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 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 Third Molar Eruption Mechanisms and Patterns

2016 ◽  
Vol 4 (1) ◽  
pp. 11-16
Author(s):  
Winnie Zhang
Keyword(s):  
Molecular Mechanisms ◽  
Third Molar ◽  
Radiographic Examination ◽  
Third Molars ◽  
The Third ◽  
Occlusal Surfaces ◽  
Surgical Extraction ◽  
Incipient Caries ◽  
The Moment ◽  
Third Molar Eruption

Third molars are highly variable in their presence and form. This report focuses on a horizontally impacted third molar and analyzes the potential etiology of this situation. Upon a clinical and radiographic examination, it was noted that the patient had four third molars present. The patient’s third molars began erupting around the age of 19. Currently, they are asymptomatic with incipient caries on the occlusal surfaces. While three of the third molars erupted in a normal orientation, one of the third molars (mandibular left) erupted in an orientation that would be classified as horizontal and/or mesio-angular. No treatment has been undertaken at the moment, however surgical extraction can be recommended with the prognosis being very good. For the clinician that has to treat dental complications that arise from abnormal tooth eruption, as seen in numerous genetic and acquired disorders, knowledge about the basic molecular mechanisms involved may become extremely important.

scholarly journals Gambaran radiografi impaksi ektopik molar tiga disertai kista dentigerous dalam sinus maksilaris pada radiograf CBCT 3D

2019 ◽  
Vol 3 (2) ◽  
pp. 11
Author(s):  
Nova Rosdiana ◽  
Farina Pramanik
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Maxillary Sinus ◽  
Female Patient ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Maxillary Third Molar

Objectives: The aim of this case report is to explain further about radiograph on impacted right maxillary third molar and canine using CBCT 3D. Case Report: A 18 year old female patient came with swelling on her upper right posterior gum. The condition was associated with pus contained in the gum. Physical examination revealed no exact abnormalities condition on her teeth. Panoramic radiograph examination showed radiopaque image surrounded by radiointermediate image in maxillary sinus. The result of 3D CBCT radiograph exhibited radioopaque image resembling tooth 18 surrounded by unilocular radiointermediate filling 2/3 maxillary sinus with well-defined border.  Conclusion: CBCT is a supported examination which may help in establishing diagnosis more accurately.  

Ectopic Eruption of a Maxillary Third Molar Tooth in the Maxillary Sinus: A Case Report

2005 ◽  
Vol 6 (3) ◽  
pp. 104-110 ◽  
Author(s):  
M. Cemil Büyükkurt ◽  
Sinan Tozoglu ◽  
M. Hamdi Aras ◽  
Ümit Yolcu
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Nasal Septum ◽  
Chronic Sinusitis ◽  
Third Molar ◽  
Mandibular Condyle ◽  
Molar Tooth ◽  
Ectopic Eruption ◽  
Maxillary Third Molar ◽  
Sinonasal Symptoms

Abstract Ectopic eruption of teeth into regions other than the oral cavity is rare although there have been reports of teeth in the nasal septum, mandibular condyle, coronoid process, palate, chin, and maxillary sinus. Occasionally, a tooth may erupt in the maxillary sinus and present with local sinonasal symptoms attributed to chronic sinusitis. We present a case of an ectopic maxillary third molar tooth that caused chronic sinusitis in the maxillary sinus. Citation Büyükkurt MC, Tozoglu S, Aras MH, Yolcu Ü. Ectopic Eruption of a Maxillary Third Molar Tooth in the Maxillary Sinus: A Case Report. J Contemp Dent Pract 2005 August;(6)3:104-110.

Bacteremia Following Surgical Dental Extraction with an Emphasis on Anaerobic Strains

2004 ◽  
Vol 83 (2) ◽  
pp. 170-174 ◽  
Author(s):  
A. Rajasuo ◽  
K. Perkki ◽  
S. Nyfors ◽  
H. Jousimies-Somer ◽  
J.H. Meurman
Keyword(s):  
High Frequency ◽  
Third Molar ◽  
Dental Extraction ◽  
Third Molars ◽  
The Third ◽  
Surgical Extraction ◽  
Streptococcus Milleri ◽  
Streptococcus Milleri Group ◽  
Mandibular Third Molars ◽  
Viridans Group Streptococci

Our aim was to investigate bacteremia caused by surgical extraction of partly erupted mandibular third molars. From 16 young adults, bacterial samples were taken from the third-molar pericoronal pocket and post-operatively from the extraction socket, and blood samples were drawn from the ante-cubital vein up to 30 min after surgery. Of the subjects, 88% had detectable bacteremia—50% 1 min after the incision, 44% immediately after extraction. The respective percentages at 10, 15, and 30 min were 44%, 25%, and 13%. Blood cultures contained 31 species (74% anaerobes), with 3.9 ± 2.6 species isolated per subject. Most prevalent were the anaerobes Prevotella, Eubacterium, and Peptostreptococcus sp. and the aerobes viridans-group streptococci and Streptococcus milleri group. Any species found in the blood was also isolated from the mouth, from 93% of the pericoronal pockets and from 43% of the extraction sockets. Surgical dental extraction clearly causes bacteremia of a high frequency and lasting longer than thus far assumed.

scholarly journals Late mandibular fracture after attempted third molar surgery: case report

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Rodrigo Capalbo-Silva ◽  
Henrique Hadad ◽  
Jonathas Eduardo Virgilio Piassi ◽  
Luara Teixeira Colombo ◽  
Bruno Coelho Mendes ◽  
...  
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Mandibular Fracture ◽  
Third Molar Surgery ◽  
Mandibular Fractures ◽  
Third Molars ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Maxillofacial Fractures ◽  
Surgical Extraction

Removal of lower third molar corresponds to one of the most common procedures in oral surgery. The extraction can result in several intraoperative or postoperative complications, especially when fully impacted molars are involved. This case report describes a mandibular angle fracture following removal of a fully impacted lower third molar of a 41 years old male patient. The fracture occurred 3 days after the attempt to extract the tooth 38 by a dentist surgeon. Several factors influencing the possibility of fracture including gender, age, dental position, and angulation were reviewed and associated with the injury. A fracture line in the angular region of the jaw was observed in radiological and tomographic analysis, both essential to perform the diagnosis. Open reduction internal fixation treatment approach was realized to ensure the best patient’s recovery. We conclude that the difficult to maintain a soft diet and the complete dentition factor could have been determinant to cause the fracture.Descriptors: Mandibular Fractures; Fracture Fixation; Molar, Third.ReferencesAl-Belasy FA, Tozoglu S, Ertas U. Mastication and late mandibular fracture after surgery of impacted third molars associated with no gross pathology. J Oral Maxillofac Surg. 2009; 67(4):856-61.daBodner L, Brennan PA, McLeod NM. Characteristics of iatrogenic mandibular fractures associated with tooth removal: review and analysis of 189 cases. Br J Oral Maxillofac Surg. 2011;49(7):567-72.Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007;  19(1):117-28.Joshi A, Goel M, Thorat A. Identifying the risk factors causing iatrogenic mandibular fractures associated with exodontia: a systemic meta-analysis of 200 cases from 1953 to 2015. Oral Maxillofac Surg. 2016;20(4):391-96.Libersa P, Roze D, Cachart T, Libersa JC. Immediate and late mandibular fractures after third molar removal. J Oral Maxillofac Surg. 2002;60(2):163-66.Perry PA, Goldberg MH. Late mandibular fracture after third molar surgery: a survey of Connecticut oral and maxillofacial surgeons. J Oral Maxillofac Surg. 2000;58(8):858-61.Pires WR, Bonardi JP, Faverani LP, Momesso GAC, Muñoz XMJP, Silva AFM et al. Late mandibular fracture occurring in the postoperative period after third molar removal: systematic review and analysis of 124 cases. Int J Oral Maxillofac Surg. 2017;46(1):46-53.Krimmel M, Reinert S. Mandibular fracture after third molar removal. J Oral Maxillofac Surg. 2000;58(10):1110-12.Wagner KW, Otten JE, Schoen R, Schmelzeisen R. Pathological mandibular fractures following third molar removal. Int J Oral Maxillofac Surg. 2005;34(7):722-26.Ethunandan M, Shanahan D, Patel M. Iatrogenic mandibular fractures following removal of impacted third molars: an analysis of 130 cases. Br Dent J. 2012;212(4):179-84.Ellis E 3rd. Management of fractures through the angle of the mandible. Oral Maxillofac Surg Clin North Am. 2009;21(2):163-74.Pell GJ, Gregory GT. Report on a ten year study of a tooth division technique for removal of impacted teeth. Am J Orthodont Surg. 1942; 28:660-71.Antoun JS, Lee KH. Sports-related maxillofacial fractures over an 11-year period. J Oral Maxillofac Surg. 2008;66(3):504-8.Chrcanovic BR, Custódio AL. Considerations of mandibular angle fractures during and after surgery for removal of third molars: a review of the literature. Oral Maxillofac Surg. 2010; 14(2):71-80. Iizuka T, Tanner S, Berthold H. Mandibular fractures following third molar extraction. A retrospective clinical and radiological study. Int J Oral Maxillofac Surg. 1997;26(5):338-43.Woldenberg Y, Gatot I, Bodner L. Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented?. Med Oral Patol Oral Cir Bucal. 2007;12(1):E70-2.Miyaura K, Matsuka Y, Morita M, Yamashita A, Watanabe T. Comparison of biting forces in different age and sex groups: a study of biting efficiency with mobile and non-mobile teeth. J Oral Rehabil. 1999;26(3):223-27.Bezerra TP, Studart-Soares EC, Pita-Neto IC, Costa FW, Batista SH. Do third molars weaken the mandibular angle?. Med Oral Patol Oral Cir Bucal. 2011;16(5):e657-63.Grau-Manclús V, Gargallo-Albiol J, Almendros-Marqués N, Gay-Escoda C. Mandibular fractures related to the surgical extraction of impacted lower third molars: a report of 11 cases. J Oral Maxillofac Surg. 2011;69(5):1286-90.

scholarly journals Accidental displacement of impacted maxillary third molar: a case report

2005 ◽  
Vol 16 (2) ◽  
pp. 167-170 ◽  
Author(s):  
Cassio Edvard Sverzut ◽  
Alexandre Elias Trivellato ◽  
Luiz Marcel de Figueiredo Lopes ◽  
Emanuela Prado Ferraz ◽  
Alexander Tadeu Sverzut
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Maxillary Sinus ◽  
Unusual Case ◽  
Third Molar ◽  
Postoperative Recovery ◽  
Maxillary Third Molar

An unusual case of an impacted right maxillary third molar that was accidentally displaced into the maxillary sinus during exodontia and was surgically retrieved almost 2 years later is described. The tooth was removed under general anesthesia, after maxillary sinus exposure through Caldwell-Luc approach. Postoperative recovery was uneventful. Six months after the retrieval surgery, the maxillary sinus was completely healed and the patient did not present any complaint.

scholarly journals Case Report. Practical Advantages of CBCT in the Surgical Treatment of Impacted Lower Third Molar

2017 ◽  
Vol 63 (1) ◽  
pp. 41-45
Author(s):  
Alina Ormenișan ◽  
Alina Iacob ◽  
Daniel Szava ◽  
Balint Bogozi ◽  
Adina Coșarcă
Keyword(s):  
High Risk ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Case Series ◽  
Imaging Method ◽  
Third Molars ◽  
Lower Lip ◽  
Dental Ct ◽  
Surgical Extraction ◽  
Potential Contact

Abstract Introduction: The imaging method of cone beam is an improved, extremely accurate computed tomography applicable in the whole field of dentistry. Due to its ability to locate the exact position of the impacted teeth, CBCT software has an important role in the management of difficult cases of impacted third molar. In some situations, the lower third molar is quite near to the inferior alveolar nerve that the surgical extraction can present a high risk of post-operative sensitive impairs of the skin and mucosa of the lower lip and chin on the same side. Presentation of case series: Our study tried to assess the contribution of CBCT in the pre-operative evaluation and further treatment of patients with impacted third molars in mandibular bone with high risk of inferior alveolar nerve injury. The paper presents three clinical cases showing positive signs on standard OPG, which exhibit indicators of a potential contact between the inferior alveolar nerve and the impacted lower third molars. For an improved exploration Dental CT Scan, DICOM image acquisition program, and 3D reconstruction with a special software were used. Conclusions: The study showed that compared with panoramic radiography, CBCT improve the evaluation of the surgical risk and allow a more accurate planning of surgery.

Third Molar Surgery: Risk Factors and Complications after Removal of Third Molars

2021 ◽  
Vol 15 (11) ◽  
pp. 3520-3522
Author(s):  
Syed Zuhair Mehdi ◽  
Faizan Munir Khan ◽  
Nighat Shafiq ◽  
Sarah Salim ◽  
Muhammad Amer Khan ◽  
...  
Keyword(s):  
Common Factor ◽  
Third Molar ◽  
Personal Data ◽  
Third Molar Surgery ◽  
Third Molars ◽  
The Third ◽  
Bone Removal ◽  
Increased Risk ◽  
Tooth Impaction ◽  
Transversal Study

Objective: There is a need for this research because it aims to identify characteristics that increase the likelihood of negative outcomes following the removal of third molars. Study Design: Observational/transversal study Place and Duration: Dental College HITEC-IMS Taxilla/ Gulraiz Dental Clinic Quaid Avenue Main Road, Gulraiz 3, Rawalpindi. Nov 2020-June 2021 Methods: A total of 180 male and female participants were included in this study. The patients ranged in age from 20 to 50. Pericoronitis and tooth impaction were among the complaints of the patients included in the study. The oral and maxillofacial department operated on all of the patients who requested the removal of their third molars. All patients provided written consent before having their personal data collected, including their age, gender, BMI, kind of impaction, and location of their third molar. Various operative variables were employed. In our research, we looked at post-operative complications and risk variables. The whole data was analyzed with SPSS 23.0. Results: 110 (61.1%) patients were males and 70 (38.9%) cases were females. 28.17±9.47 years were the mean age with mean BMI 24.11±3.65 kg/m2. Most of the teeth impacted in left side found in 102 (56.7%) patients. Most common type of impaction was mesioangular among 90 (50%) cases followed by distoangular 45 (23.7%) cases. Majority of the third molars were fully impacted 120 (66.7%), 38 (21.1%) were partially impacted and frequency of erupted tooth was 22 (12.2%). All the third molars were removed by buccal guttering technique under local anesthesia. Post-operative infection was the most common complication found in 80 (44.4%) cases followed by gingival defect in 27 (15%) radicular fractures in 24 (13.3%) cases. Location of the third molar and bone removal was the most common factor found. Conclusion: There was an increased risk of problems with tooth sectioning, bone removal, and/or tooth localization in patients above the age of 22. Both the evaluation of the indications for the removal of third molars and the process of informed consent should reflect this information. Keywords: Third Molars, Surgery, Anesthesia, Complications, Impactions

scholarly journals Inverted and Impacted Maxillary Third Molar: Removal by Lateral Transposition Method

2012 ◽  
Vol 1 (1) ◽  
pp. 26-29
Author(s):  
Shruti Chhabra ◽  
Naveen Chhabra ◽  
Guneet Dhillon
Keyword(s):  
Classical Method ◽  
Third Molar ◽  
Third Molars ◽  
Impacted Tooth ◽  
Inverted Position ◽  
Interrupted Suture ◽  
Maxillary Third Molar ◽  
Surgical Extraction ◽  
Associated Risk Factors ◽  
Operating Surgeon

ABSTRACT Background Third molars are one of the most commonly impacted teeth in the oral cavity. But in very rare cases, the impacted molars can be inverted as well. In this case, the patient presented with an inverted and impacted left maxillary third molar. The aim of the operating surgeon was to execute the procedure in the least hazardous manner, to avoid any surgical complications. Methods The surgical extraction of the tooth by lateral transposition method was carried out rather than the classical method owing to the inverted position of the impacted tooth. The surgery was carried out under local anesthesia. An incision was made at the crest of the ridge with an anterior releasing incision. Bone overlying the impacted molar was removed following which the tooth was luxated and laterally transposed. The socket was thoroughly irrigated and closure was done by simple interrupted suture, using 3-0 mersilk. Results The impacted and inverted maxillary third molar was successfully removed by lateral transposition method without any complications. Conclusion The impacted and inverted maxillary third molars are not commonly encountered in dental practice. Subsequently, their removal can be a challenging job on the part of an oral surgeon. The surgeon should preoperatively weigh carefully the associated risk factors and explain them thoroughly to the patient. How to cite this article Chhabra S, Chhabra N, Dhillon G. Inverted and Impacted Maxillary Third Molar: Removal by Lateral Transposition Method. Int J Exper Dent Sci 2012;1(1):26-29.

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