The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomography

Abstract Background Multiple factors contribute to mandibular incisor crowding. However, the role of wisdom teeth in these irregularities remains a controversial issue among clinicians. Therefore, this study aimed to determine the potential association between mandibular incisor crowding and the pre...

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Main Authors: Khalid Aldhorae, Ramy Ishaq, Salah Alhaidary, Ashraf Mohammed Alhumaidi, Mohammed M. Al Moaleem, Ghamdan Al. Harazi, Naela Al-Mogahed, Hani Homaid, Sadam Ahmed Elayah
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Language:English
Published: BMC 2025-03-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05733-9
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author Khalid Aldhorae
Ramy Ishaq
Salah Alhaidary
Ashraf Mohammed Alhumaidi
Mohammed M. Al Moaleem
Ghamdan Al. Harazi
Naela Al-Mogahed
Hani Homaid
Sadam Ahmed Elayah
author_facet Khalid Aldhorae
Ramy Ishaq
Salah Alhaidary
Ashraf Mohammed Alhumaidi
Mohammed M. Al Moaleem
Ghamdan Al. Harazi
Naela Al-Mogahed
Hani Homaid
Sadam Ahmed Elayah
author_sort Khalid Aldhorae
collection DOAJ
description Abstract Background Multiple factors contribute to mandibular incisor crowding. However, the role of wisdom teeth in these irregularities remains a controversial issue among clinicians. Therefore, this study aimed to determine the potential association between mandibular incisor crowding and the presence or absence of lower wisdom teeth using CBCT image analysis. Materials and methods A total of 64 CBCT images of adult patients were recruited. These CBCT images were classified into two groups according to the presence or absence of the lower wisdom teeth on the panoramic view. After the classification, the severity of crowding was calculated by utilizing Little’s irregularity index. Points such as A point, Nasion, and B point (Supramentale) were identified on the software program. The significance level was set at P < 0.05. Results There was no statistically significant correlation (P = 0.780) in the crowding of the mandibular incisor among the groups with the presence or absence of the lower wisdom teeth. Group 1 (with wisdom teeth) was 5.85 ± 4.05 mm, classified as a moderate irregularity; similarly, group 2 (without wisdom teeth) showed moderate irregularity with a mean value of 5.32 ± 3.12 mm. There was an incisor crowding with a severe irregularity in 18 patients (28.1%), a minimal irregularity in 15 patients (23.4%), a moderate irregularity in 14 patients (21.9%), a very severe irregularity in 10 patients (15.6%), and a perfect alignment in 7 patients (10.9%). Conclusions The presence and absence of lower wisdom teeth do not influence the mandibular incisor crowding.
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spelling doaj-art-4da53a55d3694ba883ce2509769fa5ca2025-08-20T01:48:34ZengBMCBMC Oral Health1472-68312025-03-012511910.1186/s12903-025-05733-9The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomographyKhalid Aldhorae0Ramy Ishaq1Salah Alhaidary2Ashraf Mohammed Alhumaidi3Mohammed M. Al Moaleem4Ghamdan Al. Harazi5Naela Al-Mogahed6Hani Homaid7Sadam Ahmed Elayah8Department of Orthodontics, College of Dentistry, Thamar UniversityDepartment of Orthodontics, College of Dentistry, Sana’a UniversityDepartment of Orthodontics, College of Dentistry, Ibn Al-Nafis University for Medical SciencesDepartment of Orthodontics, College of Dentistry, Ibn Al-Nafis University for Medical SciencesDepartment of Prosthetic Dental Science, College of Dentistry, Jazan UniversityDepartment of Orthodontics, College of Dentistry, Sana’a UniversityDepartment of Orthodontics, College of Dentistry, Sana’a UniversityDepartment of Orthodontics, College of Dentistry, Thamar UniversityDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Ibn Al-Nafis University for Medical SciencesAbstract Background Multiple factors contribute to mandibular incisor crowding. However, the role of wisdom teeth in these irregularities remains a controversial issue among clinicians. Therefore, this study aimed to determine the potential association between mandibular incisor crowding and the presence or absence of lower wisdom teeth using CBCT image analysis. Materials and methods A total of 64 CBCT images of adult patients were recruited. These CBCT images were classified into two groups according to the presence or absence of the lower wisdom teeth on the panoramic view. After the classification, the severity of crowding was calculated by utilizing Little’s irregularity index. Points such as A point, Nasion, and B point (Supramentale) were identified on the software program. The significance level was set at P < 0.05. Results There was no statistically significant correlation (P = 0.780) in the crowding of the mandibular incisor among the groups with the presence or absence of the lower wisdom teeth. Group 1 (with wisdom teeth) was 5.85 ± 4.05 mm, classified as a moderate irregularity; similarly, group 2 (without wisdom teeth) showed moderate irregularity with a mean value of 5.32 ± 3.12 mm. There was an incisor crowding with a severe irregularity in 18 patients (28.1%), a minimal irregularity in 15 patients (23.4%), a moderate irregularity in 14 patients (21.9%), a very severe irregularity in 10 patients (15.6%), and a perfect alignment in 7 patients (10.9%). Conclusions The presence and absence of lower wisdom teeth do not influence the mandibular incisor crowding.https://doi.org/10.1186/s12903-025-05733-9Third molarsWisdom teethMandibular incisor crowdingCBCT
spellingShingle Khalid Aldhorae
Ramy Ishaq
Salah Alhaidary
Ashraf Mohammed Alhumaidi
Mohammed M. Al Moaleem
Ghamdan Al. Harazi
Naela Al-Mogahed
Hani Homaid
Sadam Ahmed Elayah
The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomography
BMC Oral Health
Third molars
Wisdom teeth
Mandibular incisor crowding
CBCT
title The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomography
title_full The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomography
title_fullStr The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomography
title_full_unstemmed The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomography
title_short The association of third molars with mandibular incisor crowding in a group of the Yemeni population in Sana’a city: cone-beam computed tomography
title_sort association of third molars with mandibular incisor crowding in a group of the yemeni population in sana a city cone beam computed tomography
topic Third molars
Wisdom teeth
Mandibular incisor crowding
CBCT
url https://doi.org/10.1186/s12903-025-05733-9
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