The Predictability of Difficultness of Lower Third Molar Odontectomy

Abstract

The aim of this study was to establish an accurate algorithm for third molar odontectomy in order to help the surgeon to predict the duration and the difficultness of this surgical procedure. As material and methods, we used an algorithm that contains medical and radiographic data regarding lower wisdom tooth which was systematized in a preoperative questionnaire. In this study were included 27 patients with asymptomatic lower third molars during the period of 2015-2017. The prediction of the questionnaire was correlated with the difficulty and duration of the odontectomy. Results of our study showed that this algorithm can successfully predict the degree of difficulty of the lower wisdom tooth odontectomy and can guide the surgeon in the therapeutic decision. Moreover, this method is simple, easy and fast.

Characteristics of First Day Complications After Odontectomy of Impacted Mandibular Third Molar in General Anesthesia

“…Information regarding patient sex, patient age, number of teeth extracted, type of tooth extracted, classification of patient impactions, and cormobidity is a patient profile that can be used as a consideration for the choice of anesthesia type in odontectomy patients. 11,12,13 Another complication is inferior alveolar nerve injury, resulting in inferior labial paraesthesia to the chin on the same side. Paresthesia can be temporary or permanent, depending on the amount of force on the nerve.…”

“…Injury can occur all at once, affecting the inferior alveolar artery and vein which runs parallel to the nerve, which can cause profuse bleeding. 11,12,13 Physiologically, in young patients, 24-48 hours after surgery, cheek oedema can occur and the appearance of discomfort sensation, that which is part of the healing process. Trismus or masseter muscular spasm can be prevented by motivating the patient to repeatedly open his mouth exercises from the first day after surgery.…”

“…Within 4-8 weeks after surgery, 96% of inferior alveolar nerve injuries recovered, and recovery rates were not affected by gender and slightly by age. 11,12,13…”