Two-stage extraction by partial grinding of impacted mandibular third molar in close proximity to the inferior alveolar nerve.
World J Clin Cases
; 12(10): 1728-1732, 2024 Apr 06.
Article
in En
| MEDLINE
| ID: mdl-38660071
ABSTRACT
BACKGROUND:
Extraction of impacted third molars often leads to severe complications caused by damage to the inferior alveolar nerve (IAN).AIM:
To proposes a method for the partial grinding of an impacted mandibular third molar (IMM3) near the IAN to prevent IAN injury during IMM3 extraction.METHODS:
Between January 1996 and March 2022, 25 patients with IMM3 roots near the IAN were enrolled. The first stage of the operation consisted of grinding a major part of the IMM3 crown with a high-speed turbine dental drill to achieve sufficient space between the mandibular second molar and IMM3. After 6 months, when the root tips were observed to be away from the IAN on X-ray examination, the remaining part of the IMM3 was completely removed.RESULTS:
All IMM3s were extracted easily without symptoms of IAN injury after extraction.CONCLUSION:
Partial IMM3 grinding may be a good alternative treatment option to avoid IAN injury in high-risk cases.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
World J Clin Cases
Year:
2024
Document type:
Article
Affiliation country:
China