Identification of Specific Panoramic High-Risk Signs in Impacted Third Molar Cases in Which Cone Beam Computed Tomography Changes the Treatment Decision

Szalma, József; Vajta, László; Lovász, Bálint Viktor; Kiss, Csanád; Soós, Balázs; Lempel, Edina

doi:10.1016/j.joms.2020.03.012

Cited by 14 publications

(10 citation statements)

References 37 publications

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“…In fact studies have reported groups of cases that have been treatment planned on a plain view radiograph, but then subsequently had the plan changed after a CBCT. One particular study by Szalma et al concluded that confidence of the surgeons increased with CBCT and fewer coronectomies were prescribed, as radiographic signs shown on plain view radiology were discounted 16 .…”

Section: Discussionmentioning

confidence: 99%

Counselling by general dental practitioners for coronectomy before referral – is it always appropriate?

et al. 2020

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Aims: For the general dental practitioner (GDP) coronectomy may be a treatment option that is discussed with a patient prior to referral to a specialist in primary or secondary care for management of problematic mandibular third molars. The purpose of this study was to examine the variance between coronectomy prescription between GDPs compared to specialist clinicians when assessing cases for coronectomy using plain view radiographs. Methods: An online survey was completed by 50 GDPs across the UK. This survey had also been completed by 25 specialist oral and maxillofacial or oral surgery clinicians of varying levels of experience from six different units across the UK and the Republic of Ireland. Results: Results were compared and, whilst agreement between GDPs was higher in coronectomies prescribed, there was a significantly larger number of coronectomies prescribed in the GDP group. Conclusions: The increased number of coronectomies prescribed by the GDP group compared to the specialist group could reflect a lack of experience in the regular assessment of mandibular third molars or a clinician being more aware of the litigious climate of dentistry when based in primary dental care.

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Section: Discussionmentioning

confidence: 99%

Counselling by general dental practitioners for coronectomy before referral – is it always appropriate?

et al. 2020

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“…Each mandibular third molar was removed surgically by the same 10 years experienced oral surgeon. Preoperative CBCT was evaluated to avoid inferior alveolar nerve damage [34]. Anesthesia was provided by direct block anesthesia of the inferior alveolar nerve and local infiltration at the buccal site [35].…”

Section: Surgical Methodsmentioning

confidence: 99%

Alveolar Preservation with Albumin and Gentamycin-Coated Allograft after Third Molar Tooth Removal: A Randomized Clinical Trial

et al. 2021

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Alveolar preservation can minimize bone resorption after tooth removal and additional topical antibiotics might also be considered. The goal of this study was to observe alveolar preservation with albumin and gentamycin-coated allograft compared to unfilled control sockets after mandibular third molar removal. Twenty-two patients were involved, 11 in the control group and 11 in the test group. CBCT analysis and micromorphometric analysis were performed. After one year, graft integration was observed with remaining graft particles. Micromorphometric analysis showed increased density and lower trabeculae formation in the grafted group. The buccal height reduction of the alveolar ridge was significantly lower when alveolar preservation was applied (control: 2.54 ± 2.01 mm, graft: 1.37 ± 1.04 mm, p < 0.05). Horizontal bone loss prevention was not significant. At the distal site of the second molar, the marginal bone level (MBL) was significantly lower in the control group. At the control group, five pockets persisted from the eight initial and all healed in the graft group. Alveolar preservation improves bone formation, helps to preserve the buccal bone crest, and minimizes MBL loss and pocket formation on the adjacent teeth. Thus, it needs to be also considered after third molar surgical removal.

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“…Ezen klasszikus röntgenjelek közé sorolható a gyökérsötétedési jel, a canalis kanyarulata, a canalis szűkülete, illetve a canalis felső kortikálisvonala folytonosságának megszakadása [17,21,22,23,24]. A gyökérsötétedés és a többi jel együttes előfordulása pedig fokozott idegsérülési veszéllyel jár [25]. A bölcsességfog és a canalis viszonyán felül a gyökérgörbület mértéke, az impakció mélysége, a páciens neme és kora is befolyásolja az idegsérülés valószínűségét [20].…”

Section: Bevezetésunclassified

“…A bölcsességfog és a canalis viszonyán felül a gyökérgörbület mértéke, az impakció mélysége, a páciens neme és kora is befolyásolja az idegsérülés valószínűségét [20]. Az OP önmagában nem elégséges az idegsérülés csalhatatlan előrejelzésére [20,25], gyanús esetekben a megfelelő terápiás döntés céljából cone-beam komputertomográfiás (CBCT) felvétel készítése is indokolttá válhat [26]. Fontos azonban megjegyeznünk, hogy a randomizált kontrollált vizsgálatok és szisztematikus irodalomelemzések alapján is ismeretes, hogy a CBCT alkalmazása sem csökkenti érdemben az IAN idegsérülések előfordulását [26].…”

Section: Bevezetésunclassified

Az alsó bölcsességfogak juxta-apikális radiolucenciája

et al. 2021

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A juxta-apikális radiolucencia (JAR) egy olyan radiológiai jel, amely jól körülhatárolt radiolucens területként jelenik meg az alsó bölcsességfogak apikális és laterális felszínén. Egyes vizsgálatok alapján a JAR jelenléte közvetlen összefüggésbe hozható a bölcsességfog eltávolítása során bekövetkező nervus alveolaris inferior sérüléssel, míg más vizsgálatokban ezt nem bizonyították. Jelen tanulmányunk célja volt a nemzetközi szakirodalom áttekintése, és a JAR fogalmának bevezetése a hazai szakirodalomba. A JAR ismerete a gyakorló fogorvos, szájsebész számára mind diagnosztikai szempontból (pl. góckutatás-góctalanítás problémaköre, fogeltávolítás indikációinak tisztázása), mind a műtéttechnika szempontjából (kevésbé ellenálló sérülékenyebb terület) jelentőséggel bír.

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Identification of Specific Panoramic High-Risk Signs in Impacted Third Molar Cases in Which Cone Beam Computed Tomography Changes the Treatment Decision

Cited by 14 publications

References 37 publications

Counselling by general dental practitioners for coronectomy before referral – is it always appropriate?

Counselling by general dental practitioners for coronectomy before referral – is it always appropriate?

Alveolar Preservation with Albumin and Gentamycin-Coated Allograft after Third Molar Tooth Removal: A Randomized Clinical Trial

Az alsó bölcsességfogak juxta-apikális radiolucenciája

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