Diagnostic value of cone beam computed tomography and panoramic radiography in predicting mandibular nerve exposure during third molar surgery

2017 ◽  
Vol 46 (2) ◽  
pp. 230-235 ◽  
Author(s):  
A. Hasani ◽  
F. Ahmadi Moshtaghin ◽  
P. Roohi ◽  
V. Rakhshan
2021 ◽  
Vol 10 (34) ◽  
pp. 2910-2914
Author(s):  
Abhishek Verma ◽  
Stuti Verma ◽  
Anushikha Dhankhar ◽  
Nitin Kumar Moral ◽  
Nidhi Nagar ◽  
...  

BACKGROUND A serious complication of surgical removal of impacted lower third molars is inferior alveolar nerve (IAN) injury. Evaluation of radiographic factors to predict IAN injury using CT and panoramic radiography includes root morphology assessment, follicular sac size, mandibular bone density, inferior alveolar nerve and vessels, condition of the overlying tissues, relation of the impacted tooth with the body and ramus of the mandible and the adjacent teeth. This study was done to evaluate the radiological features of the impacted lower mandibular teeth and their relationship with IAN through panoramic radiography and CT and to assess the most predictable radiological criteria for inferior alveolar nerve injury in impacted third molar surgery. METHODS All the patients indicated for lower third molar extraction were included in the study and pre-operative conventional panoramic radiographs (Planmeca Proline PM 2002 CC, Helsinki, Finland) and CBCT (Kodak CBCT) were taken. Any post-operative nerve injuries detected were followed up after 15 days or 1 month. Fisher’s exact test was done to find the association between the outcome variable and explanatory variables. RESULTS Only 11.4 % (N = 4) of all participants had IAN injury following surgical disimpaction. All the participants with IAN injury showed narrowing of the canal on their preoperative panoramic radiographs and presence of nerve approximation with the tooth in cone beam computed tomography (CBCT) reports (P < 0.05). CONCLUSIONS A statistically significant association exists between IAN injury and nerve exposure, radiographic signs of nerve involvement for panoramic radiograph, level of third molar impaction, and nerve approximation in CBCT. KEY WORDS Inferior Alveolar Nerve Injury, Lower Third Molar Impaction, Panoramic Radiography, CBCT


2019 ◽  
Vol 48 (10) ◽  
pp. 1340-1347 ◽  
Author(s):  
G. de Toledo Telles Araujo ◽  
M. Peralta-Mamani ◽  
A. de Fatima Moraes da Silva ◽  
C.M. Fischer Rubira ◽  
H. Marques Honório ◽  
...  

2019 ◽  
Vol 134 (1) ◽  
pp. 347-353 ◽  
Author(s):  
Ademir Franco ◽  
Flávia Vetter ◽  
Eliane de Fátima Coimbra ◽  
Ângela Fernandes ◽  
Patrick Thevissen

2014 ◽  
Vol 72 (8) ◽  
pp. 1444-1455 ◽  
Author(s):  
Anne Caroline Costa Oenning ◽  
Frederico Sampaio Neves ◽  
Phillipe Nogueira Barbosa Alencar ◽  
Rodrigo Freire Prado ◽  
Francisco Carlos Groppo ◽  
...  

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