Effect of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars

Tay, Andrew Ban Guan; Go, Wee Ser

doi:10.1016/j.joms.2003.08.033

Cited by 129 publications

(96 citation statements)

References 26 publications

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“…In our study, we found IMTM more commonly on left side which is supported by some authors [32,34] and is in disagreement with the study carried out by Deshpande et al [26]. This could be attributed to the variations and sample sizes involved.…”

Section: Discussioncontrasting

confidence: 92%

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Patel¹,

Mansuri²,

Shaikh³

et al. 2016

J. Maxillofac. Oral Surg.

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Aim To study the incidence of mandibular third molar impaction in relation to type and side of impaction, age and sex of patients and indications for its surgical removal through data collected from a single institute over a period of 3 and half years. Methods The records of 1198 patients who underwent the surgical removal of impacted mandibular third molars were reviewed retrospectively. Records were divided into groups according to sex, age, type and side of impaction. Radiographs were studied to determine angular position of impacted mandible third molar. Results We found that there was a high incidence of mesioangular lower third molar impaction (33.97 %), highest number of patients were found in 15-30 years of age group (48.33 %), a left side (56.93 %) was more commonly involved, female predominance (63.44 %) was observed and recurrent pericoronitis (33.81 %) was the most common indication. Conclusion Awareness of the indications for surgical removal of impacted mandibular third molar to the patients will help to avoid future risk of complications and morbidity associated with the same. This will not only help in saving time and money but also prevents the psychological trauma associated with delayed treatment. Removal of only symptomatic IMTM seems to be the logical choice in view of financial constraint in developing countries like India but at the same time early removal offers freedom from future complications in selected cases. So surgeons should apply a meticulous approach in selecting the patients for SRIMTM.

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Section: Discussioncontrasting

confidence: 92%

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Patel¹,

Mansuri²,

Shaikh³

et al. 2016

J. Maxillofac. Oral Surg.

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“…15 The incidence of IAN and lingual nerve injuries reported ranges from 0.43 to 22.0% and fortunately, most of these injuries undergo spontaneous recovery. 15 Risk factors related to injury of the inferior alveolar nerve are the depth of impaction and dental roots proximity to the alveolar canal, 15,16 and of the lingual nerve is the detachment of the prepared flap from the lingual side also, for extraction of impacted mandibular third molar. 17 Root tips fractures are relatively common during impacted mandibular third molar extractions due to the severe root curvatures.…”

Section: Discussionmentioning

confidence: 99%

Wisdom Tooth—Complications in Extraction

Agrawal¹,

Yadav²,

Chandel³

et al. 2014

The Journal of Contemporary Dental Practice

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The purpose of this study is to analyze the incidence of complications in a group of 171 patients in whom extractions of impacted mandibular third molar have been performed by two oral surgeons between the period April 2010 and March 2012. This retrospective study comprises evaluation of 270 impacted mandibular third molars which were classified into two groups A and B on the basis of procedure of osteotomy only and osteotomy and odontotomy both respectively. Total no of complications reported were 40 (14.81%). Maximum no of cases reported alveolar osteitis (AO) (11.11%) while other complications reported root tip fractures (2.22%), lingual nerve parasthesia and TMJ problems (each 0.74%) in descending frequency. Conclusion drawn is that the risk of complications in extractions of impacted mandibular third molars always exists, and extractions associated with both osteotomy and odontotomy are associated with higher risk of complications.

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“…Risk factors as regards damage to the lower alveolar nerve are the depth of impaction and dental roots proximity to the alveolar canal (12,13), and to the lingual nerve is the detachment of the prepared flap for the M3 removal also from the lingual side (14). Root tips fractures are relatively common during M3s removal due to the severe roots curvature and, sometimes accessory root, these teeth frequently present.…”

Section: Discussionmentioning

confidence: 99%

Complications in third molar removal: A retrospective study of 588 patients

Milani¹,

Oliveira²,

Kanegusuku³

et al. 2009

Med Oral

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Objectives: Surgical removal of third molars is a regular surgical procedure, which like all operations, may have complications. The purpose of the study was to analyze the incidence of complications and their relationship with the surgical difficulty in a group of 588 patients treated by the same oral and maxillofacial surgeon. Study design: This retrospective cohort study consisted of 1699 third molars (M3) removed between 2005 and 2008. The teeth were grouped into a 6-class scale of surgical difficulty rated according to the surgical procedure description in the patient's file: I: upper M3 requiring forceps only; II: upper M3 requiring osteotomy; III: upper M3 requiring osteotomy and tooth section; IV: lower M3 requiring forceps only; V: lower M3 requiring osteotomy; VI: lower M3 requiring osteotomy and tooth section. The complications were grouped into each surgical difficulty class and their incidence and management were also described. Results: 59 complications (3.47%), including pain, root tip fracture, paresthesia, alveolar osteitis, temporomandibular joint discomfort, and oroantral fistula were reported. Surgical difficulty class VI presented the higher incidence of complications (n=38). Conclusions: The risk of complications in third molar surgery will always exist and increases in proportion to the surgical difficulty. Mandibular M3 requiring osteotomy and tooth section have the highest risk of complications.

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Effect of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars

Cited by 129 publications

References 26 publications

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Wisdom Tooth—Complications in Extraction

Complications in third molar removal: A retrospective study of 588 patients

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