Removal Of Impacted Mandibular Molars Research Articles

Surgical Management of Impacted Bilateral Mandibular Molars Adjacent to Inferior Alveolar Nerve to Avoid Paresthesia of Lower Lip

The extraction of impacted 3rd molar is most frequently performed surgery now-a-days as it can lead to infections, cysts, tumors, neuralgiform pain, and disturbances of occlusion, masticatory dysfunctions and myoarthropathies. Damage to inferior alveolar nerve leads to impairment of sensation in the lower lip, which is most unpleasant postoperative complication. For surgical removal of impacted mandibular molars, relative position of inferior alveolar nerve with mandibular 3rd molar is of utmost importance. There are number of positions in which inferior alveolar nerve is located in relation to impacted 3rd molar which, either in a direct contact with the 3rd molar or has no contact at all. While performing surgical procedures in the vicinity of 3rd molar, Inferior Alveolar Nerve can be damaged but with high expertise and precision the operator can spare the nerve without any injury. In this case report, we discuss about the surgical management of a case with bilateral impacted 38, 47, near the Inferior alveolar nerve to avoid paraesthesis of lip.

Bupivacaine for surgical removal of impacted mandibular third molar: A comparative evaluation with lignocaine

Background: Removal of impacted molar teeth is the most frequent oral surgical procedure often followed by mild to severe postoperative pain, and it has a significant impact on the patient’s postoperative quality of life. The use of long-acting local anesthetics is a promising strategy to improve postoperative analgesia. The study aimed to compare the efficacy of bupivacaine with that of lignocaine, which has already proven its efficacy. Materials and Methods: The study was conducted on 50 subjects requiring the surgical removal of impacted mandibular molar teeth. A total of 25 subjects received 2% lignocaine with 1:80,000 adrenaline, whereas the remaining 25 received 0.5% bupivacaine with 1:200,000 adrenaline. The time of onset of action and duration of anesthesia were recorded. The intensity of postoperative pain was determined using the visual analog scale. The data obtained were statistically analyzed. Results: The mean time of onset of action was 2.5min and 5min for lignocaine and bupivacaine, respectively. The longer duration of action and lesser pain intensity were observed with bupivacaine, which was statistically significant. Conclusion: Bupivacaine provides better and prolonged anesthesia and analgesia postoperative to surgical removal of the impacted mandibular third molar. Hence, the use of bupivacaine in the surgical removal of the impacted third molar is desirable.

The Buccal Lid Approach for Removal of Impacted Mandibular Molars—When, How and Why?

Background: The surgical removal of impacted mandibular molars represents one of the most prevalent procedures carried out by the oral and maxillofacial surgeon. Despite its prevalence, unusual impaction location of mandibular molars necessitates alternative extraction approaches. One of the methods described for extraction of deeply impacted molars is the bony lid approach which was first presented for surgical endodontic treatment of mandibular molars. The aim of this study was to evaluate the outcome of the bony lid approach in extracting mandibular molars. In addition, critical clinical key points, new aspects while performing this procedure, indications and contraindications are discussed. Materials and Methods: 9 patients were treated with the bony lid technique. A retrospective analysis of medical charts was conducted to evaluate the results of surgery. Results: The operative technique described in the article was successfully carried out in 12 cases of impacted mandibular molars. No incidence of permanent sensory deficit was recorded. In one patient, an infection mandated the removal of the bony lids. In all other cases the healing process was uneventful. Conclusion: The bony lid technique has many advantages over alternative extraction methods and should be considered as a treatment option in cases of critical proximity between an impacted tooth and the inferior alveolar nerve.

Fraktur Patologis Mandibula Akibat Komplikasi Odontektomi Gigi Molar 3 Bawah

The removal of impacted mandibular molar by surgery (odontectomi) is a common procedure done by the dentist in daily practice. A well and proper operation technique is required to avoid unexpected complication after odontectomy. A 48 years oldwomen is reported with pathological sinistra mandible angle fracture after odontectomy of mandibular third molar done by Yordania Oral Surgeon two month ago. Patient was refered to Departemen of Oral Surgery RSCM. Reposition and fragmen fixation using plate-srew and arch bar. In this paper, writer try to discuss about the posible cause of complication. Hopefully, dentists will be more careful in doing odontectomy procedure, to avoid unexpected complications. DOI: 10.14693/jdi.v15i3.25

Pathology Associated With Impacted Mandibular Third Molars in a Group of Jordanians

The aim of this study was to determine the frequency and type of a group of radiographically detectable pathologic conditions around impacted mandibular third molars in Jordanians. A retrospective study of patients referred to the Oral and Maxillofacial Surgery unit for surgical removal of impacted mandibular molars. The analysis outcome measures were the patients' age and gender, and any radiographic lesions associated with the impacted mandibular third molars. The following radiographic lesions were recorded in relation to the impacted third molar: caries, pericoronal radiolucent areas, and periapical radiolucent areas, in addition to odontomes, caries in the adjacent second molars, and external resorption of the roots of adjacent mandibular second molars. Bony radiolucent areas were all verified histopathologically. Impacted mandibular third molars (N = 2,432) from 1,398 patients were examined; 46.4% of third molars showed associated radiographically detected lesions. The most common lesion seen on panoramic radiographs was dental caries. Others included pericoronal radiolucent and periapical radiolucent areas. The majority of periapical radiolucent areas were histologically proven to be chronic periapical inflammation. All pericoronal radiolucent areas were histologically found to be either cysts or tumors. The most common cyst was dentigerous cyst; the most common tumor was ameloblastoma. A high ratio of impacted mandibular third molars in this group of Jordanians had an associated pathologic lesion.

The efficacy of ibuprofen and naproxen on swelling following surgical removal of impacted mandibular third molar

In a double blind study the effect of ibuprofen and naproxen on swelling following surgical removal of impacted mandibular molar (M3) was evaluated on (48) patients. The patients were divided into three groups according to medication given for each group. The postoperative swelling at the area of surgery was measured by two methods namely, computerized photography and conventional facebow. The measurements performed at day (2) and day (7) postoperatively. The results showed that both ibuprofen and naproxen not reduced the expected swelling significantly in day (2) post-operatively comparing to control placebo group, but significant difference was noticed between the effect of ibuprofen and control group in day (7) post-operatively.