Consideration of positioning errors in the assesment of distortion in the mandibular third molar region on panoramic radiographs

Author(s):  
Aditi S. Lele ◽  
Keerthilatha M. Pai
2021 ◽  
Vol 15 (1) ◽  
pp. 547-550
Author(s):  
Lara Jaiane Norbert Furlan ◽  
Caroline De Freitas Conceição ◽  
Eduardo Martinelli Santayana de Lima ◽  
Roberto Ferreira Zanin ◽  
Alexandre Weber

Introduction: The retromolar canal is a structure rarely identified in clinical practice. The content of this canal is composed of nerves, arteries and venous plexus that give innervation and irrigation to the third molar region and the vestibular mucosa of molars and lower premolars. Thus, knowledge of the presence of this structure is important in dental procedures, due to the complications that damage to this structure can cause. Methods: In this report, a 19-year-old patient sought dental care at a clinic, Dentistry course at the Federal University of Santa Maria for the extraction of third molars due to hygiene difficulties. On radiographic examination, a retromolar canal was identified at the distal of the left mandibular third molar. With the identification of this structure, preventive measures were performed during the procedure to avoid complications. Results: With adequate planning and prevention measures, the trans and postoperative periods occurred without any complications. Conclusion: The foramen and the retromolar canal may occasionally appear in the clinic radiographic routine of the Dentist, and the professional should be attentive to the management of these anatomical structures during surgical procedures to avoid accidents and complications.


2013 ◽  
Vol 30 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Frederico Sampaio Neves ◽  
Thaís de Camargo Souza ◽  
Sérgio Lins de-Azevedo-Vaz ◽  
Paulo Sérgio Flores Campos ◽  
Frab Norberto Bóscolo

2014 ◽  
Vol 5 (3) ◽  
pp. 196-197

ABSTRACT A 20-year-old female reported with chief complaint of pain in the left mandibular third molar region. Intraoral examination revealed inflamed area was notice near the retromolar area. Radiological examination showed impacted left third molar with pericoronal radiolucency of about 2.5 mm. Surgically, a very small cystic cavity was noticed surrounding the crown of the impacted third molar. Histopathological examination revealed a small cystic space lined by epithelium of two to three cell layers thick. The final diagnosis of dentigerous cyst was made. Thus, odontogenic lesion may be found in radiographically normal follicular space. How to cite this article Sarode GS, Sarode SC, Patil S. Expect the Exceptional. World J Dent 2014;5(3):196-197.


Author(s):  
Büyük Kaan Orhan ◽  
Dilek Yılmaz ◽  
Mehmet Ozgur Ozemre ◽  
Kıvanç Kamburoğlu ◽  
Orhan Gulen ◽  
...  

Objectives: To evaluate impacted mandibular third molar tooth region and obtain linear measurements using CBCT images and to assess the relationship between the impacted third molar and the mandibular canal. Methods: CBCT scans of 351 patients (208 females, 143 males) were assessed. Age, gender, and impaction site were recorded for each patient. The relationship of third molars with the vertical axis of second molars, 2nd molar resorption and the relationship between third molar apices and the mandibular canal were assessed. In addition, the distance between ramus and second molar, mesiodistal width of the third molar, the angle between third molar and second molar, and width of the third molar capsule were measured. Binary Logistic Regression, Chi-Square Test, and General Linear Model were used for statistical analysis. Results: The highest percentage of impaction was found for mesioangular followed by transversal and vertical. The transversal impacted third molars revealed a significant association with adjacent second molar root resorption (p<0.001). There was a statistical significance between the second molar resorption and distance between ramus and second molar (p<0.001). The mesioangular impacted third molars revealed significant relation with the mandibular canal (p<0.05). The most frequent variation found was the dental canal followed by the retromolar canal. In general, higher measurement values were obtained for men when compared to women (p<0.05). Conclusion: CBCT assessment of the third molar region provided useful information regarding impacted mandibular third molar surgery operations.


2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Monal B. Yuwanati ◽  
J. V. Tupkari

Fibrosarcoma is a malignant mesenchymal neoplasm of fibroblasts that rarely affects the oral cavity and can cause local recurrences or metastasis. In this paper, a case of fibrosarcoma in the posterior area of mandible in a 44-year-old woman is described. Clinical examination revealed a growth on right mandibular third molar region extending on the buccal and the lingual side. There was history of extraction of posterior teeth. Radiologically, there was a diffuse bone loss. Microscopically, the tumor showed an intense proliferation of fibroblasts of variable size and shape. These cells were arranged in parallel bands and partly crossing each other. The cells exhibited increased mitotic activity and nuclear pleomorphism. Immunohistochemically the cells showed immunoreactivity only for vimentin while they exhibited negativity towards S-100 protein, cytokeratin cocktail, HMB-45, desmin, smooth muscle actin, and epithelial membrane antigen (EMA). Based on findings the final diagnosis of fibrosarcoma was made.


2019 ◽  
Vol 7 (1) ◽  
pp. 13 ◽  
Author(s):  
Masahiko Terauchi ◽  
Satoshi Akiya ◽  
Junya Kumagai ◽  
Yoshio Ohyama ◽  
Satoshi Yamaguchi

Dentigerous cysts are one of the most prevalent types of odontogenic cysts and are associated with the crown of an unerupted tooth, especially of the mandibular third molar. In this study, the characteristics of a dentigerous cyst developed around a mandibular third molar on panoramic radiographs were investigated. The panoramic images of 257 consecutive dentigerous cyst cases associated with a mandibular third molar were analyzed. The mean age of the patients was 45.9 ± 13.3 years. The size of the cyst did not significantly correlate to the age of the patient. The unilocular type (89.1%) and the crown side type (68.5%) were significant. The associated mandibular third molars had a high frequency of class III (64.6%) and position B (48.3%) in Pell and Gregory classification and of horizontal position (36.3%) in angulation. Dentigerous cysts were thought to originate and grow commonly around deeply impacted third molars. The associated third molar with dentigerous cyst tends to have a mesial inclination. Dentigerous cysts do not appear to develop gradually after the crown formation has finished, but arise at various periods randomly.


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