Orthodontic extrusion with followed surgical extraction of high-risk lower third molar

Abstract

AIM:The aim of this article is to present a clinical case of alternative method of surgical treatment of lower third molar with signs that indicate high risk of postoperative complications. MATERIALS AND METHODS:We present an orthodontic extrusion followed by surgical extraction of lower third molar. For precise diagnostics and suitable method of treatment we used standard panoramic radiograph and CBCT. As a method of surgical treatment we chose assisted orthodontic extraction with individually manufactured ring with soldered bar, fixed to tooth 47. RESULTS:In our clinical case we achieved traction of the impacted lower third molar to safe distance from the mandibular canal. On the second stage of the treatment we performed a classic odontectomy without affect or damaging the IAN. CONCLUSION:The classic odontectomy is a surgical method with a high risk of damaging the IAN when the impacted tooth is very close to the mandibular canal. The orthodontic extraction like an alternative surgical method of high-risk lower third molars is preventive method, by which there is minimal risk of damaging the nerve during the surgery. The orthodontic extrusion makes the following surgical extraction a safe and secure method for the patient.