scholarly journals Surgical extraction of the impacted mandibular third molar: Vestibular bone window technique

2021 ◽  
pp. 57-57
Author(s):  
Bojan Janjic ◽  
Branislav Ilic ◽  
Aleksa Markovic ◽  
Bojan Gacic ◽  
Radojica Drazic ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Third Molar ◽  
Second Molar ◽  
Bone Window ◽  
Impacted Mandibular Third Molar ◽  
Window Technique ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Food Retention ◽  
Distal Aspect

Introduction. Surgical extraction of impacted mandibular third molar can lead to the periodontal defect on distal aspect of the mandibular second molar causing pocket formation, tooth sensitivity, food retention, postoperative infections. Different surgical techniques have been proposed to reduce periodontal complications. Case Outline. We presented five cases treated with Vestibular Bone Window Technique. Considering data from the literature review, benefits and limitations of the technique are discussed and compared to the Standard Surgical Technique. Conclusion. Vestibular Bone Window Technique might be recommended surgical procedure for the extraction of impacted mandibular third molar when bucco-distal bone wall is present preoperatively. Taking into account only five cases, future work should consider a randomized clinical trial with the larger stratified samples.

scholarly journals Comparison between panoramic radiography and CBCT imaging on the diagnosis of second molar external root resorption associated with an impacted mandibular third molar: two case reports

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Solange Kobayashi Velasco ◽  
Rennan Luiz Oliveira dos Santos ◽  
Fernanda Cristina Sales Salineiro ◽  
Lucas Rodrigues Pinheiro ◽  
Marcelo Gusmão Paraiso Cavalcanti ◽  
...  
Keyword(s):  
Root Resorption ◽  
Panoramic Radiography ◽  
Case Reports ◽  
Third Molar ◽  
Second Molar ◽  
External Root Resorption ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar

Evaluation of Mandibular Third Molar Region in a Turkish Population Using Cone-Beam Computed Tomography

2020 ◽  
Vol 16 (9) ◽  
pp. 1105-1110
Author(s):  
Büyük Kaan Orhan ◽  
Dilek Yılmaz ◽  
Mehmet Ozgur Ozemre ◽  
Kıvanç Kamburoğlu ◽  
Orhan Gulen ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Third Molar ◽  
Mandibular Canal ◽  
Third Molars ◽  
Second Molar ◽  
The Third ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
The Relationship ◽  
Molar Region

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.

Impact of Mesioangular Mandibular Impacted 3rd Molar on Peridontal Health of Adjacent Tooth

2021 ◽  
Vol 15 (11) ◽  
pp. 3488-3491
Author(s):  
Samar Nazir ◽  
Nousheen Khan ◽  
Athar Khan ◽  
Asif Noor ◽  
Naima Jabeen
Keyword(s):  
Statistical Significance ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Root Caries ◽  
Second Molar ◽  
Impacted Mandibular Third Molar ◽  
Adjacent Tooth ◽  
Mandibular Third Molar ◽  
The Creation ◽  
The Impact

Objective: The aim of this study is to determine the impact of mesioangular mandibular 3rd molar impaction on periodontal health of adjacent tooth in patients. Study Design: Retrospective/observational study Place and Duration: Department of Oral & Maxillofacial Surgery, MMDC Multan, during from Oct 2020 to September 2021. Methods: Total of seventy patients of both genders was presented in this study. Detailed demographic data of enrolled cases age, sex, body mass index, symptoms and complications were recorded after taking informed written consent. All the patients had mesioangular impactions of mandibular third molars. The impaction depth, relationship with ramus, and angulation of 70 IMTMs and their association with 2nd molar distal caries and root resorption, pathological states, and closeness to the mandibular canal were assessed on panoramic radiographs. Pell and Gregory classification was used to determine position of impacted third molar. The odds ratio (OR) and 95% confidence interval (CI) of IMTM's position on the related complications (credible interval for Bayesian models). Statistical significance was defined as a two-tailed p-value 0.05. SPSS 24.0 version was used to analyze complete data. Results: There were 42 (60%) males and 28 (40%) females with mean BMI 23.13±6.46 kg/m2. Most of patients 31 (44.3%) were aged between 20-35 years. Mean attachment level was 3.03±2.34 and probing depth was 3.34±3.35. Caries, pain and swelling were the most common symptoms found among cases. Distal second molar root caries 21 (30%) and pocket formation 17(24.3%) were the most common pathologies. As per histological findings periapical inflammation was majority found in 37 (52.9%) cases followed by dental follicle in 19 (27.1%) and cyst in 11 (15.7%). Conclusion: In this study, we found that the impacted mandibular third molar was most linked with distal second molar root caries and the creation of a pocket between the impacted tooth and the second molar tooth. The most common pathology associated with the impacted molar was distal second molar root caries and the creation of a pocket between the affected tooth and the second molar. Keywords: Mesioangular, Impacted mandibular third molar, Pathology, Complication

scholarly journals Effect of age on immediate postoperative tissue reaction following surgical extraction of impacted mandibular third molar

2016 ◽  
Vol 7 (2) ◽  
pp. 120 ◽  
Author(s):  
Chandan Kumar Paul ◽  
Quazi Billur Rahman ◽  
Shamiul Alam ◽  
Gokul Chand Kundu ◽  
Helal Uzzaman
Keyword(s):  
Third Molar ◽  
Mouth Opening ◽  
Tissue Reaction ◽  
Third Molar Surgery ◽  
Aged Patient ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Tissue Reactions ◽  
Effect Of Age

<p><strong>Background:</strong> Postoperative morbidity following third molar surgery is affected by a number of factors. The aim of this study was to determine the effect of age on immediate postoperative tissue reactions following mandibular impacted third molar surgery. <strong>Objectives:</strong> To assess the discomforts after impacted mandibular third molar extraction in different aged patient. <strong>Methods:</strong> 100 patients, 54 Female and 46 male, aged 18 to 42 years comprised the study materials. Tooth extrac­tion was performed with buccal guttering technique after adequate elevation and reflection of full thickness mucoperiosteal flap. Pain, swelling and trismus were evaluated preoperatively and on 2nd POD and 7th POD. Data was processed and analyzed using SPSS and was compiled and test of significance was done using Chi square (x2) test and un-paired 't' test. <strong>Results:</strong> Statistical analysis of the data indicated that pain and swelling was significantly less and significant maximum mouth opening was achieved in early aged patient than late age when preoperative and postoperative results were compared. <strong>Conclusion:</strong> As postoperative immediate tissue reactions are more in late aged patient than younger so impacted mandibular third molar should extract in early age.</p>

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