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The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa
Includes abstract.
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Department of Surgery
2014
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| _version_ | 1867613146188873728 |
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| access_status_str | Open Access |
| author | Berezowski, Brian Mark |
| author2 | Kahn, Delawir |
| author_browse | Berezowski, Brian Mark Kahn, Delawir |
| author_facet | Kahn, Delawir Berezowski, Brian Mark |
| author_sort | Berezowski, Brian Mark |
| collection | Thesis |
| description | Includes abstract. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/10140 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:30.019Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Department of Surgery |
| publisherStr | Department of Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/10140 The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa Berezowski, Brian Mark Kahn, Delawir Phillips, Vincent Michael Surgery Includes abstract. Includes bibliographical references. The aim of this study primarily was to review pathological reports of all symptomatic third molar teeth removed in a private practice, and to use the data to support or refute routine removal of third molar teeth. All patients who underwent third molar tooth removal for symptoms,either systemic or local ,in a private practice over a twenty year period between 1987 and 2007 were included in the study. Specimens were sent for histological assessment by Oral Pathologists. The patient records were reviewed retrospectively. A total of 3427 third molar teeth were included in the study. There were 68.75% specimens which had some sort of pathology. Only 0.3% of specimens were reported as normal dental follicular tissue. There were 31.25% specimens of hyperplastic follicular tissue which was considered non pathologic as they consisted of normal dental follicular tissue with a mild chronic inflammatory cell infiltrate. However the 68.75% pathologic lesions consisted of 14.44% specimens with early dentigerous cysts, 8.11% with dentigerous cysts, 42.80% of paradental cysts and the remainder with other pathologies. The majority of the patients were in the second and third decades and mostly female. The age distribution of the patients suggested a progression from hyperplastic follicular tissue with a peak occurring at 17 years, to early dentigerous cysts at 19 years, to dentigerous cysts at 21 years. Paradental cyst formation, with a peak incidence at 19 years of age formed a large number of the pathological lesions found, and accounted for a large number of patients seeking treatment, owing to the symptoms associated. This study represents an analysis of the largest number of symptomatic third molar teeth submitted for histological assessment known. The data obtained was used to review the guidelines for the management of third molar teeth. From this study it can be concluded that symptomatic impacted third molar teeth should be removed early in the third decade in order to avoid general or local symptoms suffered by these patients. 2014-12-26T14:19:21Z 2014-12-26T14:19:21Z 2013 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/10140 eng application/pdf Department of Surgery Faculty of Health Sciences University of Cape Town |
| spellingShingle | Surgery Berezowski, Brian Mark The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa |
| thesis_degree_str | Doctoral |
| title | The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa |
| title_full | The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa |
| title_fullStr | The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa |
| title_full_unstemmed | The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa |
| title_short | The pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in South Africa |
| title_sort | pathological outcomes related to symptomatic impacted third molars and follicles as found in a private practice in south africa |
| topic | Surgery |
| url | http://hdl.handle.net/11427/10140 |
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