The use of cone beam CT for the removal of wisdom teeth changes the surgical approach compared with panoramic radiography: a pilot study

Ghaeminia, Hossein; Meijer, G.J.; Soehardi, A.; Borstlap, W.A.; Mulder, J.; Vlijmen, Olivier J.C. van; Bergé, Stefaan; Maal, T.J.J.

doi:10.1016/j.ijom.2011.02.032

Cited by 116 publications

(109 citation statements)

References 26 publications

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“…Cone Beam Computed Tomography (CBCT) have been advocated as method of choice than there is need to have a three dimensional view of the mandibular third molar and adjacent anatomical structures [32,33]. Ghaeminia et al [32] in prospective study evaluated the role of CBCT in the treatment of patients with impacted mandibular third molars (n = 53) at increased risk of inferior alveolar nerve injury.…”

Section: Resultsmentioning

confidence: 99%

“…Ghaeminia et al [32] in prospective study evaluated the role of CBCT in the treatment of patients with impacted mandibular third molars (n = 53) at increased risk of inferior alveolar nerve injury. After reviewing the CBCT images, significantly more subjects were reclassified to a lower risk for IAN injury compared with the panoramic radiograph assessments.…”

Section: Resultsmentioning

confidence: 99%

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Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification

Juodžbalys

Daugėla

2013

JOMR

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ObjectivesThe purpose of present article was to review impacted mandibular third molar aetiology, clinical anatomy, radiologic examination, surgical treatment and possible complications, as well as to create new mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results.Material and MethodsLiterature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were mandibular third molar, impacted mandibular third molar, inferior alveolar nerve injury third molar, lingual nerve injury third molar. The search was restricted to English language articles, published from 1976 to April 2013. Additionally, a manual search in the major anatomy and oral surgery journals and books was performed. The publications there selected by including clinical and human anatomy studies.ResultsIn total 75 literature sources were obtained and reviewed. Impacted mandibular third molar aetiology, clinical anatomy, radiographic examination, surgical extraction of and possible complications, classifications and risk factors were discussed. New mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results was proposed.ConclusionsThe classification proposed here based on anatomical and radiological impacted mandibular third molar features is promising to be a helpful tool for impacted tooth assessment as well as for planning for surgical operation. Further clinical studies should be conducted for new classification validation and reliability evaluation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification

Juodžbalys

Daugėla

2013

JOMR

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“…It is recommended in this study to use CBCT as secondary diagnostic modality when panoramic radiograph Gomes et al 2008 Panoramic radiograph does not has a high diagnostic accuracy when it is used in the assessment of risk in surgical extractions of lower third molars Tantanapornkul et al 2007Ghaeminia et al 2011 The diagnostic accuracy of CBCT was superior to panoramic radiography in predicting neurovascular bundle exposure following assessment of the relationship of the third molar root tip to the IAC Hasegawa et al 2013 Panoramic findings mostly inconsistent (62.5%) to CBCT findings. Thus, in planning surgical removal of mandibular third molar, panoramic radiography alone does not provide sufficiently reliable images to assess the risk associated with nerve exposure Peker et al 2014 Less accuracy in panoramic radiograph may indicate further preoperative assessment of impacted mandibular third molar with CBCT especially when darkening of the roots and interruption of the white line are observed on panoramic images shows superimposition of the third molar root on the roof of IAC and the presence of root below the roof of the canal.…”

Section: Resultsmentioning

confidence: 98%

Reliability of Panoramic-Radiograph to Determine the Position of Third-Molar from Inferior-Alveolar-Canal

Fauzi

Parker

Norval

et al. 2017

JSM

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Cone-beam-computed-tomography (CBCT) has been useful in providing insights of relevant anatomy prior to surgical procedures, including the assessment of the proximity of impacted mandibular-third-molar to the inferior-alveolar-canal (IAC). It is important to understand the reliability of conventional panoramic-radiograph in the assessment Keywords: Panoramic radiography; third molar ABSTRAK Sinaran-kon-tomografi-berkomputer (CBCT) amat berguna dalam memberikan kefahaman berkenaan anatomi berkaitan sebelum prosedur pembedahan, termasuklah penilaian terhadap kedudukan mandibular-molar-ketiga-terimpak ke kanal inferior alveolus (IAC). Adalah penting untuk memahami kebolehpercayaan radiograf-panorama konvensional dalam penilaian kriteria ini memandangkan ia sering digunakan sebagai pendekatan radiografi baris hadapan kerana lebih mudah diperoleh dan mempunyai dos radiasi yang rendah. Kajian ini bertujuan untuk mengenal pasti kebolehpercayaan radiograf-panorama konvensional dalam penilaian kedudukan mandibular-molar-ketiga-terimpak

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“…Several clinical studies have shown the specific radiographic signs detected in panoramic radiographs which shows close relationship between the inferior alveolar canal and mandibular third molars. 4 Radiographic signs include-root darkening, roots deflection, root narrowing, dark and bifid root, interruption of the white line, diversion and narrowing of the of inferior alveolar canal. 5 However, opinion regarding the frequencies of the above mentioned signs for predicting the inferior alveolar nerve position or clinical complications such as paraesthesia after removal of mandibular third molar.…”

Section: Introductionmentioning

confidence: 99%

Pre-operative assessment of impacted mandibular third molar and inferior alveolar canal using orthopantomograhpy and cone beam computed tomography

Akter

Rahman

Uddin

et al. 2016

Bangabandhu Sheikh Mujib Medical University Journal

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<p class="Abstract">The aim of this study was to assess the proximity and relation of impacted mandibular third molar and inferior alveolar canal on orthopantomogram and cone beam computed tomography (CBCT). Sixty impacted mandibular third molars having close proximity with the inferior alveolar canal were included. CBCT images were done to determine the exact location and relationship of impacted third molar tooth and inferior alveolar canal. We assessed the radiographic signs from orthopantomogram, the course of inferior alveolar canal and proximity to the third molar tooth in CBCT. The buccal course of inferior alveolar canal was most frequently detected (n=36) in CBCT findings. The impacted lower third molar roots were 55% contact with the inferior alveolar canal and 45% separate from the canal. On orthopantomogram, the following signs were strongly correlated with actual contact: Superimposed relationship between the third molar and the inferior alveolar canal. CBCT is useful as a presurgical planning in patients with impacted mandibular third molar showing close proximity to the inferior alveolar canal.</p>

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The use of cone beam CT for the removal of wisdom teeth changes the surgical approach compared with panoramic radiography: a pilot study

Cited by 116 publications

References 26 publications

Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification

Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification

Reliability of Panoramic-Radiograph to Determine the Position of Third-Molar from Inferior-Alveolar-Canal

Pre-operative assessment of impacted mandibular third molar and inferior alveolar canal using orthopantomograhpy and cone beam computed tomography

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