The Classification of Lower Third Molar Impaction and Relationship to Sociodemographics

Main Article Content

Komang Krisna Dewi
Ihsan Firdaus

Abstract

Background: Impacted teeth occur due to eruption failure caused by a lack of space in the dental arch or obstruction by surrounding tissues. Clinical complaints vary depending on the angulation, depth, and relationship with the second molar based on the Pell & Gregory and Winter classifications. In addition to clinical aspects for determining diagnosis and treatment, analyzing patient sociodemographic data is essential as it can influence clinical considerations, healthcare administration, and the patient's quality of life.


Objective: A Classification of Lower Third Molar Impaction and Its Relationship to Sociodemographic Factors


Methods: This descriptive-analytical study used secondary data from medical records and panoramic X-rays of patients at dental practices in the Jakarta area. The sampling technique used was purposive sampling based on inclusion criteria, including sociodemographic characteristics (age, gender, education, occupation) and impaction classification.


Results: The highest prevalence of lower third molar impaction cases is consistently associated with the following characteristics: female gender, age 23, a bachelor’s degree (S1), and student status. Across all sociodemographic groups, the most frequently observed anatomical impaction characteristic is Class II, Position A, with a mesioangular angle.


Conclusion: There is an indirect association between the classification of lower wisdom tooth impaction and patients’ sociodemographic characteristics (gender, age, education level, and occupation). Diet, lifestyle, the critical period of wisdom tooth eruption, health awareness, financial independence, and access to health care are factors that influence the frequency of dental visits among patients with impacted teeth.

Article Details

How to Cite
Dewi, K. K. ., & Firdaus, I. . (2026). The Classification of Lower Third Molar Impaction and Relationship to Sociodemographics. International Journal of Pharmaceutical and Bio Medical Science, 6(07), 1152–1160. https://doi.org/10.47191/ijpbms/v6-i7-06
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Articles

References

I. Septina F, Atika Apriliani W, Baga I. Prevalensi Impaksi Molar Ke Tiga Rahang Bawah di Rumah Sakit Pendidikan Universitas Brawijaya Tahun 2018. E-Prodenta Journal of Dentistry 2021;5(2):450–460.

II. Bhut MK. Prevalence of impacted tooth: A radiographic study of 750 cases. Eur J Mol Clin Med. 2022;9(9):230–2

III. Muhamad. A.B, dan Nezar. W. Prevalence of Impacted Mandibular Third Molars in Population of Arab Israeli: A Retrospective Study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS).2016; Vol. 15(1) Ver. VII. hal. 1-10.

IV. Dharma Utama M, Jayadi Abdi M, Zalzabila Makmur Z. Hubungan Klasifikasi Impaksi Molar Ketiga Mandibula dengan Jarak Kanali Mandibular pada Radiografi Panoramik di Klinik Medical Center. Indonesian Journal of Public Health (IJOH), Juni 2024. Vol 2 (2). P. 286-294

V. Varghese G. Management of Impacted Third Molars. In: Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, 2021; p. 299328.

VI. Krisna Dewi K, Damayanti A. Penatalaksanaan Parestesi Paska Pencabutan Molar Tiga Rahang Bawah Impaksi Secara Non Bedah (Kajian Pustaka). Jurnal Ilmiah dan Teknologi Kedokteran Gigi 2017;13(2):22–27.

VII. Gokhan Gurses, Ali Akçakaya, Ahmet Aktı, Olgun Aydin. The effect of impacted third molars on second molar external root resorption, a cross-sectional cone beam computed tomography study. Medical Oral Patol Oral Cir Bucal Journal. 2023 Nov 1;28 (6):504-11.

VIII. Arisetiadi KNA, Hutomo LC, Septarini NW. Hubungan antara gigi impaksi molar ketiga dengan kejadian karies molar kedua berdasarkan jenis kelamin dan usia pada mahasiswa Fakultas Kedokteran Universitas Udayana. Bali Dent J. 2017;1(1).

IX. Ipek Necla Guldiken, Serap Gulsever , Yagmur Malkoc , Zeynep Cukurova Yilmaz , Mutlu Ozcan. Prophylactic third molar removal: are oral surgeons and orthodontists aligned in preventive approaches?. BMC Oral Health. 2024 Sep 11;24:1072.

X. Rizqiawan A, Lesmaya YD, Rasyida AZ, Amir MS, Ono S, Kamadjaja DB. Postoperative Complications of Impacted Mandibular Third Molar Extraction Related to Patient’s Age and Surgical Difficulty Level: A CrossSectional Retrospective Study. Int J Dent 2022;2022:1–6.

XI. Omair M. Bukhari, Shahad L. Alhassani, Sumayyah L. Alkhudhayri. The Influence of Impacted Mandibular Third Molar in Health-related Quality of Life. The Open Dentistry Journal. 2025, 19, e18742106375371.

XII. Tenrilili ANA, Yunus B, Rahman FUA. Third molar impaction prevalence and pattern: a panoramic radiography investigation. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) 2023;7(1):9–14.

XIII. Lita YA, Hadikrishna I. Klasifikasi Impaksi Gigi Molar Ketiga Melalui Pemeriksaan Radiografi sebagai Penunjang Odontektomi. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI) 2020;4(1):1–5.

XIV. Fakhrurrazi, Hakim RF, Rifani R. Hubungan Tingkat Kesulitan dengan Komplikasi Post Odontektomi Gigi Impaksi Molar Ketiga Rahang Bawah pada Pasien di Instalasi Gigi dan Mulut RSUDZA Banda Aceh. Cakradonya Dent J 2015;7(1):745–806.

XV. Barid I, Indahyani DE, Utami SE. Analisis Ukuran Lengkung Rahang Anak Usia 10-13 Tahun dan 14-16 Tahun di Wilayah Dataran Tinggi (Studi di Kecamatan Jelbuk Kabupaten Jember). e-GiGi 2022;11(1):56–63.

XVI. Fitri AM, Kasim A, Yuza AT. Impaksi Gigi Molar Tiga Rahang Bawah dan Sefalgia. Jurnal Kedokteran Gigi Universitas Padjadjaran 2016;28(3):148–154

XVII. Saputra YG, Anindita PS, Pangemanan DHC, et al. Ukuran dan Bentuk Lengkung Gigi Rahang Bawah pada Orang Papua. Jurnal e-GiGi 2016;4(2):253–258.

XVIII. Hupp J, Tucker M, Ellis E. Contemporary Oral and Maxillofacial Surgery James Hupp, Myron Tucker, Edward Ellis - 7th Edition (2018) 721 pp.,ISBN: 9780323552219.

XIX. Yasin Ertem S, Anlar H. Evaluation of the Relation Between Impacted Mandibular Third Molar Classification and Inferior Alveolar Canal. Journal of Dentistry Indonesia [homepage on the Internet] 2020;27(1):17–22. Available from: https://scholarhub.ui.ac.id/jdi/vol27/iss1/4/

XX. Christian Sumadi, Desak Ayu Dhyana Nitha Dewi, Putri Rejeki. Prevalensi Gigi Molar Tiga Impaksi Sebagian pada Masyarakat Suku Bali Aga di Desa Tenganan Pegringsingan. BDJ, Januari-Juni 2025;Vol 9(1):1-6

XXI. Passi D, Singh G, Dutta S, et al. Study of Pattern and Prevalence of Mandibular Impacted Third Molar Among Delhi-National Capital Region Population with Newer Proposed Classification of Mandibular Impacted Third Molar: A Retrospective Study. Natl J Maxillofac Surg 2019;10(1):59–67.

XXII. Yuan Yuan, Yang Chai. Regulatory mechanisms of jaw bone and tooth development. Curr Top Dev Biol. 2019 Feb 11;133:91–118.

XXIII. Indra Hadikrishna, Melita Sylvyana, Madhuri Pattamatta, Folli Mulyawati, Tantry Maulina. Demographic and Radiographic Characteristics Associated with the Occurrence of Impacted Third Molars in Indonesian Patients: A Retrospective Study.Dent. J. 2024, 12(7), 210; https://doi.org/10.3390/dj12070210

XXIV. Rizki Zulian M, Hermanto E, Sudibyo. Hubungan Klasifikasi Gigi Impaksi Molar Ketiga Rahang Bawah dengan Lamanya Tindakan Odontektomi di Rumkital Dr. Ramelan Surabaya. Denta Jurnal Kedokteran Gigi 2017;11(1):1–8

XXV. Dewi K K.,Firstyananda Wim., Firdaus I. PROFILE OF INDICATIONS FOR TOOTH EXTRACTION BASED ON THE SOCIODEMOGRAPHICS OF THE COMMUNITY IN SERAM ISLAND MALUKU INDONESIA DURING THE

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