ASSESSMENT OF NEUROSENSORY DISTURBANCES AND RECOVERY FOLLOWING SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLAR – A PROSPECTIVE STUDY

2021 ◽  
pp. 66-68
Author(s):  
Kaustubh Bendale ◽  
Shiva Bharani ◽  
Subha Lakshmi ◽  
Anuradha M
Keyword(s):  
Prospective Study ◽  
Third Molar ◽  
Neurovascular Bundle ◽  
Sensory Function ◽  
Surgical Removal ◽  
Neurosensory Disturbances ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Duration Of Surgery ◽  
Inferior Alveolar Canal

Aim: This prospective study aim to determine the incidence and pattern of recovery of IAN and LN decits after surgery while comparing which nerve, site, side, age group and type of impaction was most likely to suffer from neurosensory disturbances and to evaluate the risk factors such as duration of surgery, proximity to inferior alveolar canal, excessive hemorrhage, clinical observation of neurovascular bundle, contributing to these postoperative neurosensory decits. Materials&Methods: This study was conducted on 30 patients who underwent surgical removal of impacted mandibular third molar between 2017-2019 in the Department of Oral and Maxillofacial Surgery, College of Dental Sciences, Davangere. Clinically, all the patients underwent objective evaluation by using pin prick test, two-point discrimination and blunt test. Sensory function was evaluated 1 week, 1, 3 and 6 months post-operatively. The areas that were evaluated are those supplied by IAN and LN. Result: The incidence of NSD in our study was 10%, the IAN 6.7% and LN decit 3.3%. No permanent NSD was observed in this study. Statistically signicant association was found between excessive hemorrhage from the socket and NSD (p=0.009). No signicant association was found between gender, age, side, type, difculty score and duration, observation of neurovascular bundle during surgery and proximity of roots to the inferior alveolar canal with NSD.

scholarly journals Assessment of Incidence and Risk Factors of Dry Socket Formation after Surgical Removal of Impacted Mandibular Third Molar

2019 ◽  
Vol 04 (12) ◽  
pp. 814-818
Author(s):  
Dr. Revati Singh ◽  
Dr. Rohit Singh ◽  
Dr. Supriya Singh ◽  
Dr. Amit Kumar ◽  
Dr. Shahi Kunar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Third Molar ◽  
Surgical Removal ◽  
Dry Socket ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar

Comparison of Wound Healing Using Envelope and Triangular Flap for Impacted Mandibular Third Molar Surgery

2021 ◽  
Vol 15 (10) ◽  
pp. 2811-2813
Author(s):  
Atiq ur Rahman ◽  
Muhammad Junaid Hashmi ◽  
Muhammad Shairaz Sadiq ◽  
Fareed Ahmad ◽  
Muhammad Anwaar Alam ◽  
...  
Keyword(s):  
Wound Healing ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Surgical Removal ◽  
Post Surgery ◽  
Triangular Flap ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Significant Difference

Objective: To compare the wound healing with triangular flap versus envelope flap techniques among patients undergoing surgical removal of the impacted mandibular third molar (IMTM). Study Design: An open label randomized controlled trial. Place and Duration of the Study: The Department of Oral & Maxillofacial Surgery, Bakhtawar Amin Medical and Dental College, Multan from January 2021 to June 2021. Material and Methods: A total of 70 patients (35 in each group) of both genders aged 20 to 50 years requiring surgical removal of IMTM were included. Patients were asked to follow up on third and seventh day while observations regarding wound healing and pain were noted on 7th day among all cases completing the final follow up. Chi square was applied to compare data between both study groups taking p-value below 0.05 as significant. Results: In a total of 70 patients, there were 42 (60.0%) female and 28 (40.0%) female. Majority of the patients, 36 (51.4%) were above 30 years of age while mean age was noted to be 32.4+9.1 years. Sixty two patients completed the follow up so they were included in the final analysis for the assessment of wound healing and pain. Overall, wound healing was observed to be in 55/62 (88.7%) patients while wound healing was found to be 30/32 (93.8%) patients in envelope flap group in comparison to 25/30 (83.3%) in triangular flap group (p=0.1953). Overall, there was no statistically significant difference in between both study group with regards to evaluation of pain (p=0.3271) Conclusion: Both envelop flap and triangular flap techniques resulted in similar outcomes regarding wound healing among patients undergoing surgical removal of IMTM. Both flap techniques resulted in relatively similar degrees of post-surgery pain. Keywords: Third molar, pain, wound healing.

scholarly journals Assessment of Nerve Injuries after Surgical Removal of Mandibular Third Molar: A Prospective Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Vikas Sukhadeo Meshram ◽  
Priyatama Vikas Meshram ◽  
Pravin Lambade
Keyword(s):  
Prospective Study ◽  
Patient Care ◽  
Preventive Measures ◽  
Third Molar ◽  
Surgical Removal ◽  
Nerve Injuries ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Set Up ◽  
A Prospective Study

Although third molar extraction is a routinely carried out procedure in a dental set-up, yet it is feared both by the patient and the dentist due to an invariable set of complications associated with it, especially in the form of nerve injuries. Hence, prior to performing such procedures, it would be wise if the clinician thoroughly evaluates the case for any anticipated complications so that adequate preventive measures can be taken to minimize the traumatic outcomes of the procedure and provide maximum patient care, which would further save the clinician from any sort of litigation.

scholarly journals Assessment of Electrosensitivity of the Pulp of the Mandibular Second Molar after Surgical Removal of an Impacted Mandibular Third Molar

2021 ◽  
Vol 10 (16) ◽  
pp. 3614
Author(s):  
Grzegorz Trybek ◽  
Magda Aniko-Włodarczyk ◽  
Olga Preuss ◽  
Aleksandra Jaroń
Keyword(s):  
Oral Surgery ◽  
Clinical Status ◽  
Third Molar ◽  
Surgical Removal ◽  
Second Molar ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Wisdom Teeth ◽  
Mandibular Second Molar ◽  
And Control

Despite the frequent discussion of complications associated with surgical removal of wisdom teeth in the scientific literature, increased mobility of the second molar, which can affect the clinical status of the pulp, is often downplayed or overlooked. This study aimed to evaluate surgical removal of an impacted third molar on the change in the electrosensitivity of the pulp of the mandibular second molar. Sixty patients consecutively presenting to the Department of Oral Surgery to remove an impacted mandibular third molar were included in the study. Clinical examinations of pulp sensitivity of second molars in both the study and control groups were evaluated before the procedure, seven days after the procedure, and eight weeks after the procedure. The surgical removal of an impacted mandibular third molar significantly affected the pulp sensitivity of the second molar.

Sign in / Sign up

Export Citation Format

Share Document