Wisdom tooth extraction located near the mandibular canal

/ Wisdom tooth extraction located near the mandibular canal

Date published:

Much has been written about wisdom teeth removal. Wisdom teeth are third molars at the back of the mouth. For successful wisdom teeth surgery, it is necessary to estimate the CT (a computer tomogram) and form a plan of tooth extraction.

Often, the operation is complicated by the immediate proximity of the inferior alveolar nerve located in the mandibular canal. According to recent researches, if the wisdom tooth is located away from the nerve, the risk to the inferior dental nerve is about 1%, but if the nerve is in very close contact, the risk may be as high as 9%. So, it is very important to plan all manipulations in such a way as not to damage any of the anatomical structures.

The stages of wisdom tooth extraction:

  1. Made an incision in the retromolar area along the apex of the alveolar ridge with a transition to the intrasulcular incision and vertical one in area tooth 37.
  2. Flap detachment was performed carefully and gently, taking care to minimize trauma.
  3. Made a vertical cut of the tooth crown part and its extraction.
  4. Made a cut in the area of bifurcation and extraction of the upper (distal) root.
  5. Next, it was necessary to work very carefully so as not to displace the remaining pieces and not to injure the mandibular canal.
  6. A 3/4 of the inter-root septum removed, and an alveoli fragment cut out to allow proper access to the medial root.
  7. The medial root was extracted. After the medical treatment of the tooth socket with chlorhexidine, the wound was stitched.

The socket was filled with the bone chips obtained by grinding a bone fragment.

Photo report of the work

Images

Wisdom tooth extraction located near the mandibular canal
Image №1
Wisdom tooth extraction located near the mandibular canal
Image №2
Wisdom tooth extraction located near the mandibular canal
Image №3
Wisdom tooth extraction located near the mandibular canal
Image №4
Wisdom tooth extraction located near the mandibular canal
Image №5
Wisdom tooth extraction located near the mandibular canal
Image №6
Wisdom tooth extraction located near the mandibular canal
Image №7

See more articles:

See all articles