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; 杨阳; 田义; 李治邦; 孙丽娟; 陈发明; 田蓓敏

doi:10.1631/jzus.B2200617

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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

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Research Articles | Updated：2023-09-25

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
Third molar-related knowledge, attitudes, behaviors, and medical history of 904 Chinese adults: a cross-sectional survey
浙江大学学报（英文版）（B辑：生物医学和生物技术） 2023年24卷第10期页码：896-904
Affiliations：

1.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
2.Department of Oral and Maxillofacial Surgery, The 940th Hospital of Joint Logistics Support Force of PLA, Lanzhou 730050, China
3.Department of Periodontology, School of Stomatology, the Fourth Military Medical University, Xi’an 710032, China
Funds：

the National Natural Science Foundation of China(82170958;81970947;81991503)
DOI：10.1631/jzus.B2200617
中图分类号：
CSTR：

曲红蕾, 杨阳, 田义, 等. 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[J]. 浙江大学学报（英文版）（B辑：生物医学和生物技术）, 2023,24(10):896-904.

Honglei QU, Yang YANG, Yi TIAN, et al. Third molar-related knowledge, attitudes, behaviors, and medical history of 904 Chinese adults: a cross-sectional survey[J]. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology), 2023,24(10):896-904.
曲红蕾, 杨阳, 田义, 等. 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[J]. 浙江大学学报（英文版）（B辑：生物医学和生物技术）, 2023,24(10):896-904. DOI： 10.1631/jzus.B2200617.

Honglei QU, Yang YANG, Yi TIAN, et al. Third molar-related knowledge, attitudes, behaviors, and medical history of 904 Chinese adults: a cross-sectional survey[J]. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology), 2023,24(10):896-904. DOI： 10.1631/jzus.B2200617.

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。

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.

关键词

第三磨牙认知态度行为病史流行率

Keywords

Third molarKnowledgeAttitudePracticeMedical historyPrevalence

references

Bouloux GF, Steed MB, Perciaccante VJ, 2007. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am, 19(1):117-128. https://doi.org/10.1016/j.coms.2006.11.013https://doi.org/10.1016/j.coms.2006.11.013

Bouloux GF, Busaidy KF, Beirne OR, 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. https://doi.org/10.1016/j.joms.2014.10.029https://doi.org/10.1016/j.joms.2014.10.029

Bui CH, Seldin EB, Dodson TB, 2003. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg, 61(12):1379-1389. https://doi.org/10.1016/j.joms.2003.04.001https://doi.org/10.1016/j.joms.2003.04.001

Chu FCS, Li TKL, Lui VKB, 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.

Daware SN, Balakrishna R, Deogade SC, 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. https://doi.org/10.4103/jfmpc.jfmpc_280_19https://doi.org/10.4103/jfmpc.jfmpc_280_19

Friedman JW, 2007. The prophylactic extraction of third molars: a public health hazard. Am J Public Health, 97(9):1554-1559. https://doi.org/10.2105/ajph.2006.100271https://doi.org/10.2105/ajph.2006.100271

Garaas R, Moss KL, Fisher EL, 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.2010.10.021https://doi.org/10.1016/j.joms.2010.10.021

Ghaeminia H, el Nienhuijs M, Toedtling V, et al., 2020. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Syst Rev, 5(5):Cd003879. https://doi.org/10.1002/14651858.CD003879.pub5https://doi.org/10.1002/14651858.CD003879.pub5

Halvari AEM, Halvari H, Bjørnebekk G, 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. https://doi.org/10.1007/s11031-010-9154-0https://doi.org/10.1007/s11031-010-9154-0

Hounsome J, Pilkington G, Mahon J, et al., 2020. Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation. Health Technol Assess, 24(30):1-116. https://doi.org/10.3310/hta24300https://doi.org/10.3310/hta24300

Irja V, 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. https://doi.org/10.1016/j.jebdp.2014.04.026https://doi.org/10.1016/j.jebdp.2014.04.026

Jin X, Zhang XZ, Jin CR, 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. https://doi.org/10.2147/ijgm.S320144https://doi.org/10.2147/ijgm.S320144

Kandasamy S, Rinchuse D, Rinchuse DJ, 2009. The wisdom behind third molar extractions. Aust Dent J, 54(4):284-292. https://doi.org/10.1111/j.1834-7819.2009.01152.xhttps://doi.org/10.1111/j.1834-7819.2009.01152.x

Kim JY, Jee HG, Song HC, 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. https://doi.org/10.1016/j.jds.2017.01.004https://doi.org/10.1016/j.jds.2017.01.004

Lawal FB, Oke GA, 2020. Clinical and sociodemographic factors associated with oral health knowledge, attitude, and practices of adolescents in Nigeria. SAGE Open Med, 8:2050312120951066. https://doi.org/10.1177/2050312120951066https://doi.org/10.1177/2050312120951066

Li DN, Tao YW, Cui MY, 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. https://doi.org/10.1007/s00784-019-02859-3https://doi.org/10.1007/s00784-019-02859-3

Li ZB, Qu HL, Zhou LN, et al., 2017a. Influence of non-impacted third molars on pathologies of adjacent second molars: a retrospective study. J Periodontol, 88(5):450-456. https://doi.org/10.1902/jop.2016.160453https://doi.org/10.1902/jop.2016.160453

Li ZB, Qu HL, Zhou LN, 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. https://doi.org/10.1016/j.joms.2017.02.005https://doi.org/10.1016/j.joms.2017.02.005

Liu YF, Wang R, Baur DA, 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. https://doi.org/10.1631/jzus.B1600552https://doi.org/10.1631/jzus.B1600552

Loureiro RM, Sumi DV, Tames HLVC, et al., 2020. Cross-sectional imaging of third molar-related abnormalities. AJNR Am J Neuroradiol, 41(11):1966-1974. https://doi.org/10.3174/ajnr.A6747https://doi.org/10.3174/ajnr.A6747

Marciani RD, 2012. Is there pathology associated with asymptomatic third molars? J Oral Maxillofac Surg, 70(9, Suppl 1):S15-S19. https://doi.org/10.1016/j.joms.2012.04.025https://doi.org/10.1016/j.joms.2012.04.025

Muthra S, Hamilton R, Leopold K, et al., 2019. A qualitative study of oral health knowledge among African Americans. PLoS ONE, 14(7):e0219426. https://doi.org/10.1371/journal.pone.0219426https://doi.org/10.1371/journal.pone.0219426

Nunn ME, Fish MD, Garcia RI, et al., 2013. Retained asymptomatic third molars and risk for second molar pathology. J Dent Res, 92(12):1095-1099. https://doi.org/10.1177/0022034513509281https://doi.org/10.1177/0022034513509281

Peñarrocha-Diago M, Camps-Font O, Sánchez-Torres A, et al., 2021. Indications of the extraction of symptomatic impacted third molars. A systematic review. J Clin Exp Dent, 13(3):e278-e286. https://doi.org/10.4317/jced.56887https://doi.org/10.4317/jced.56887

Phillips C, Norman J, Jaskolka M, et al., 2007. Changes over time in position and periodontal probing status of retained third molars. J Oral Maxillofac Surg, 65(10):2011-2017. https://doi.org/10.1016/j.joms.2006.11.055https://doi.org/10.1016/j.joms.2006.11.055

Polat HB, Ozan F, Kara İ, 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. https://doi.org/10.1016/j.tripleo.2008.02.013https://doi.org/10.1016/j.tripleo.2008.02.013

Qu HL, Tian BM, Li K, 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. https://doi.org/10.1016/j.joms.2017.04.006https://doi.org/10.1016/j.joms.2017.04.006

Saadaldina SA, Eldwakhly E, Alnazzawi AA, 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. https://doi.org/10.3390/ijerph17239112https://doi.org/10.3390/ijerph17239112

Sayed N, Bakathir A, Pasha M, 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. https://doi.org/10.18295/squmj.2019.19.03.009https://doi.org/10.18295/squmj.2019.19.03.009

Shoshani-Dror D, Shilo D, Ginini JG, et al., 2018. Controversy regarding the need for prophylactic removal of impacted third molars: an overview. Quintessence Int, 49(8):653-662. https://doi.org/10.3290/j.qi.a40784https://doi.org/10.3290/j.qi.a40784

Steed MB, 2014. The indications for third-molar extractions. J Am Dent Assoc, 145(6):570-573. https://doi.org/10.14219/jada.2014.18https://doi.org/10.14219/jada.2014.18

Sun LJ, Qu HL, Tian Y, et al., 2020. Impacts of non-impacted third molar removal on the periodontal condition of adjacent second molars. Oral Dis, 26(5):1010-1019. https://doi.org/10.1111/odi.13314https://doi.org/10.1111/odi.13314

Sun LJ, Yang Y, Li ZB, 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. https://doi.org/10.3390/jcm11237194https://doi.org/10.3390/jcm11237194

Tian Y, Sun LJ, Qu HL, 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. https://doi.org/10.1038/s41368-020-00108-yhttps://doi.org/10.1038/s41368-020-00108-y

van der Linden W, Cleaton-Jones P, Lownie M, 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. https://doi.org/10.1016/s1079-2104(05)80270-7https://doi.org/10.1016/s1079-2104(05)80270-7

Ventä I, Kylätie E, Hiltunen K, 2015. Pathology related to third molars in the elderly persons. Clin Oral Investig, 19(8):1785-1789. https://doi.org/10.1007/s00784-014-1395-yhttps://doi.org/10.1007/s00784-014-1395-y

Wu YM, Liu J, Sun WL, 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. https://doi.org/10.1631/jzus.B1200034https://doi.org/10.1631/jzus.B1200034

Yang Y, Tian Y, Sun LJ, 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. https://doi.org/10.3290/j.cjdr.b2752683https://doi.org/10.3290/j.cjdr.b2752683

Yang Y, Tian Y, Sun LJ, 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. https://doi.org/10.1016/j.identj.2022.09.001https://doi.org/10.1016/j.identj.2022.09.001

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