Surgical Management of Accidentally Displaced Mandibular Third Molar into the Pterygomandibular Space: A Case Report

Autogenous tooth transplantation is a procedure to reposition an autogenous tooth to another extraction area or surgically created recipient site. The autotransplantation procedures have been documented well in the literature, and the survival rate of the transplanted teeth was reported to be more than 90% after ten years. Therefore, autotransplantation might have been overlooked as a treatment option. The purpose of this case report is to evaluate the long-term (29-year) success and periodontal stability of the tooth autotransplantation from the mandibular third molar to the second molar. A 24-year old female presented to a clinic with a large caries lesion with periapical radiolucnecy on to tooth #18. The tooth was extracted with the site and treated with autogenous tooth transplantation from #17 with a complete root form. Endodontic treatment was completed 3 months post autotransplantation; the final prosthesis was placed 6 months postoperatively. The patient has shown excellent oral hygiene care and high compliance with the regular maintenance recall program. The transplanted tooth has been still functioning without any symptoms. Radiographic and clinical examinations revealed stable periodontal and endodontic conditions over the 29 years after the procedure. This case report showed the long-term success of autotransplantation of the mandibular third molar with a closed root apex to the second molar site. Autotransplantation can be an option when an adequate donor site is available to reconstruct the occlusion after the tooth extraction.

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Iatrogenic root fracture secondary to extraction of impacted mandibular third molar that is mVasked by severe inflammation in the maxillofacial region – a case report

Clinical Case Reports and Reviews ◽

10.15761/ccrr.1000396 ◽

2018 ◽

Vol 4 (3) ◽

Author(s):

Stanimir Kisselov ◽

Tasho Gavrailov ◽

Petia Pechalova ◽

Desislava Konstantinova

Keyword(s):

Case Report ◽

Third Molar ◽

Maxillofacial Region ◽

Root Fracture ◽

Severe Inflammation ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar

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Managing Curvatures in an Atypical Mandibular Third Molar: “Radix Paramolaris”

International Journal of Research and Review ◽

10.52403/ijrr.20220110 ◽

2022 ◽

Vol 9 (1) ◽

pp. 65-68

Author(s):

Sachin Gupta ◽

Shikha Jaiswal ◽

Rudhra Koul

Keyword(s):

Case Report ◽

Root Canal ◽

Crucial Role ◽

Third Molar ◽

Root Canal Treatment ◽

Activation Technique ◽

Third Molars ◽

Morphological Variations ◽

Root Canals ◽

Mandibular Third Molar

Third molars are known for morphological variations and atypical anatomy. Although these teeth pose difficulty in root canal treatment due to limited accessibility however, retaining third molars has gained importance in the present scenario due to their crucial role in serving as an abutment or in auto transplantation cases. This case report presents a case of Radix Paramolaris in mandibular third molar with severe curvatures of root canals in different planes and discusses its management with controlled memory files and tactile-controlled activation technique. Keywords: Radix Paramolaris, Curved canals, Controlled memory files, Tactile-controlled activation technique.

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