Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted Teeth

Background and Objective: A mandibular canal around the lower third molar roots house the inferior alveolar nerve (IAN). There is a risk of nerve injury during surgical tooth extraction. Methods: The College of Dental Sciences at Davangere’s Department of Oral and Maxillofacial Surgery served as the...

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Main Authors: Tushar K. Bandiwadekar, David P. Tauro, Sachin K. Malagi, Abhinav Dubey, Kolla Advait, Sumit Bhatt
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_943_24
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author Tushar K. Bandiwadekar
David P. Tauro
Sachin K. Malagi
Abhinav Dubey
Kolla Advait
Sumit Bhatt
author_facet Tushar K. Bandiwadekar
David P. Tauro
Sachin K. Malagi
Abhinav Dubey
Kolla Advait
Sumit Bhatt
author_sort Tushar K. Bandiwadekar
collection DOAJ
description Background and Objective: A mandibular canal around the lower third molar roots house the inferior alveolar nerve (IAN). There is a risk of nerve injury during surgical tooth extraction. Methods: The College of Dental Sciences at Davangere’s Department of Oral and Maxillofacial Surgery served as the outpatient setting for this investigation. The study comprised one hundred participants who were going to have their mandibular third molars surgically extracted. The risk of IAN injury was evaluated by comparing the radiographic findings from preoperative orthopantomography and intraoral periapical radiographs with intraoperative observations. Results: The study revealed that the patient’s age did not have a significant correlation with the risk of nerve injury. However, cases involving bony impactions were found to have a higher risk of IAN damage. Additionally, mesioangular impactions and radiographic indicators, such as root deflection, were associated with an elevated risk of nerve injury. Conclusion: To reduce the risk of IAN injury during the extraction of mandibular third molars, it is essential to have a detailed understanding of the relevant anatomical features and to plan the surgical procedure meticulously.
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institution Kabale University
issn 0976-4879
0975-7406
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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series Journal of Pharmacy and Bioallied Sciences
spelling doaj-art-d33d9aeea7f742499d05a73357c3c7da2025-01-13T09:52:15ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3473S347510.4103/jpbs.jpbs_943_24Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted TeethTushar K. BandiwadekarDavid P. TauroSachin K. MalagiAbhinav DubeyKolla AdvaitSumit BhattBackground and Objective: A mandibular canal around the lower third molar roots house the inferior alveolar nerve (IAN). There is a risk of nerve injury during surgical tooth extraction. Methods: The College of Dental Sciences at Davangere’s Department of Oral and Maxillofacial Surgery served as the outpatient setting for this investigation. The study comprised one hundred participants who were going to have their mandibular third molars surgically extracted. The risk of IAN injury was evaluated by comparing the radiographic findings from preoperative orthopantomography and intraoral periapical radiographs with intraoperative observations. Results: The study revealed that the patient’s age did not have a significant correlation with the risk of nerve injury. However, cases involving bony impactions were found to have a higher risk of IAN damage. Additionally, mesioangular impactions and radiographic indicators, such as root deflection, were associated with an elevated risk of nerve injury. Conclusion: To reduce the risk of IAN injury during the extraction of mandibular third molars, it is essential to have a detailed understanding of the relevant anatomical features and to plan the surgical procedure meticulously.https://journals.lww.com/10.4103/jpbs.jpbs_943_24inferior alveolar canalinferior alveolar nervemandibular third molar
spellingShingle Tushar K. Bandiwadekar
David P. Tauro
Sachin K. Malagi
Abhinav Dubey
Kolla Advait
Sumit Bhatt
Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted Teeth
Journal of Pharmacy and Bioallied Sciences
inferior alveolar canal
inferior alveolar nerve
mandibular third molar
title Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted Teeth
title_full Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted Teeth
title_fullStr Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted Teeth
title_full_unstemmed Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted Teeth
title_short Radiological and Surgical Assessment of Proximity of Roots of Mandibular Third Molar to the Inferior Alveolar Canal in Impacted Teeth
title_sort radiological and surgical assessment of proximity of roots of mandibular third molar to the inferior alveolar canal in impacted teeth
topic inferior alveolar canal
inferior alveolar nerve
mandibular third molar
url https://journals.lww.com/10.4103/jpbs.jpbs_943_24
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