Is there a relationship between third-molar impaction types and the dimensional/angular measurement values of posterior mandible according to Pell & Gregory/Winter Classification?



The aim of this study was to examine the relationship between ramus height, gonial angle and impaction classifications of mandibular third molars.


A total of 829 mandibular third molars in 601 patient’s orthopantomography (OPG) and cephalometric radiography records were evaluated. Gonial angle was measured on cephaloametric radiography and ramus height was measured on OPG. Impacted third molars were classified according to Pell & Gregory Vertical/Winter classification on OPG. The relationship between the impaction classifications and ramus height/gonial angle was evaluated.


Statistically significant difference was found in Pell & Gregory Classification types in terms of ramus height/gonial angle (p < 0.001). Significant difference was found in terms of Gonial angle in Winter Classifications (p < 0.001). Ramus height was found to be lower than 3.8 cm in patients with an angle less than 123.8° (sensitivity 78%, specificity 84%).


Correlation between ramus height/gonial angle and impaction classification types of mandibular third-molar teeth was detected.

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Correspondence to Zeynep Gümrükçü.

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Author Zeynep Gümrükçü, Emre Balaban and Mert Karabağ declares that they have no conflict of interest.

Ethical approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (The Non-Interventional Clinical Research Ethics Committee of Recep Tayyip Erdoğan University, Medicine Faculty approved this study with decision no: 2019/25, dated: 20.02.2019) and with the Helsinki Declaration of 1975, as revised in 2008.

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Gümrükçü, Z., Balaban, E. & Karabağ, M. Is there a relationship between third-molar impaction types and the dimensional/angular measurement values of posterior mandible according to Pell & Gregory/Winter Classification?. Oral Radiol 37, 29–35 (2021).

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  • Gonial angle
  • Ramus height
  • Third-molar impaction
  • Pell & Gregory
  • Winter