Department of Implantology and Stomatology, Central South University Xiangya School of Medicine Affiliated Haikou Hospital, ChinaFulltext PDF
Introduction: Tooth extraction is a very common procedure in oral surgery. There are many complications in tooth extraction especially Inferior Alveolar Nerve (IAN) injury and Iatrogenic Fracture of Mandible (IFM). This case report describes third molar close to the IAN and the crown under first molar. So it is important to protect the INA and molar. Case Presentation: A 22-year-old man was referred to the Department of Implantology, Stomatology Center, and Central South University Xiangya School of Medicine Affiliated Haikou Hospital with a chief complaint of the molar miss in the right side. He had no significant past medical history. A dental check revealed absence of right mandibular third molar, mesial impaction of right mandibular second molar with mesial II° caries. CBCT revealed that the tooth was found in the apex of first molar and near inferior alveolar nerve canal. Conclusion: The impacted wisdom tooth described in this case report is close to the IAN. We evaluate relationship between tooth and IAN with CBCT. Then impacted teeth were safe to be removed by precise surgical procedure under CBCT guidance.
CBCT; Impacted tooth; Extraction
Mao X-Q. Removal of Impacted Wisdom Tooth by Precise Surgical Procedure. Ann Clin Case Rep. 2019; 4: 1684. .