scholarly journals Prevention of Periodontal Pocket Formation after Mandibular Third Molar Extraction Using Dentin Autologous Graft: A Split Mouth Case Report

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Alberto De Biase ◽  
Giulia Mazzucchi ◽  
Dario Di Nardo ◽  
Marco Lollobrigida ◽  
Giorgio Serafini ◽  
...  
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Periodontal Pocket ◽  
Pocket Depth ◽  
Second Molar ◽  
The Third ◽  
Third Molar Extraction ◽  
Probing Pocket Depth ◽  
Surgical Extraction ◽  
A Minor

Surgical extraction of the third molar can often result in the development of a periodontal pocket distal to the second molar that could delay the healing, and the socket could be colonized by bacteria and lead to secondary abscesses, or it may cause mobility or hypersensitivity. The aim of this case report is to assess the efficacy of a dentin autograft in the prevention of periodontal dehiscences after the surgical extraction of the third molar, obtained by the immediate grinding of the extracted tooth. A healthy 18-year-old male patient underwent surgery of both impacted mandibular molars: right postextractive socket was filled with grinded dentin; then, the left one was filled with fibrin sponge. The patient was followed up for six months, and clinical and radiographic assessment were performed: measurements of plaque index (PI), bleeding on probing (BOP), gingival index (GI), clinical attachment level (CAL), and probing pocket depth (PPD) were done before surgery and repeated at 90 and 180 days after the extractions. Measurements made at six months after the surgery revealed that the grafted site was characterized by a minor depth of the pocket if compared with the nongrafted site, with no clinical/radiographic signs of complications.

scholarly journals Influence of Surgical Flap Design (Envelope and Szmyd) for Removal of Impacted Mandibular Third Molars on Clinical Periodontal Parameters: A Clinical Trial

2021 ◽  
Vol 18 (9) ◽  
pp. 4465
Author(s):  
Muhtada Ahmad ◽  
Zafar Ali Khan ◽  
Tahir Ullah Khan ◽  
Montaser N. Alqutub ◽  
Sameer A. Mokeem ◽  
...  
Keyword(s):  
Third Molar ◽  
Periodontal Pocket ◽  
Third Molars ◽  
Chi Square ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Exact Test ◽  
Second Molar ◽  
Third Molar Extraction ◽  
Flap Design

The aim of the study was to assess the influence of flap designs (Envelope flap (EF) and Szmyd flap (SF)) for impacted mandibular third molar extraction, on periodontal pocket depth (PPD), clinical attachment loss (CAL) and bone levels (BL) of second molar. Sixty patients indicated for third molar extractions with healthy second molars were allocated into two groups: EF and SF (n = 30). Third molars were assessed for angulation, root patterns, depth of impactions and relation with ramus (Pell and Gregory classification). Extraction of third molars was performed and PPD, CAL and BL around second molars at 0, 3 and 6 month (mon) follow-ups (FU) were assessed clinically and radiographically. ANOVA, Chi-square and Fisher’s exact test were employed to compare periodontal factors between EF and SF groups, considering p ≤ 0.05 as significant. Sixty participants with a mean age of 23.22 ± 3.17 were included in the study. Based on angulation, the most common impaction in the EF and SF groups was mesio-angular (EF, 50%; SF, 36.7%). Buccal and distal PPD showed a significant increase (p < 0.001) in both EF and SF patients from baseline to 6 mon. EF patients showed significantly higher distal and buccal CAL (6.67 ± 0.18 mm; 6.91 ± 0.17 mm) and BL (7.64 ± 0.16 mm; 7.90 ± 0.15 mm) as compared to SF patients (CAL, 6.76 ± 0.26 mm; 6.91 ± 0.17 mm-BL, 7.42 ± 0.38 mm; 7.34 ± 0.34 mm) at 6 mon FU. SF showed better soft tissue attachment (PPD and CAL) and bone stability (less bone loss) around second molars compared to EF after third molar extractions regardless of the patient, tooth and operator factors.

scholarly journals Impacted Maxillary Third Molar: Report of Two Cases

2017 ◽  
Vol 6 (1) ◽  
pp. 1430
Author(s):  
Tsvetan Borisov Tsvetanov ◽  
Nicola Stamenov
Keyword(s):  
Case Report ◽  
High Risk ◽  
Maxillary Sinus ◽  
Postoperative Period ◽  
Third Molar ◽  
Third Molars ◽  
The Third ◽  
Bone Removal ◽  
Maxillary Third Molar ◽  
Surgical Extraction

The aim of this case report was to review two cases of patients with impacted maxillary third molars. Both were symptomatic and presence of pathology clinically and radiographically. Surgical extraction of these third molars with accessible positions requires a bone removal. Moreover, it contains a high risk of displacement of the third molars into the maxillary sinus. The postoperative period for both cases was without complications.

scholarly journals Effects Of Impacted Lower Third Molar Removal On Alveolar Bone Height And Periodontal Parameters Of Adjacent Second Molar

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Wan Nur Alwani bt Wan Abdul Aziz ◽  
Azlan b Jaafar ◽  
Ahmad Dzulfikar b Samsudin
Keyword(s):  
Alveolar Bone ◽  
Third Molar ◽  
Surgical Removal ◽  
Third Molars ◽  
Pocket Depth ◽  
Bleeding On Probing ◽  
Second Molar ◽  
Probing Pocket Depth ◽  
Post Surgery ◽  
Bone Height

Introduction: The effect of surgical removal of impacted third molars on the periodontal parameters of adjacent second molar revealed inconsistent results. Some authors suggested improvement of periodontal parameters distal to second molar, whilst others demonstrated loss of attachment and reduction of alveolar bone height. This study was conducted to evaluate the alveolar bone height (ABH) and periodontal status of second molar after the surgery. Materials and Methods: Out of 42 subjects selected, 33 subjects completed the study. Only subject who had mesio-angular or horizontal impaction of third molar with available previous records of digital orthopantomogram (OPG) were recruited into the study. ABH of adjacent second molar on the previous OPG were compared with the current OPG using technique described by Krausz et al., (2005). Other paramaters such as probing pocket depth (PPD), bleeding on probing (BOP), recession (REC) were also recorded. Results:  There was significant reduction (p<0.001) in mean ABH at distal of second molar between pre-surgery (4.30±1.09mm) and post-surgery (2.80±2.05mm). No significant different was found in ABH between 47 and 37 at baseline; (4.09±1.09mm vs 4.30±2.55mm) and post-surgery (3.00±2.20mm vs 2.70±2.35mm) where p<0.423. Distal sites of second molars consistently showed significantly higher mean PPD (3.76±1.32mm) when compared with mesial, mid buccal and mid lingual sites (p<0.001). Higher frequency of BOP (90.9%) were also recorded for distal sites. Conclusion(s):  Within the limitation of this study, surgical removal of impacted third molars demonstrated significant reduction in ABH of second molar post surgically. Significantly deeper PPD were also recorded at distal sites as compared to other sites. 

A Complication of Upper Third Molar Extraction – A Case Report

1977 ◽  
Vol 63 (1) ◽  
pp. 25.2-27
Author(s):  
T. J. C. Hall
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Unusual Complication ◽  
The Third ◽  
Third Molar Extraction ◽  
Relationship Of ◽  
The Relationship ◽  
Upper Third ◽  
Greater Palatine Nerve ◽  
Molar Extraction

AbstractThe apparently straightforward removal of an unerupted upper third molar was followed by anaesthesia of an area of the palate. An explanation of this unusual complication of extraction is offered and the relationship of the greater palatine nerve to the third molar is considered.

scholarly journals Third Molar Socket Grafting after Surgical Extraction to prevent Periodontal Pocket Formation

2015 ◽  
Vol 4 (1) ◽  
pp. 65-68
Author(s):  
Mohammed Jasim Aljuboori ◽  
Ng Ying Yi
Keyword(s):  
Third Molar ◽  
Gingival Recession ◽  
Periodontal Pocket ◽  
Radiographic Examination ◽  
Surgical Removal ◽  
Second Molar ◽  
Bone Deficiency ◽  
Surgical Extraction ◽  
Rotational Flap ◽  
Pocket Formation

ABSTRACT There is an incidence of periodontal pocket formation and gingival recession on the distal of the lower second molar due to bone defect after third molar surgical removal. Patient referred suffering from recurrent pericoronities; after clinical and radiographic examination, the lower left 3rd molar is partially erupted and angulated in mesial direction. The radiograph shows there is bone deficiency on the distal of the adjacent 2nd molar. After 3rd molar surgical removal, cancellous bone graft placed on the socket with guided bone regeneration (GBR) procedure and complete primary closure with rotational flap. Patient follow-up after 3 and 6 months, bone formation observed on the distal of 2nd molar with the absence of periodontal pocket. Third molar socket bone grafting with cancellous allograft may be a predictable procedure to prevent periodontal pocket on the distal of the second molar. How to cite this article Aljuboori MJ, Saini R, Yi NY. Third Molar Socket Grafting after Surgical Extraction to prevent Periodontal Pocket Formation. Int J Experiment Dent Sci 2015;4(1):65-68.

scholarly journals Assessment of the Retromolar Canal in Taiwan Subpopulation: A Cross-Sectional Cone-Beam Computed Tomography Study in a Medical Center

Tomography ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 219-227
Author(s):  
Yen-Wen Shen ◽  
Wan-Chun Chang ◽  
Heng-Li Huang ◽  
Ming-Tzu Tsai ◽  
Lih-Jyh Fuh ◽  
...  
Keyword(s):  
Medical Center ◽  
Third Molar ◽  
Mandibular Canal ◽  
Cone Beam ◽  
Horizontal Distance ◽  
Taiwanese Population ◽  
Mandibular Bone ◽  
Second Molar ◽  
The Third ◽  
Retromolar Canal

The retromolar canal is an anatomical variation that occurs in the mandibular bone. The retromolar canal typically originates in the mandibular canal on the distal side of the third molar and extends forward and upward to the retromolar foramen (RMF), which contains the neurovascular bundle. Accidentally damaging the neurovascular bundle in the retromolar canal during the extraction of the third molar, dental implant surgery, or maxillofacial orthognathic surgery may lead to subsequent complications such as incomplete local anesthesia, paresthesia, and bleeding during operation. The objective of this study was to investigate the prevalence of the RMF in the Taiwanese population in a medical center by using dental cone-beam computed tomography (CBCT) and to identify the position of the RMF in the mandibular bone. The dental CBCT images for the mandibular bone of 68 hemi-mandible were uploaded to the medical imaging software Mimics 15.1 to determine the prevalence of the RMF in the Taiwanese population and the three positional parameters of the RMF in the mandibular bone: (1) The diameter of the RMF, (2) the horizontal distance from the midpoint of the RMF to the distal cementoenamel junction of the second molar, and (3) the vertical distance from the midpoint of the RMF to the upper border of the mandibular canal. Seven RMFs were observed in the 68 hemi-mandibles. Thus, the RMF prevalence was 10.3%. In addition, the diameter of the RMF was 1.41 ± 0.30 mm (mean ± standard deviation), the horizontal distance from the midpoint of the RMF to the distal cementoenamel junction of the the second molar was 12.93 ± 2.87 mm, and the vertical distance from the midpoint of the RMF to the upper border of the mandibular canal below second molar was 13.62 ± 1.3487 mm. This study determined the prevalence of the RMF in the Taiwanese population in a medical center and its relative position in the mandibular bone. This information can provide clinicians with a reference for posterior mandible anesthesia and surgery to ensure medical safety.

scholarly journals Effects of Impacted Lower Third Molar Extraction on Periodontal Tissue of the Adjacent Second Molar

2021 ◽  
Vol Volume 17 ◽  
pp. 235-247
Author(s):  
Yuan Zhang ◽  
Xiaohang Chen ◽  
Zilan Zhou ◽  
Yujia Hao ◽  
Huifei Li ◽  
...  
Keyword(s):  
Third Molar ◽  
Periodontal Tissue ◽  
Second Molar ◽  
Third Molar Extraction ◽  
Molar Extraction

scholarly journals The Anatomical Position and Size of Greater Palatine Foramen and Canal in an Iranian Sample Using Cone Beam Computed Tomography

2021 ◽  
Author(s):  
Solmaz Valizadeh ◽  
Seyedeh Mahshid Ahmadi ◽  
Mitra Ghazizadeh Ahsaie ◽  
Zahra Vasegh ◽  
Navid Jamalzadeh
Keyword(s):  
Computed Tomography ◽  
Average Length ◽  
Third Molar ◽  
Cone Beam ◽  
P Value ◽  
Second Molar ◽  
Anatomical Position ◽  
The Third ◽  
Greater Palatine Foramen ◽  
The Right

Abstract IntroductionDetection of exact location of greater palatine foramen and its anatomical variations are vital prior to posterior maxillary surgeries and gingival grafts. The aim of this study is to determine the anatomical position and size of the greater palatine canal (GPC) and foramen (GPF) using cone beam computed tomography (CBCT) scans.Materials and methodsIn this descriptive-analytic study, CBCT images of 148 patients were assessed. To determine the anatomical foramen position, the posterior maxilla area was divided into five regions on the axial view (A: from the mesial surface of the second molar to the center of the second molar, B: from the center of the second molar to its distal, C: from the mesial surface of the third molar to the center of the third molar, D: from the center of the third molar to the distal of the third molar, E: distal to the third molar.). The length of the canal was investigated on both coronal and sagittal views. Independent and paired T-test were used to analyze the data.ResultsAmong 80 females -68 males, the anatomical position of the GPF was mainly located in region E on the left (55%) and the right (50%), and then, respectively, in region D and region C. The mean diameter of GPF was 4/48 mm on the left and 4/63 mm on the right side (P-value = 0/01). The average length of the canal on the coronal view was 29.46 mm on the left side and 29.75 mm on the right (P-Value = 0/005). The average length of the canal on the sagittal view was 29.62 mm on the left and 30.02 mm on the right (P-value = 0/001).ConclusionThe anatomical position of the GPF was primarily located distal to the third maxillary molar. CBCT is a valuable diagnostic tool for evaluation of vital anatomic landmarks in the maxillofacial region prior to surgeries and interventions.

A longitudinal study on timing and velocity of rat molar eruption: Timing of rat molar eruption

2018 ◽  
Vol 52 (4) ◽  
pp. 394-401 ◽  
Author(s):  
Balazs J Denes ◽  
Aikaterini Lagou ◽  
Domna Dorotheou ◽  
Stavros Kiliaridis
Keyword(s):  
Mixed Model ◽  
Third Molar ◽  
Mandibular Canal ◽  
Reference Points ◽  
Micro Computed Tomography ◽  
Eruption Rate ◽  
Second Molar ◽  
Mixed Model Analysis ◽  
The Third ◽  
Rat Molar

Rat molar eruption and occlusion data were compiled from several studies but several inconsistencies were found, rendering the planning of eruptional studies difficult and imprecise. Our aim was to measure eruption and occlusion days, as well as eruption velocity, in the upper and lower three molars from infancy to end of adolescence in the rat. A total of 19 male and female Wistar rats were scanned daily by micro-computed tomography (CT) from day 15 to 70. We measured the eruption of all maxillary and mandibular molars with reference points at the hard palate and mandibular canal at three stages: pre-emergent, pre-occlusal, and functional. Statistical analysis was performed with a mixed-model analysis of variance (ANOVA) and a Sidak post hoc test. The first molar erupts on average on day 17, the second molar on day 20, and the third molar on day 33. The eruption velocity of the first molar was the highest at 90.9 microns/day (standard error (se) = 12.80), followed by the second molar at 65.9 microns/day (se = 5.80), and the lowest was the third at 47.0 microns/day (se = 3.28), ( p < 0.001). On average, the pre-occlusal phase had the highest velocity at 97.2 microns/day (se = 1.72), the pre-emergent was lower at 84.9 (se = 2.29), and the functional was the lowest at 21.7 (se = 0.45), ( p < 0.001). The eruption rate decreased from the first to third molar and was also different between phases: the pre-occlusal phase had the highest rate, closely followed by the pre-emergent phase while the functional eruption rate was significantly lower than the other phases.

Sign in / Sign up

Export Citation Format

Share Document