Removal of mandibular third molars with endoscopic approach: Technical note of a new surgical procedure to avoid IAN damage and bone defect formation

Revista clínica de periodoncia, implantología y rehabilitación oral

Beltrán, V¹  Goettingen University, Goettingen, Alemania¹  Fuentes, R¹  Universidad de La Frontera, Temuco, Chile¹  Engelke, W¹  Cantín, M¹ 

关键词: Endoscope;    mandibular third molars;    impacted teeth;    osteotomy;    AIN injury.;   

DOI  :  10.4067/S0719-01072012000200006

来源: Sociedad de Periodoncia de Chile

【 摘 要 】

Anatomic variability of the position of mandibular third molars represents significant challenges associated with its depth and angulation. The most common complications of conventional surgical procedure are related to extensive osteotomy and poor visualization, which can cause postsurgical effects such as inflammation, pain, trismus, reversible and irreversible lesions of the inferior alveolar nerve (IAN) or lingual nerve, fracture risk and formation of a deep periodontal defect on the distal aspect of the second molar. The implementation of rigid endoscopy in optics has allowed to use this technology via a minimally invasive approach to remove third molars by a minimally occlusal flapless ostectomy, preserving the buccal and lingual walls through direct and magnified visualization of the surgical site, adaptable to the patient’s movements during the surgery. In this report, we present a new and minimally invasive procedure through endoscopic assistance for bone conservation in the removal of third molars at risk of inferior alveolar nerve injury

【 授权许可】

Unknown