Relationship Between Lower Third Molars and Mandibular Alveolar Canal through Cone Beam CT Scans

Abstract

Background: Third molar extractions are considered one of the most common procedures in oral surgery. Well-known complications of these procedures are lesions to the inferior alveolar nerve because of its proximity to the roots of third molars. Hence, it is important to making an adequate assessment of this relationship to avoid complications. Purpose: To determine the relationship between the inferior alveolar canal (IAC) retained lower third molars, and that relationship with angulation, class and type of lower third molars through cone-beam computed tomographies. Methods: A descriptive and transversal study was conducted with 73 tomographies to 113 lower third molars that were analyzed in the axial, occlusal, and sagittal planes (p = 0.05). Results: 54 % of third molars were in contact with the IAC and more frequently in its lower location (45.9 %) (p = 0.000). Proximity relationships were more common on the left side with a vertical angulation (40.6 %), type A (37.5 %), and class II (75 %) (p = 0.015). On the right side, a mesioangular angulation (34.5 %), type A (48.3 %) (p = 0.004), and class II (58.6 %) (p = 0.000) were the most common. Conclusion: A close proximity relationship of the IAC with the lower third molars was found using cone beam computed tomography, and it is recommended to conduct a careful diagnosis before a surgical procedure.