Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 5 , Pages 969-974 , May 2010

A Novel Surgical Approach to Impacted Mandibular Third Molars to Reduce the Risk of Paresthesia: A Case Series

  • Luca Landi, DDS, CAGS

      Affiliations

    • Assistant Professor, Department of Prosthodontics, Catholic University of Sacred Heart, Rome, Italy
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Landi: Via Della Balduina 114, 00136 Roma, Italy
    • ,
  • Paolo Francesco Manicone, DDS

      Affiliations

    • PhD Resident, Department of Orthodontics, Catholic University of Sacred Heart, Rome, Italy
    • ,
  • Stefano Piccinelli, DDS

      Affiliations

    • Assistant Professor, Department of Prosthodontics, Catholic University of Sacred Heart, Rome, Italy
    • ,
  • Alessandro Raia, DDS

      Affiliations

    • PhD Resident, Department of Orthodontics, Catholic University of Sacred Heart, and Private Practice, Studio di Odontoiatria Ricostruttiva, Rome, Italy
    • ,
  • Roberto Raia, DDS

      Affiliations

    • Private Practice, Studio di Odontoiatria Ricostruttiva, Rome, Italy

References 

  1. Libersa P, Savignat M, Tonnel A. Neurosensory disturbances of the inferior alveolar nerve: A retrospective study of complaints in a 10-year period. J Oral Maxillofac Surg. 2007;65:1486
  2. Bataineh AB. Sensory nerve impairment following mandibular third molar surgery. J Oral Maxillofac Surg. 2001;59:1012
  3. Kipp DP, Goldstein BH, Weiss WW. Dysesthesia after mandibular third molar surgery: A retrospective study and analysis of 1,377 surgical procedures. J Am Dent Assoc. 1980;100:185
  4. Goldberg MH, Nemarich AN, Marco WP. Complications after mandibular third molar surgery: A statistical analysis of 500 consecutive procedures in private practice. J Am Dent Assoc. 1985;111:277
  5. Smith AC, Barry SE, Chiong AY, et al. Inferior alveolar nerve damage following removal of mandibular third molar teeth: A prospective study using panoramic radiography. Aust Dent J. 1997;42:149
  6. Bui CH, Seldin EB, Dodson DB. Types, frequencies and risk factors for complications after third molar extraction. J Oral Maxillofac Surg. 2003;61:1379
  7. Renton T, Hankins M, Sproate C, et al. A randomized controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molar. Br J Oral Maxillofac Surg. 2005;43:7
  8. Checchi L, Bonetti GA, Pelliccioni GA. Removing of high-risk impacted mandibular third molar (A surgical orthodontic approach). J Am Dent Assoc. 1996;127:1214
  9. Bonetti GA, Bendandi M, Laino L, et al. Orthodontic extraction: Riskless extraction of impacted lower third molars close to the mandibular canal. J Oral Maxillofac Surg. 2007;65:2580
  10. Hirsch A, Shteiman S, Boyan BD, et al. Use of orthodontic treatment as an aid to third molar extraction: A method for prevention of mandibular nerve injury and improved periodontal status. J Periodontol. 2003;74:887
  11. Pogrel MA, Lee JS, Muff DF. Coronectomy: A technique to protect the inferior alveolar nerve. J Oral Maxillofac Surg. 2004;62:1447
  12. O'Riordan BC. Coronectomy (intentional partial odontectomy of a lower third molar). Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:274
  13. Landi L, Manicone PF, Piccinelli S, et al. Spontaneous migration of horizontally impacted third molars after surgical odontectomy: A case report. J Oral Maxillofac Surg. 2010;68:442
  14. Phillips C, Norman J, Jaskolka M, et al. Changes over time in position and periodontal probing status of retained third molars. J Oral Maxillofac Surg. 2007;65:2011
  15. Nance P, White R, Offenbacher S, et al. Change in third molar angulation and position in young adults and follow-up periodontal pathology. J Oral Maxillofac Surg. 2006;64:424
  16. Bayram M, Ozer M, Arici S. Effects of first molar extraction on third molar angulation and eruption space. Oral Surg Oral Med Oral Pathol Radiol Endod. 2009;107:e14–e20
  17. Chuang S-K, Perrot DH, Susarla SM, et al. Age as a risk factor for third molar surgery complications. J Oral Maxillofac Surg. 2007;65:1658

PII: S0278-2391(09)01852-7

doi: 10.1016/j.joms.2009.09.097

Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 5 , Pages 969-974 , May 2010

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