In order to investigate the developmental conditions of third molars in Japanese we studied the panoramic radiographs taken during dental treatment at the Pediatric Outpatient Section of Osaka Dental University Hospital of 9,111 (4,646 males and 4,465 females) between the ages of 7 years 0 months and 16 years 11 months, in addition to 2,769 panoramic radiographs (2,312 males and 457 females) kept by the Department of Radiology that students had taken of one another as part of their clinical studies. The following results were obtained.
1. Calcification of the third molars in both males and females began as early as 7 years 6 months in the maxilla and 7 years 0 months in the mandible. The average age for initiation of calcification in the maxilla was 9 years 4 months for males, and 9 years 2 months for females, while the ages in the mandible were 9 years 1 month and 8 years 9 months, respectively.
2. The average age for completion of the third molar crowns in the maxilla was 11 years 8 months for males and 11 years 5 months for females, while in the mandible it was 12 years 4 months and 12 years 3 months, respectively.
3. At greater than 13 years of age, the tooth germ of the third molar could be found in males about 70% of the time in the maxilla and 75% of the time in the mandible, while these figures for females were 65 and 80%, respectively.
4. All four third molars were present in 52.3% of the males and 45.5% of the females, while 9.5% of the males and 12.0% of the females had no third molars at all.
5. The direction of eruption was classified as either vertical, mesial, horizontal, distal, or buccal/lingual type. The rate for the vertical type in males was 70% in the maxilla and 45% in the mandible, while these figures for females were 50% and 40%, respectively.
6. Microdontia of the third molars appeared only in the maxilla.
7. Congenital absence of the third molars was more common in females than males, and occurred more frequently in the maxilla than in the mandible.
The results of this study allow a better understanding of the third molars of Japanese and provide an aid to planning in such areas of clinical pediatric practice as guiding occlusal development.
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