Background: The avulsion of the impacted lower third molar is one of the most common procedures in oral surgery. Even though it is characterized by possible complications due to the lesion of lingual and inferior alveolar nerves, the intra-oral surgical approach represents the first choice strategy when planning surgery. However, in case of ectopic tooth in the mandibular basal bone, it is appropriate to consider an extra-oral transcutaneous surgical approach. The ectopia of the inferior wisdom tooth represents a very rare clinical condition and sometimes it is even unknown by patients and dentists: further evidence of this fact is represented by the paucity of paper related to the topic that can be found in the international scientific literature. Methods: The experience of the Department of Maxillofacial Surgery of San Gerardo Hospital in Monza (Italy) in management and treatment of ectopic impacted lower third molar is exposed through the presentation of three cases of ectopic third molar. Results: Two out of three patients, aware of the risks related to the surgical procedure, refused the treatment proposed. One patient underwent surgical avulsion of the wisdom tooth through extra-oral transcervical approach. No early or late complications have been observed. Conclusions: Extra-oral surgical approach for ectopic lower third molar should be considered for selected cases. Given the rarity of the clinical condition and the procedure-related risks, accurate pre-operative information has to be provided to the patient by physician and the procedure should only be performed by expert and competent surgeons.

Novelli, G., Filippi, A., Bozzetti, A., Sozzi, D. (2021). Extra-oral approach to lower third molar: a rare surgical indication. MINERVA DENTAL AND ORAL SCIENCE, 1-21 [10.23736/S2724-6329.21.04487-3].

Extra-oral approach to lower third molar: a rare surgical indication

Novelli, Giorgio
Primo
;
Bozzetti, Alberto;Sozzi, Davide
Ultimo
2021

Abstract

Background: The avulsion of the impacted lower third molar is one of the most common procedures in oral surgery. Even though it is characterized by possible complications due to the lesion of lingual and inferior alveolar nerves, the intra-oral surgical approach represents the first choice strategy when planning surgery. However, in case of ectopic tooth in the mandibular basal bone, it is appropriate to consider an extra-oral transcutaneous surgical approach. The ectopia of the inferior wisdom tooth represents a very rare clinical condition and sometimes it is even unknown by patients and dentists: further evidence of this fact is represented by the paucity of paper related to the topic that can be found in the international scientific literature. Methods: The experience of the Department of Maxillofacial Surgery of San Gerardo Hospital in Monza (Italy) in management and treatment of ectopic impacted lower third molar is exposed through the presentation of three cases of ectopic third molar. Results: Two out of three patients, aware of the risks related to the surgical procedure, refused the treatment proposed. One patient underwent surgical avulsion of the wisdom tooth through extra-oral transcervical approach. No early or late complications have been observed. Conclusions: Extra-oral surgical approach for ectopic lower third molar should be considered for selected cases. Given the rarity of the clinical condition and the procedure-related risks, accurate pre-operative information has to be provided to the patient by physician and the procedure should only be performed by expert and competent surgeons.
No
Articolo in rivista - Articolo scientifico
Scientifica
Ectopic third molar; Impacted third molar; Extra-oral surgical approach
English
1
21
21
Novelli, G., Filippi, A., Bozzetti, A., Sozzi, D. (2021). Extra-oral approach to lower third molar: a rare surgical indication. MINERVA DENTAL AND ORAL SCIENCE, 1-21 [10.23736/S2724-6329.21.04487-3].
Novelli, G; Filippi, A; Bozzetti, A; Sozzi, D
File in questo prodotto:
File Dimensione Formato  
Novelli-2021- Minerva Dent Oral Sci- VoR.pdf

Solo gestori archivio

Descrizione: Article
Tipologia di allegato: Author’s Accepted Manuscript, AAM (Post-print)
Dimensione 8.43 MB
Formato Adobe PDF
8.43 MB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/392528
Citazioni
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
Social impact