral and management of patients attending [King Abdulaziz University Faculty of Dentistry (KAUFD)], Saudi Arabia.</div></div><div><h3>Methods</h3><div>In this prospective, interventional study, one hundred and fourteen participants (38 sixth-year dental students, 44 interns, and 32 general dentists) were equally and randomly assigned to either receive training on the IOTN or no training. Then, participants were provided with clinical and<!--> <!-->radiographic records<!--> <!-->for six cases and asked to make<!--> <!-->management and referral decisions<!--> <!-->recorded on a questionnaire.</div></div><div><h3>Results</h3><div>The group receiving training on the IOTN more accurately classified cases into different levels of complexity and specialty and more frequently made correct management and referral decisions for complexity levels 2 and 3 cases than the untrained group. There was no difference between the trained and untrained groups for complexity level 1 cases.</div></div><div><h3>Conclusion</h3><div>Training general dentists to use the NHS IOTN improved referral and management decision skills.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1611-1617"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antiresorptive medication-related osteonecrosis of the jaw: Incidence and preventive measures utilization in cancer patients","authors":"Salman Ali Alabdali ,&nbsp;Abdulrahman Ali Alabdali ,&nbsp;Sultan Qais Alnoaman ,&nbsp;Abdullah Abuasida ,&nbsp;Saud Balelah ,&nbsp;Abdulaziz Almuzaini ,&nbsp;Abdullah Homeed Almatrafi ,&nbsp;Hossein M. Elbadawy","doi":"10.1016/j.sdentj.2024.12.005","DOIUrl":"10.1016/j.sdentj.2024.12.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Antiresorptive drugs are commonly used to treat cancer and bone metastases. These drugs can impose the risk of osteonecrosis of the jaw (ONJ). ONJ is a serious complication that can lead to significant morbidity and mortality. This study aimed to investigate the incidence and preventive measures utilization of ONJ among cancer patients treated with antiresorptive agent.</div></div><div><h3>Materials and Methods</h3><div>This retrospective cohort study investigated 210 adult patients with cancer on either zoledronic acid (ZA) or denosumab at a tertiary cancer center. The primary endpoint was to determine the incidence rate of Osteonecrosis of the Jaw. Secondary endpoints were to determine the utilization rate of antiresorptive agent related ONJ preventive measures and the exposure duration of antiresorptive agents to the ONJ incidence.</div></div><div><h3>Results</h3><div>Of 210 patients, 68 were on zoledronic acid (group 1) and 142 were maintained on denosumab (group 2). The median incidence rate of medication related ONJ (MRONJ) was 3.8 % (8 out of 210), with 4.4 % (3 out of 68) in the first group and 3.5 % (5 out of 142) in the second group. All ONJ cases were females with metastatic breast cancer to bone. The utilization rate of ONJ preventive measures was 5.2 %, including regular dental check-ups (3.3 %) and oral hygiene education (1.9 %). The median duration of exposure before ONJ was 1 year for zoledronic acid and 2 years for denosumab. Risk factors included female sex, diabetes mellitus, and hypertension. Duration of Denosumab exposure, but not ZA, was associated with incidence of ONJ.</div></div><div><h3>Conclusion</h3><div>Higher incidence rate of ONJ among denosumab-treated group. The findings emphasize the importance of female sex, diabetes, and hypertension as significant risk factors. The use of preventive measures was found to be low, indicating a need for better education and awareness.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1635-1640"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety education in Umm Al-Qura dental school: A comprehensive analysis of curriculum content and student confidence","authors":"Salwa A. Aldahlawi ,&nbsp;Hanadi S. Lingawi ,&nbsp;Ibtesam K. Afifi","doi":"10.1016/j.sdentj.2024.09.020","DOIUrl":"10.1016/j.sdentj.2024.09.020","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety (PS) is a critical component in dental education, yet it is not clear how dental schools include PS education in their curricula.</div></div><div><h3>Aim</h3><div>To assess how PS topics are presented in the current Umm Al-Qura undergraduate dental (UQUDENT) curriculum and to investigate the self-perceptions of dental students regarding the PS confidence they have attained from their dental program.</div></div><div><h3>Method</h3><div>The UQUDENT curriculum was mapped using keywords developed from the WHO PS manual. Courses contained intended learning outcomes (ILOs), and lecture topics were identified and ranked based on the level of PS content. In addition, dental students and interns were asked to fill in a modified version of the Health Professional Education in Patient Safety Survey.</div></div><div><h3>Results</h3><div>A total of 73.2% of the courses included ILOs or topics related to PS. Keywords related to the teamwork topic were the most common (60.9%), followed by patient engagement (24.3%), medication safety (12.2%), and infection control (9.8%). None of the courses included items on overall PS concepts, understanding systems, or quality improvement in relation to PS.</div><div>Dental students were most confident in their learning regarding clinical safety and effective communication. They were least confident in what they learned about teamwork with other health professionals. There were no statistically significant differences in PS domain scores between classroom and clinical learning.</div></div><div><h3>Conclusion</h3><div>The UQUDENT curriculum covers many aspects of PS. However, the PS content should be explicitly taught and assessed. Areas such as interprofessional education, clinical risk management, learning from errors, and teamwork should be augmented.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1643-1650"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of mandibular third molar impaction and its relationship with distal caries in the adjacent mandibular second molars: A retrospective study","authors":"Abrar K. Demyati","doi":"10.1016/j.sdentj.2024.10.005","DOIUrl":"10.1016/j.sdentj.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>Impacted third molars can cause significant challenges for dental health. While many of these impacted teeth remain asymptomatic, they can lead to dental caries.</div></div><div><h3>Objective</h3><div>To investigate the patterns of mandibular third molar impaction and its relationship with the occurrence of caries in the adjacent mandibular second molars.</div></div><div><h3>Materials and Methods</h3><div>This study assessed the dental panoramic radiographs of 1591 participants who visited the Department of Oral and Maxillofacial Surgery at the Dental Teaching Hospital at Umm Al-Qura University between 2022 and 2024. The presence of distal caries in the adjacent mandibular second molars was assessed and compared across the different impaction patterns, considering both age and gender.</div></div><div><h3>Results</h3><div>The results showed that 29.22 % of the patients had impacted mandibular third molars. The most common patterns of impacted mandibular third molar angulation were mesioangular in the females and horizontal in the males. The majority of these impacted third molars were level A and class I (as per the Pell and Gregory classification).</div><div>One hundred and eighty-three (39.35 %) of the impacted mandibular third molars had associated carious lesions, with 89 showing distal caries in the adjacent mandibular second molar and 18 showing caries in the third molar itself. The carious lesions were most commonly found in cases of mesioangular, level A, and class I impaction patterns (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The findings of this study shed light to the high prevalence of carious lesions associated with impacted mandibular third molar, especially in cases of mesioangular, level A, and class I impaction patterns. These findings highlight the importance of careful monitoring of impacted third molars to prevent the development of caries in the adjacent teeth.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 12","pages":"Pages 1544-1548"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}