Removal Of Ectopic Third Molar Research Articles

Endoscope-assisted intraoral approach for removal of ectopic third molar to the lower border mandible using long-tip ultrasonic device

Endoscope-assisted intraoral approach for removal of ectopic third molar to the lower border mandible using long-tip ultrasonic device

Atypical surgical approaches for removal of ectopic third molars: report of three cases

Introduction : Surgical techniques for wisdom tooth extraction are very well described and codified in the literature. As far as standard approaches are concerned, oral surgeons enjoy a wide array of therapeutics and methods to remove impacted third molars. However, conventional intra-oral first path is not suitable when it comes to atypical inclusion and/or limited access. Observation : This paper illustrates extreme situations where the intra-oral armamentarium shows its weaknesses: first, two cases where modified submandibular access was successfully used to remove deeply impacted lower third molars; and 1 case where Lefort I osteotomy was achieved to remove a maxillary third molar projected into the pterygo-maxillary fossa. Discussion : The extra-oral surgical approach for dental extraction is very rare and in most cases the classical intra-oral approach dominates. However, when intra-oral surgery of the pterygo-maxillary fossa is impossible by the conventional endobuccal method, appropriate extra-oral approaches might be useful. Conclusion: Rarely, atypical surgical approaches may be used for removal of ectopic third molars.

Ectopic third molar in the mandibular sigmoid notch: Report of a case and literature review.

Purpose: To evaluate the etiopathogenesis, clinical features and surgical approaches for removal of ectopic third molars in the mandible. Methods: We report a case of an impacted mandibular third molar dislocated on mandibular sigmoid notch. 20 cases of ectopic mandibular third molars reported in the English-language literature, identified from Pubmed and Medline databases are also reviewed. Results: Among the 20 article reported in the presented study, ectopic third molars were generally located in the condylar region. The common symptoms of the clinical examination were pain, trismus, swelling, temporomandibular joint syndroms or no symptoms. Conclusions: Ectopic third molar may be asymptomatic initially with clinical manifestations, later on as adjacent structures are affected. The surgical approach must be carefully planned for the aim of choosing the more conservative technique that produces the minimum trauma to patients. Key words:Ectopic third molar, sigmoid notch, cyst.

Ectopic third molar in the mandibular condyle: A review of the literature

Objectives: To evaluate the etiopathogenesis, clinical features, therapeutic options, and surgical approaches for removal of ectopic third molars in the mandibular condyle. Study design: MEDLINE search of articles published on ectopic third molars in the mandibular condyle from 1980 to 2011. 14 well-documented clinical cases from the literature were evaluated together with a new clinical case provided by the authors, representing a sample of 15 patients. Results: We found a mean age at diagnosis of 48.6 years and a higher prevalence in women. In 14 patients, associated radiolucent lesions were diagnosed on radiographic studies and confirmed histopathologically as odontogenic cysts. Clinical symptoms were pain and swelling in the jaw or preauricular region, trismus, difficulty chewing, cutaneous fistula and temporomandibular joint dysfunction. Treatment included conservative management in one case and in the other cases, surgical removal by intra- or extraoral approaches, the latter being the most common approach carried out. In most reported cases, serious complications were not outlined. Conclusions: The etiopathogenic theory involving odontogenic cysts in the displacement of third molars to the mandibular condyle seems to be the most relevant. They must be removed if they cause symptoms or are associated with cystic pathology. The surgical route must be planned according to the location and position of the ectopic third molar, and the possible morbidity associated with surgery. Key words:Third molar, ectopic tooth, condyle, mandible.

Intra-oral removal of ectopic third molar in the mandibular condyle

The surgical removal of impacted third molars is the most common procedure performed by maxillofacial surgeons. Only a few cases of ectopic third molars in the condyle have been reported. Most have been treated using an extra-oral or endoscopic approach. The management of this condition using an intra-oral approach (removal of this tooth and maintaining the anatomy of the condyle) is described in two case reports.

The effect of sulfonamides on pain and swelling following removal of ectopic third molars

A double-blind, placebo-controlled trial was carried out to study the value of cones containing sulfanilamide and sulfathiazole in the healing of third molar sockets. On the seventh postoperative day, 94 patients were examined regarding pain, swelling and the overall effect of the operation. Trials were run to compare sulfa cones directly with a placebo: in addition, the placebo and sulfa drugs were each compared with the effects of no medication. Pairs were made of the left and right mandibular third molars in the same patient and the results assessed by sequential analysis. It was found that although sulfa cones were better than the placebo, they themselves were no better or worse than leaving the socket alone.