Volume 48, Issue 3 pp. 208-214
ORIGINAL ARTICLE

Prevalence of third molars determined by panoramic radiographs in a population-based survey of adult Finns

Irja Ventä

Corresponding Author

Irja Ventä

Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland

Correspondence

Irja Ventä, Department of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, P.O. Box 41, FI-00014 Helsinki, Finland.

Email: [email protected]

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Miira M. Vehkalahti

Miira M. Vehkalahti

Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland

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Sisko Huumonen

Sisko Huumonen

Institute of Dentistry, University of Eastern Finland, Kuopio, Finland

Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland

Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland

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Anna L. Suominen

Anna L. Suominen

Institute of Dentistry, University of Eastern Finland, Kuopio, Finland

Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland

Public Health Evaluation and Projection Unit, National Institute for Health and Welfare, Helsinki, Finland

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First published: 30 January 2020
Citations: 6

Funding information

Field examinations were organized by the National Institute for Health and Welfare in Finland and partly funded by the Finnish Dental Society Apollonia, the Finnish Dental Association and Planmeca Oy.

Abstract

Objectives

The aim of the study was to examine the prevalence of third molars in panoramic radiographs in a population-based study of adults aged ≥30 years.

Methods

Out of a sample of 8028 inhabitants of Finland, selected with two-staged stratified cluster-sampling method for the Health 2000 Survey, 5989 participated in clinical oral examination and panoramic radiography. Mean age was 52.5 years (SD 14.6; range 30-97 years). The following variables were included in the analysis: participant characteristics, clinical number of all teeth, and radiographic prevalence and characteristics of third molars. Statistics included chi-squared, Fisher's exact, and Kruskal-Wallis tests and SAS-SUDAAN calculations.

Results

A total of 5912 third molars in 47.8% of the study population were recorded from panoramic radiographs. At least one impacted third molar was found in 21.9% of the study population. More than half (57.3%) of the remaining third molars were located in the mandible. A preponderance of participants with all third molars missing were observed in the oldest age group, women, those with lower education and those living in the countryside. Third molars or remnants thereof were observed radiographically in 3.9% of clinically edentulous study population.

Conclusions

The panoramic radiographs disclosed many remaining third molars in adult Finns aged ≥30 years. One-third of the third molars located impacted which may cause unexpected need for care.

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