Are different imaging methods affecting the treatment decision of extractions of mandibular third molars?

Manor, Yifat; Abir, Refael; Manor, Alex; Kaffe, I

doi:10.1259/dmfr.20160233

Cited by 17 publications

(7 citation statements)

References 15 publications

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“…Conventional periapical radiographs and orthopantomographs do not permit the exact location of foreign bodies because they show images on a single plane [12]. Radiographs in occlusal takes, such as the total occlusal of the mandible or the Donovan modified technique, can reveal the location in terms of depth as long as the fragment is near the medial wall of the mandibular bone, as was possible to ascertain in the clinical case discussed herein.…”

Section: Discussionmentioning

confidence: 94%

The Importance of Methods Imaging in the Diagnosis of Displacement to Mandibular Molar Root Fragment: Case Report

MS¹,

BE²

2018

IJDOS

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The aim of this study discusses the causes, prevention measures, diagnostic means for locating, treatment the displacement of the lower third molar root to the submandibular space during extraction. This article describes a clinical case showing the displacement of a lower third molar root to the submandibular space. The breaking of surgical planning during the surgical act or in the post-operative period is an unexpected situation that can happen, making normal tissue repair more difficult or delayed. Among third molar extraction accident reports, tooth or root displacement to neighboring anatomical areas is of low incidence. However, this fact may entail in complications such as infections, trismus, and paresthesia, increasing procedure morbidity. The displacement of lower third molar teeth or roots to adjacent anatomic spaces is a little-described accident in the literature. The fine lingual cortical associated with an inadequate surgical approach and the excessive use of force during extraction are the main causes, developing local disorders such as edema, trismus, difficulty in swallowing, abscesses and even paresthesia due to nerve bundle compression. The exact location through computerized images facilitates the surgical planning of the exeresis, which should preferably be performed by an experienced professional in the field.

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Section: Discussionmentioning

confidence: 94%

The Importance of Methods Imaging in the Diagnosis of Displacement to Mandibular Molar Root Fragment: Case Report

MS¹,

BE²

2018

IJDOS

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“…When surgical management is planned, assessment by panoramic radiographs provides sufficient information to determine whether to perform a full extraction or to choose an alternative, for example, coronectomy (Aravindaksha et al, 2015; Manor, Abir, Manor, & Kaffe, 2017; Matzen, Christensen, Hintze, Schou, & Wenzel, 2013). It has been argued that experienced surgeons can decide the surgical approach without CBCT (Baqain et al, 2020).…”

Section: Diagnosis and Treatment Planningmentioning

confidence: 99%

Comprehensive review of lower third molar management: A guide for improved informed consent

et al. 2020

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Lower third molar removal is the most commonly performed dental surgical procedure. Nevertheless, it is difficult to ensure that all the informed consent forms given to patients are based on the best evidence as many newer publications could change the conclusions of previous research. Therefore, the goal of this review article is to cover existing meta‐analyses, randomized control trials, and related articles in order to collect data for improved and more current informed consent.

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“…On the contrary, there are studies mentioning that CBCT is not superior to OPG in terms of reducing the IAN injury during IL3M surgery. [ 18 19 20 ]…”

Section: Introductionmentioning

confidence: 99%

Reliability of orthopantamogram in lower third molar surgery: Inter- and intra-observer agreement

et al. 2020

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A BSTRACT Context: The evaluation of relationship between the roots of impacted lower third molar (IL3M) and inferior alveolar nerve injury (IAN) with orthopantamogram (OPG) is mandatory before performing de-impaction surgery. An investigation is considered reliable if it can be reproduced by various examiners. Assessment of OPG is subjective and varies among examiners. OPG is reliable to clinicians if the interpretation is not a product of guess work. Aim: The aim of this study was to evaluate the magnitude of agreement among oral surgeons and oral radiologist in observing intimate relationship between IL3M and mandibular canal. Materials and Methods: OPGs were evaluated by two oral surgeons and one oral radiologist for nerve root relationship. All the three were from different institutions with 10–15 years of experience. The three observers were blinded from each other’s findings. A total of 127 OPGs were evaluated for inter-observer agreement. Fifty OPGs were evaluated after 60 days for intra-observer agreement. The agreement was evaluated based on Cohen’s κ statistics. Results: Our results denote that the interpretation of OPG among specialists is not in good agreement. We suggest development of methods to standardize evaluation of OPG and the exposure technique to improve inter-observer agreement among the dental specialists.

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Are different imaging methods affecting the treatment decision of extractions of mandibular third molars?

Cited by 17 publications

References 15 publications

The Importance of Methods Imaging in the Diagnosis of Displacement to Mandibular Molar Root Fragment: Case Report

The Importance of Methods Imaging in the Diagnosis of Displacement to Mandibular Molar Root Fragment: Case Report

Comprehensive review of lower third molar management: A guide for improved informed consent

Reliability of orthopantamogram in lower third molar surgery: Inter- and intra-observer agreement

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