Orthodontic extrusion with followed surgical extraction of high-risk lower third molar

Albena Gencheva, Tihomir Georgiev, Hristina Arnautska, Gergana Ivanova, Kamen Nogalchev
2016 Scripta Scientifica Medicinae Dentalis  
AIM: The aim of this article is to present a clinical case of alternative method of surgical treatment of lower third molar with signs that indicate high risk of postoperative complications. MATERIALS AND METHODS: We present an orthodontic extrusion followed by surgical extraction of lower third molar. For precise diagnostics and suitable method of treatment we used standard panoramic radiograph and CBCT. As a method of surgical treatment we chose assisted orthodontic extraction with
more » ... ion with individually manufactured ring with soldered bar, fixed to tooth 47. RESULTS: In our clinical case we achieved traction of the impacted lower third molar to safe distance from the mandibular canal. On the second stage of the treatment we performed a classic odontectomy without affect or damaging the IAN. CONCLUSION: The classic odontectomy is a surgical method with a high risk of damaging the IAN when the impacted tooth is very close to the mandibular canal. The orthodontic extraction like an alternative surgical method of high-risk lower third molars is preventive method, by which there is minimal risk of damaging the nerve during the surgery. The orthodontic extrusion makes the following surgical extraction a safe and secure method for the patient.
doi:10.14748/ssmd.v2i2.1814 fatcat:2m37wearyrb5fjx7cm2qsoqmmm