scholarly journals Post-surgical evaluation of dry socket formation after surgical removal of impacted mandibular third molar—A prospective study

2012 ◽  
Vol 02 (04) ◽  
pp. 292-298 ◽  
Author(s):  
Vijay Kumar ◽  
Manoj Chaudhary ◽  
Sanjay Singh ◽  
Gokkulakrishnan &nbsp
Keyword(s):  
Prospective Study ◽  
Third Molar ◽  
Surgical Removal ◽  
Dry Socket ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Surgical Evaluation ◽  
A Prospective Study

scholarly journals Assessment of Incidence and Risk Factors of Dry Socket Formation after Surgical Removal of Impacted Mandibular Third Molar

2019 ◽  
Vol 04 (12) ◽  
pp. 814-818
Author(s):  
Dr. Revati Singh ◽  
Dr. Rohit Singh ◽  
Dr. Supriya Singh ◽  
Dr. Amit Kumar ◽  
Dr. Shahi Kunar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Third Molar ◽  
Surgical Removal ◽  
Dry Socket ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar

scholarly journals Assessment of Nerve Injuries after Surgical Removal of Mandibular Third Molar: A Prospective Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Vikas Sukhadeo Meshram ◽  
Priyatama Vikas Meshram ◽  
Pravin Lambade
Keyword(s):  
Prospective Study ◽  
Patient Care ◽  
Preventive Measures ◽  
Third Molar ◽  
Surgical Removal ◽  
Nerve Injuries ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Set Up ◽  
A Prospective Study

Although third molar extraction is a routinely carried out procedure in a dental set-up, yet it is feared both by the patient and the dentist due to an invariable set of complications associated with it, especially in the form of nerve injuries. Hence, prior to performing such procedures, it would be wise if the clinician thoroughly evaluates the case for any anticipated complications so that adequate preventive measures can be taken to minimize the traumatic outcomes of the procedure and provide maximum patient care, which would further save the clinician from any sort of litigation.

ASSESSMENT OF NEUROSENSORY DISTURBANCES AND RECOVERY FOLLOWING SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLAR – A PROSPECTIVE STUDY

2021 ◽  
pp. 66-68
Author(s):  
Kaustubh Bendale ◽  
Shiva Bharani ◽  
Subha Lakshmi ◽  
Anuradha M
Keyword(s):  
Prospective Study ◽  
Third Molar ◽  
Neurovascular Bundle ◽  
Sensory Function ◽  
Surgical Removal ◽  
Neurosensory Disturbances ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Duration Of Surgery ◽  
Inferior Alveolar Canal

Aim: This prospective study aim to determine the incidence and pattern of recovery of IAN and LN decits after surgery while comparing which nerve, site, side, age group and type of impaction was most likely to suffer from neurosensory disturbances and to evaluate the risk factors such as duration of surgery, proximity to inferior alveolar canal, excessive hemorrhage, clinical observation of neurovascular bundle, contributing to these postoperative neurosensory decits. Materials&Methods: This study was conducted on 30 patients who underwent surgical removal of impacted mandibular third molar between 2017-2019 in the Department of Oral and Maxillofacial Surgery, College of Dental Sciences, Davangere. Clinically, all the patients underwent objective evaluation by using pin prick test, two-point discrimination and blunt test. Sensory function was evaluated 1 week, 1, 3 and 6 months post-operatively. The areas that were evaluated are those supplied by IAN and LN. Result: The incidence of NSD in our study was 10%, the IAN 6.7% and LN decit 3.3%. No permanent NSD was observed in this study. Statistically signicant association was found between excessive hemorrhage from the socket and NSD (p=0.009). No signicant association was found between gender, age, side, type, difculty score and duration, observation of neurovascular bundle during surgery and proximity of roots to the inferior alveolar canal with NSD.

scholarly journals Assessment of postoperative discomfort and nerve injuries after surgical removal of mandibular third molar: A prospective study

2021 ◽  
Vol 10 (4) ◽  
pp. 1712
Author(s):  
SuryakantC Deogade ◽  
SurendraN Daware ◽  
Ramdas Balakrishna ◽  
YogeshS Ingole ◽  
SushantM Patil ◽  
...  
Keyword(s):  
Prospective Study ◽  
Third Molar ◽  
Surgical Removal ◽  
Nerve Injuries ◽  
Mandibular Third Molar ◽  
A Prospective Study ◽  
Postoperative Discomfort

scholarly journals A Unique Way of Removing Mandibular Third Molars - Implosion Technique

2021 ◽  
Vol 10 (10) ◽  
pp. 752-754
Author(s):  
Mohmed Isaqali Karobari ◽  
Jawaad Ahmed Asif ◽  
Tahir Yusuf Noorani
Keyword(s):  
Nerve Injury ◽  
Third Molar ◽  
Modern World ◽  
Bone Removal ◽  
Dry Socket ◽  
Impacted Mandibular Third Molar ◽  
Rotary Instruments ◽  
Mandibular Third Molar ◽  
Split Technique ◽  
Tooth Section

The average time consumed for disimpaction of mandibular third molar using rotatory instruments was approximately 17 mins and 23 mins while using a piezotome. The authors introduce a new technique of disimpaction of mandibular third molar with the least amount of bone removal ever achieved during mandibular third molar removal. This technique can be readily included in routine clinical practice and can be performed by using routine rotary instruments. This technique was successfully accomplished in 10 individuals with the least amount of discomfort and post-operative complications reported from day 1 to day 14. The procedure was evaluated based on time of the procedure, pain score, bleeding, nerve injury, trismus, swelling & dry socket. Third molar removal has been the most frequently performed oral surgical procedure in the modern world of dentistry.1 Although, mandibular third molar is the most commonly performed procedure, it demands skill, technique and experience. Several techniques have been implied for disimpaction of mandibular third molar, but every method involves either considerable amount of bone removal or splitting the bone. Bone manipulation is done by using a rotary instruments or chisel and mallet. The most popular techniques are buccal bone guttering, distal bone removal, lingual bone split technique and lingual bone guttering.2 According to the traditional classifications of impacted mandibular third molar (Pell & Gregory and Winter’s classification), the minimum amount of bucco-distal bone removed during disimpaction of mesioangularly positioned class I A impacted mandibular third molar using rotary instruments and conventional techniques can be calculated as 157.5 mm2 (volume of a rectangle = L X W X H; where L = 15 mm, W = 1.5 mm [width of the bur] and H = 7 mm). The mandibular third molar requiring osteotomy and tooth section have the highest risk of complications3. Surgical time had significantly increased in cases which required osteotomy and tooth section. Post-operative swelling and pain has been recorded as significant complications after using rotary instruments via buccal approach followed by use of chisel & mallet and least in lingual split approach. On the contrary, post-operative nerve injury and trismus were significantly high in lingual split technique. Dry socket was more in patients of bur technique.2

Comparison of Wound Healing Using Envelope and Triangular Flap for Impacted Mandibular Third Molar Surgery

2021 ◽  
Vol 15 (10) ◽  
pp. 2811-2813
Author(s):  
Atiq ur Rahman ◽  
Muhammad Junaid Hashmi ◽  
Muhammad Shairaz Sadiq ◽  
Fareed Ahmad ◽  
Muhammad Anwaar Alam ◽  
...  
Keyword(s):  
Wound Healing ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Surgical Removal ◽  
Post Surgery ◽  
Triangular Flap ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Significant Difference

Objective: To compare the wound healing with triangular flap versus envelope flap techniques among patients undergoing surgical removal of the impacted mandibular third molar (IMTM). Study Design: An open label randomized controlled trial. Place and Duration of the Study: The Department of Oral & Maxillofacial Surgery, Bakhtawar Amin Medical and Dental College, Multan from January 2021 to June 2021. Material and Methods: A total of 70 patients (35 in each group) of both genders aged 20 to 50 years requiring surgical removal of IMTM were included. Patients were asked to follow up on third and seventh day while observations regarding wound healing and pain were noted on 7th day among all cases completing the final follow up. Chi square was applied to compare data between both study groups taking p-value below 0.05 as significant. Results: In a total of 70 patients, there were 42 (60.0%) female and 28 (40.0%) female. Majority of the patients, 36 (51.4%) were above 30 years of age while mean age was noted to be 32.4+9.1 years. Sixty two patients completed the follow up so they were included in the final analysis for the assessment of wound healing and pain. Overall, wound healing was observed to be in 55/62 (88.7%) patients while wound healing was found to be 30/32 (93.8%) patients in envelope flap group in comparison to 25/30 (83.3%) in triangular flap group (p=0.1953). Overall, there was no statistically significant difference in between both study group with regards to evaluation of pain (p=0.3271) Conclusion: Both envelop flap and triangular flap techniques resulted in similar outcomes regarding wound healing among patients undergoing surgical removal of IMTM. Both flap techniques resulted in relatively similar degrees of post-surgery pain. Keywords: Third molar, pain, wound healing.

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