ArticleWorld journal of clinical cases2024
Two-stage extraction by partial grinding of impacted mandibular third molar in close proximity to the inferior alveolar nerve.
Article in World journal of clinical cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundExtraction of impacted third molars often leads to severe complications caused by damage to the inferior alveolar nerve (IAN).
aimTo proposes a method for the partial grinding of an impacted mandibular third molar (IMM3) near the IAN to prevent IAN injury during IMM3 extraction.
methodsBetween January 1996 and March 2022, 25 patients with IMM3 roots near the IAN were enrolled. The first stage of the operation consisted of grinding a major part of the IMM3 crown with a high-speed turbine dental drill to achieve sufficient space between the mandibular second molar and IMM3. After 6 months, when the root tips were observed to be away from the IAN on X-ray examination, the remaining part of the IMM3 was completely removed.
resultsAll IMM3s were extracted easily without symptoms of IAN injury after extraction.
conclusionPartial IMM3 grinding may be a good alternative treatment option to avoid IAN injury in high-risk cases.
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