THE SIGNIFICANCE OF IDENTIFYING HISTOPATHOLOGIC CHANGES IN SOFT TISSUE ASSOCIATED WITH IMPACTED THIRD MOLARS: A DESCRIPTIVE STUDY
Dr. Sharad Purohit, Dr. Kundendu Arya Bishen, Dr. Vandana Shah, Dr. B. S. Manjunatha, Dr. Shitalkumar Sagari* and Dr. Ashutosh Harsh
ABSTRACT
Aim: Treatment choices about third molar have important clinical and cost implications. There is hardly any
standard protocol that is available for treatment decisions of asymptomatic impacted third molars. The aim of the
present study was to find out the incidence and histopathological alterations in follicular tissues associated with
impacted third molars Methodology: Histopathological evaluation of follicular tissue surrounding impacted teeth
was carried out in 145 cases from the 185 study sample. Results: The commonest alterations seen were
proliferation of reduced enamel like epithelium (23%), 43% of the cases showed cyst like changes and 7% of the
tissues revealed neoplastic changes in odontogenic epithelium. Conclusion: The findings of this study suggest that
a high rate of pathosis was found on histopathological examination of the follicular tissue suggesting longer an
impacted tooth exists, the greater the risk of development of neoplasms.
Keywords: Dental follicle, impacted teeth, Odontogenic cyst.
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