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

Iwanaga, Joe; Kunisada, Yuki; Masui, Masanori; Obata, Kyoichi; Takeshita, Yohei; Sato, Kotaro; Kikuta, Shogo; Abe, Yushi; Kusukawa, Jingo; Tubbs, R. Shane; Ibaragi, Soichiro

doi:10.1002/ca.23693

Cited by 16 publications

(11 citation statements)

References 161 publications

(224 reference statements)

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“…We thank Iwanaga et al for their interpretation and comments regarding the presented evidence [10]. They state that the existence of the tubarial salivary glands is not proven for three reasons.…”

Section: No Convincing Evidence For the Presence Of Tubarial Salivary Glandsmentioning

confidence: 91%

The tubarial glands paper: A starting point. A reply to comments

Valstar

Bakker

Steenbakkers

et al. 2021

Radiotherapy and Oncology

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The tubarial glands paper: A starting point. A reply to comments Dear Editor,We thank the authors of the letters for their constructive comments and thereby their contribution to the interpretation of the glandular structure as described in the tubarial gland paper and the clinical consequences of its presence [1]. Their comments will be discussed by topic in this summarized reply. Our reply to the comments in a point-by-point response to each letter is provided in the Supplemental material.

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Section: No Convincing Evidence For the Presence Of Tubarial Salivary Glandsmentioning

confidence: 91%

The tubarial glands paper: A starting point. A reply to comments

Valstar

Bakker

Steenbakkers

et al. 2021

Radiotherapy and Oncology

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“…The inclination of the impacted MTM to the long axis of the second molar tooth was classified by Winter in 1926, that is, mesioangular, horizontal, distoangular, vertical, obliquity, buccal/lingual transverse, inverse (Winter, 1926). Mesial and horizontal angulations of the MTM are more common than distal and vertical angulations (Iwanaga, Kunisada, et al, 2021;Toedtling et al, 2019). In general, mesially-angulated MTMs are removed by sectioning the tooth close to the cervical area of the tooth or more mesial/superior part of the tooth (meaning zone 1 or 2).…”

Section: Tooth Sectioning/bone Removal and Arterial Injurymentioning

confidence: 99%

The potential for facial artery injury during mandibular third molar extraction. An anatomical study using contrast‐enhanced computed tomography

et al. 2021

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The purpose of this study was to evaluate the risk of injury to the facial (FA) and related arteries during mandibular third molar (MTM) extraction using contrastenhanced computed tomography (CE-CT). CE-CT images of the MTM region were retrospectively reviewed. The area of the MTM was equally divided into three zones in the coronal images from mesial to distal, that is, zone 1, zone 2, and zone 3. The FA, submental artery (SMA), and sublingual artery (SLA) were identified. The distance from the mandible to FA, SMA, and SLA and the diameter of the FA, SMA, and SLA was measured in three zones, respectively. The thickness of the facial soft tissues and width of the mandible were measured at their maximum. The mean distance from the FA to the buccal cortical bone in zone 1, zone 2 and zone 3 was 2.24 mm, 2.39 mm and 1.67 mm, respectively. The SMA and SLA were found to be distal to the mandible. The mean diameter of the FA was 1.26 mm in males and 1.04 mm in females, respectively (p < 0.0001). The distance between the FA and buccal cortical bone of the mandible, and the patients' weight showed moderate correlation in zones 1 and 2. Based on our findings, the FA can be damaged if the surgical invasion reaches the facial soft tissues during MTM surgery. The patients' weight might be a good predictor for FA injury when CE-CT is not available.

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“…Surgical extraction is to gain adequate access to the underlying alveolar bone and tooth using the least amount of force possible through a properly designed and reflected soft tissue flap. Alveolar bone should be removed with using an atraumatic, aseptic, non-heat-producing technique (1) .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Piezoelectric Surgery on Postoperative Complications after Surgical Extraction of Impacted Mandibular Third Molar

Eldemardash

Sharawy

hamed

2022

Dental Science Updates

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Introduction: Piezoelectric surgery is an osteotomy technique that can help to minimize tissue trauma and its complications. It is a safe technique since it only works on the mineralized tissues, leaving the surrounding tissues' perfusion and innervation unaffected. It reduces tissue thermal damage and prevents osteonecrosis. Aim: The aim of study was to evaluate the effect of using Piezosurgery on pain, swelling, and trismus after surgical extraction of impacted mandibular third molar. Patients and methods: This study was conducted on healthy patients classified as ASA class I patients. Fifteen patients with bilateral, symmetrical, mandibular impacted third molars that needed surgical extraction were selected and divided randomly into two equal groups 15 teeth for each group. The same patient is considered as control and study group. Group A: Underwent surgical extraction of impacted mandibular third molar with a conventional rotary device. Group B: Underwent surgical extraction of impacted mandibular third molar with piezoelectric device. Pain, edema, and trismus were evaluated after 2 and 7 days postoperatively, and the total number of analgesic tablets taken by the patient till day 7 was counted. Results: The results showed there was significantly less pain, edema, and trismus with piezosurgery compared to rotary instruments after 2 days and 7 days postoperatively. The total number of analgesics taken by the patients was significantly less with piezosurgery compared to conventional group. Conclusion:The use of piezoelectric surgery for bone removal during the extraction of impacted mandibular third molar reduces postoperative pain, edema, and trismus.

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

Cited by 16 publications

References 161 publications

The tubarial glands paper: A starting point. A reply to comments

The tubarial glands paper: A starting point. A reply to comments

The potential for facial artery injury during mandibular third molar extraction. An anatomical study using contrast‐enhanced computed tomography

Efficacy of Piezoelectric Surgery on Postoperative Complications after Surgical Extraction of Impacted Mandibular Third Molar

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