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Third Molars as Risk Factors for Orofacial Pain. Findings from The SHIP Study

  • Objectives: To examine the association between third molars and orofacial pain. We hypothesized that impacted third molars are a cause of orofacial pain. Methods: Magnetic resonance images of 1808 participants from two populationbased cohorts from Northeastern Germany were analysed to define the status of third molars according to the Pell and Gregory classification. A self-reported questionnaire and a clinical dental examination were used to detect chronic and acute complaints of orofacial pain, masticatory muscle pain, migraine and other types of headache. Logistic regression models were used to analyse the associations between third molar status and orofacial pain. Results: Individuals with impacted third molars in the maxilla had a higher chance of chronic orofacial pain than those with erupted third molars (odds ratio 2.19; 95% CI 1.19-4.02). No such association was detected for third molars in the lower jaw. Third molars were not associated with masticatory muscle pain, migraine or other types of headache. Conclusions: Impacted maxillary third molars might be a cause of chronic orofacial pain. Thus, physicians should consider the eruption/impaction status of third molars in their decision-making process when treating patients who complain of orofacial pain.

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Metadaten
Author: Maria MksoudORCiD
URN:urn:nbn:de:gbv:9-opus-45035
Title Additional (German):Weisheitsz├Ąhne als Risikofaktoren f├╝r Gesichtsschmerzen. Ergebnisse der SHIP-Studie
Referee:PD Dr. Dr. Stefan Kindler, Prof. Dr. Dr. Alexander Hemprich
Advisor:PD Dr. Dr. Stefan Kindler
Document Type:Doctoral Thesis
Language:English
Year of Completion:2020
Date of first Publication:2021/04/14
Granting Institution:Universit├Ąt Greifswald, Universit├Ątsmedizin
Date of final exam:2020/08/31
Release Date:2021/04/14
GND Keyword:epidemiologic studies, magnetic resonance imaging
Pagenumber:38
Faculties:Universit├Ątsmedizin / Klinik und Poliklinik f├╝r Mund-, Kiefer- und Gesichtschirurgie/Plastische Operationen
DDC class:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin und Gesundheit