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Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 9 Issue: 4

Prevalence, distribution, and impaction patterns of impacted teeth in adults: a retrospective panoramic radiographic study in a university hospital

Bahar Kaplan(BATMAN ÜNİVERSİTESİ)0009-0007-6046-7242
Nursezen Kavasoğlu(BATMAN UNIVERSITY, FACULTY OF DENTISTRY, DEPARTMENT OF ORTHODONTICS)0009-0008-7293-6461
Pages
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Publication Date
2026-07-20
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Panoramic radiographic evaluation is an important tool for the early diagnosis and clinical management of impacted teeth.

📌 3 Key Takeaways

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Objective & Hypothesis:Aims: This study aimed to evaluate the prevalence of impacted teeth, their distribution according to tooth number, and their impaction patterns using panoramic radiographs in individuals who presented to Batman University Faculty of Dentistry Hospital.
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Key Findings & Data:Methods: In this retrospective cross-sectional study, panoramic radiographs of individuals aged 18 years and older who attended Batman University Faculty of Dentistry Hospital within a one-year period were evaluated.
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Conclusion & Impact:Panoramic radiographic evaluation is an important tool for the early diagnosis and clinical management of impacted teeth.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Impacted tooth · third molar · panoramic radiography

Abstract

Aims: This study aimed to evaluate the prevalence of impacted teeth, their distribution according to tooth number, and their impaction patterns using panoramic radiographs in individuals who presented to Batman University Faculty of Dentistry Hospital. Methods: In this retrospective cross-sectional study, panoramic radiographs of individuals aged 18 years and older who attended Batman University Faculty of Dentistry Hospital within a one-year period were evaluated. A total of 409 individuals were included. The presence of impacted teeth, their distribution according to tooth number, and impaction patterns (vertical, mesioangular, distoangular, horizontal, and buccolingual) were assessed on panoramic radiographs. Age was categorized as 18-30, 31-40, 41-50, and ≥51 years. Statistical analyses were performed using SPSS version 27.0.1, and relationships between variables were analyzed using the chi-square test (p<0.05). Results: Of the 409 patients included, 228 (55.7%) were female and 181 (44.3%) were male. At least one impacted tooth was detected in 165 patients (40.3%). No significant association was found between sex and the presence of impacted teeth (p=0.842). Impacted teeth were observed most frequently in the 18-30-year age group, and the likelihood of having an impacted tooth in this group was approximately 3.1 times higher than in older age groups (OR=3.09; 95% CI: 2.04-4.65; p<0.001). A total of 366 impacted teeth were evaluated, and mandibular third molars were the most frequently impacted teeth. Vertical impaction was the most common pattern, and a significant association was found between tooth number and impaction pattern (p<0.001). Conclusion: Impacted teeth were found to have a considerable prevalence among adults in the Batman region, with mandibular third molars being the most commonly affected teeth. Panoramic radiographic evaluation is an important tool for the early diagnosis and clinical management of impacted teeth.

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Cite This Article

Kaplan, B., Kavasoğlu, N. (2026). Prevalence, distribution, and impaction patterns of impacted teeth in adults: a retrospective panoramic radiographic study in a university hospital. Journal of Health Sciences and Medicine, Volume: 9 Issue: 4. https://doi.org/10.32322/jhsm.1918623

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References (30)

  1. Bishara SE. Third molars: a dilemma! Or is it? Am J Orthod Dentofacial Orthop. 1999;115(6):628-633. doi:10.1016/S0889-5406(99)70287-8
  2. Richardson G, Russell KA. A review of impacted permanent maxillary cuspids: diagnosis and prevention. J Can Dent Assoc. 2000;66(9):497-501.
  3. Kuftinec MM, Shapira Y. The impacted maxillary canine. II. Orthodontic considerations and management. Quintessence Int. 1984;15(9):921-926.
  4. Peterson LJ, Ellis E, Hupp JR, Tucker MR. Contemporary Oral and Maxillofacial Surgery. Mosby; 1988.
  5. Van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars: review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(2):142-145. doi:10.1016/S1079-2104(05)80270-7
  6. Ma’aita JK. Impacted third molars and associated pathology in Jordanian patients. Saudi Dent J. 2000;12:16-19.
  7. Mustafa AB. Prevalence of impacted pre-molar teeth in College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia. J Int Oral Health. 2015;7(6):1-3.
  8. Alfadil L, Almajed E. Prevalence of impacted third molars and the reason for extraction in Saudi Arabia. Saudi Dent J. 2020;32(5):262-268. doi:10.1016/j.sdentj.2020.01.002
  9. Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116(3):e161-e166. doi:10.1016/j.oooo.2011.12.019
  10. Kumar Pillai A, Thomas S, Paul G, Kumar Singh S, Moghe S. Incidence of impacted third molars: a radiographic study in People’s Hospital, Bhopal, India. J Oral Biol Craniofac Res. 2014;4(2):76-81. doi:10.1016/j.jobcr.2014.04.001
  11. Chu FCS, Li TKL, Lui VKB, Newsome PRH, Chow RLK, Cheung LK. Prevalence of impacted teeth and associated pathologies: a radiographic study of the Hong Kong Chinese population. Hong Kong Med J. 2003;9(3):158-163.
  12. Quek SL, Tay CK, Tay KH, Toh SL, Lim KC. Pattern of third molar impaction in a Singapore Chinese population: a retrospective radiographic survey. Int J Oral Maxillofac Surg. 2003;32(5):548-552. doi:10.1016/S0901-5027(03)90413-9
  13. Eshghpour M, Nezadi A, Moradi A, Shamsabadi RM, Rezaei NM, Nejat A. Pattern of mandibular third molar impaction: a cross-sectional study in northeast of Iran. Niger J Clin Pract. 2014;17(6):673-677. doi:10.4103/1119-3077.144376
  14. Çelikoğlu M, Miloğlu Ö, Kamak H, Kazancı F, Öztek Ö, Ceylan İ. Erzurum ve çevresinde yaşayan ve yaşları 12-25 arasında değişen bireylerde gömülü diş sıklığının retrospektif olarak incelenmesi. Atatürk Üniv Diş Hek Fak Derg. 2009;2009(2):72-75.
  15. Damlar İ, Altan A, Tatlı U, Arpağ OF. Hatay bölgesinde gömülü diş prevalansının retrospektif olarak incelenmesi. Cukurova Med J. 2014;39(3):559-565. doi:10.17826/cutf.03288
  16. Çolak MA. A radiographic evaluation of impacted third molar teeth of patients in the South-east of Turkey: a retrospective study. Int Dent Res. 2019;9(3):127-132. doi:10.5577/intdentres.2019.vol9.no3.6
  17. Koparal M, Ünsal HY, Türker Alan H, Yalçın M, Ege B, Gülsün B. Güneydoğu Anadolu Bölgesi’nde dental anomalilerin görülme sıklığı. Selcuk Dent J. 2018;5(2):135-141. doi:10.15311/selcukdentj.319237
  18. Ventä I, Vehkalahti MM, Huumonen S, Suominen AL. Prevalence of third molars determined by panoramic radiographs in a population-based survey of adult Finns. Community Dent Oral Epidemiol. 2020;48(3):208-214. doi:10.1111/cdoe.12517
  19. Çetin SG, Ertuğrul ÖF, Kavasoğlu N, Eratilla V. Artificial Intelligence-based evaluation of permanent first molar extraction indications in children using panoramic radiographs. Children (Basel). 2026;13(2):277. doi:10.3390/children13020277
  20. Sujon MK, Alam MK, Rahman SA, Mohd Noor SNF. Third molar impactions prevalence and pattern among adults using 5923 digital orthopantomogram. Bangladesh J Med Sci. 2022;21(3):717-729. doi:10.3329/bjms.v21i3.59590
  21. Yıldırım H, Büyükgöze-Dindar M. Investigation of the prevalence of impacted third molars and the effects of eruption level and angulation on caries development by panoramic radiographs. Med Oral Patol Oral Cir Bucal. 2022;27:2. doi:10.4317/medoral.25013
  22. Kaplan V, Ciğerim L, Güzel M. Van bölgesindeki yetişkin bireylerde gömülü diş görülme sıklığının belirlenmesi. Van Sag Bil Derg. 2020;13(3):44-49.
  23. Güneş Uysal RF, Tekin GG. Güneydoğu Anadolu Bölgesi’nde gömülü diş ve ilişkili patolojilerin prevalansının panoramik radyografiler ile retrospektif olarak incelenmesi. Turkiye Klinikleri J Dent Sci. 2025;31(3):357-363. doi:10.5336/dentalsci.2024-107828
  24. Yilmaz S, Adisen MZ, Misirlioglu M, Yorubulut S. Assessment of third molar impaction pattern and associated clinical symptoms in a Central Anatolian Turkish population. Med Princ Pract. 2016;25(2):169-175. doi:10.1159/000442416
  25. Ahmad P, V’Vian T, Chaudhary FA, et al. Pattern of third molar impactions in north-eastern peninsular Malaysia: a 10-year retrospective study. Niger J Clin Pract. 2021;24(7):1028-1036. doi:10.4103/njcp.njcp_499_20
  26. Gisakis IG, Palamidakis FD, Farmakis ETR, Kamberos G, Kamberos S. Prevalence of impacted teeth in a Greek population. J Investig Clin Dent. 2011;2(2):102-109. doi:10.1111/j.2041-1626.2010.00041.x
  27. Hattab FN, Rawashdeh MA, Fahmy MS. Impaction status of third molars in Jordanian students. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):24-29. doi:10.1016/S1079-2104(05)80068-X
  28. Bingül MB, Oğuz F, Evren A. Analysis of mandibular third molar impaction classification with different skeletal malocclusions. Dent J (Majalah Kedokteran Gigi). 2023;56(4):213-219. doi:10.20473/j.djmkg.v56.i4.p213-219
  29. Pell GJ, Gregory GT. Report on a ten-year study of a tooth division technique for removal of impacted teeth. Am J Orthod Oral Surg. 1942;28.
  30. Mortazavi H, Baharvand M. Jaw lesions associated with impacted tooth: a radiographic diagnostic guide. Imaging Sci Dent. 2016;46(3):147-157. doi:10.5624/isd.2016.46.3.147