Urvi Hiren Shah¹*, Hiren Dharmendra Patel², Haren Bharat Pandya³, Hitesh Sudarshan Dewan³, Bijal Chetas Bhavsar⁴ and Rajvi Amar Desai⁵

¹Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Dharmsinh Desai University, Nadiad, Gujarat, India
²Dean, Professor and Head, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Dharmsinh Desai University, Nadiad, Gujarat, India
³Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Dharmsinh Desai University, Nadiad, Gujarat, India
⁴Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Dharmsinh Desai University, Nadiad, Gujarat, India
⁵Post Graduate Student, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Dharmsinh Desai University, Nadiad, Gujarat, India

*Corresponding Author: Urvi Hiren Shah, Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Dharmsinh Desai University, Nadiad, Gujarat, India.

Received: June 29, 2023; Published: August 14, 2023

Abstract

Introduction: Accurate diagnosis and a minimally invasive surgical procedure for avoidance of injury to mandibular canal housing the inferior alveolar apparatus in relation to deeply impaced lower third molars is the need of the hour. Coronectomy, a relatively safe and novel technique, in synchronization with a Cone Beam Computarized Tomography can be evaluated further for its application towards management of the lower third molars in juxtaposition of the canal.

Aim: To evaluate clinical outcomes of coronectomy procedure performed to forestall inferior alveolar nuerosensory deficit in CBCT analyzed mandibular impacted third molars.

Patients and Methods: Patients were assessed with CBCT for impacted third molars in proximity to mandibular canal. Coronectomy was performed in 25 cases selected as per patient selection criteria. Evaluation of these patients was done in terms of possible outcomes like pain, swelling, infection and root migration and complication of neurosensory deficit at 1day, 1 week, 3 months and 6 months post operatively.

Results: Out of 25 patients only 1 patient had pain and swelling at the end of 6 months. Root migration was observed at the end of 3 months in 1 patient and at the end of 6 months in 5 cases. In 1 case, pain and swelling were still present at the end of 6 months which required root removal.

Conclusion: Coronectomy is a preferable and dependable treatment option for lower third molars in proximity of mandibular canal as in step with CBCT understanding as it is by all accounts related with less complications.

 Keywords: Mandibular Third molar, mandibular canal, Cone Beam Computed Tomography, Coronectomy

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Citation

Citation: Urvi Hiren Shah., et al. “CBCT Based Anatomic Juxtaposition of Mandibular Canal to Deeply Impacted Mandibular Third Molar: A Rationale for Coronectomy".Acta Scientific Dental Sciences 7.9 (2023): 22-29.

Copyright

Copyright: © 2023 Urvi Hiren Shah., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.