Use of panoramic radiography and computed tomography to prevent inferior alveolar nerve injury during impacted mandibular third molar surgery: Literature review

Author:

Espinoza Plaza José JoséORCID,Ascanoa Olazo JimmyORCID,Valenzuela Ramos Marisel RoxanaORCID

Abstract

The extraction of the lower third molar is a surgical procedure performed either by specialists in Oral and Maxillofacial Surgery or by a general practice dentist according to the level of complexity of the same (1), in this type of procedure one of the complications is the Injury to the lower dental nerve (IDN) or also called the lower alveolar nerve (NAI) is a fact that manifests clinical symptoms (once the effect of the anesthetic ends) after the extraction of the lower third molar, which consists of the loss of temporary or permanent sensory sensitivity (numbness), called paresthesia, to avoid this type of complications, a correct diagnosis and treatment plan are important in order to reduce the possible injury of the IDN(2).

Publisher

Professionals On Line SAC

Reference12 articles.

1. Elkhateeb SM, Awad SS. Accuracy of panoramic radiographic predictor signs in the assessment of proximity of impacted third molars with the mandibular canal. Journal of Taibah University Medical Sciences [Internet]. el 1 de junio de 2018 [citado el 27 de junio de 2022];13(3):254–61. Disponible en: https://www.sciencedirect.com/science/article/pii/S1658361218300246

2. Szalma J, Vajta L, Lovász BV, Kiss C, Soós B, Lempel E. Identification of Specific Panoramic High-Risk Signs in Impacted Third Molar Cases in Which Cone Beam Computed Tomography Changes the Treatment Decision. Journal of Oral and Maxillofacial Surgery [Internet]. el 1 de julio de 2020 [citado el 4 de junio de 2022];78(7):1061–70. Disponible en: https://www.sciencedirect.com/science/article/pii/S0278239120303050

3. Patel PS, Shah JS, Dudhia BB, Butala PB, Jani YV, Macwan RS. Comparison of panoramic radiograph and cone beam computed tomography findings for impacted mandibular third molar root and inferior alveolar nerve canal relation. Indian J Dent Res. febrero de 2020;31(1):91–102.

4. Tofangchiha M, Koushaei S, Mortazavi M, Souri Z, Alizadeh A, Patini R. Positive Predictive Value of Panoramic Radiography for Assessment of the Relationship of Impacted Mandibular Third Molars with the Mandibular Canal Based on Cone-Beam Computed Tomography: A Cross-Sectional Study. Diagnostics (Basel). el 31 de agosto de 2021;11(9):1578.

5. Hasani A, Ahmadi Moshtaghin F, Roohi P, Rakhshan V. Diagnostic value of cone beam computed tomography and panoramic radiography in predicting mandibular nerve exposure during third molar surgery. International Journal of Oral and Maxillofacial Surgery [Internet]. el 1 de febrero de 2017 [citado el 4 de junio de 2022];46(2):230–5. Disponible en: https://www.sciencedirect.com/science/article/pii/S0901502716302764

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