Sub-Sigmoid Osteotomy for Transoral Removal of Ectopic Tooth From Mandibular Ramus and Sigmoid Region.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-19 DOI:10.1007/s12663-024-02331-0

Anshul J Rai, Babu Lal, Jitendra Kumar, Vinisha Agrawal, Zenish Rameshbhai Bhatti

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引用次数: 0

Abstract

Purpose: This study proposes a novel intraoral approach combined with sub-sigmoid osteotomy to effectively and safely remove of ectopic third molar teeth without complications.

Methods: The procedure included a sub-sigmoid osteotomy to expose and remove the ectopic tooth, followed by fixation of the osteotomized coronoid with titanium plates. Preoperative cone beam computed tomography (CBCT) was used for precise tooth localization.

Results: The ectopic third molar was successfully removed with minimal bone removal. One intraoperative complication, a bad split of the anterior ramus, was observed but managed effectively. Postoperative healing was uneventful, with no nerve injury, infection, or reduced mouth opening.

Conclusion: The transoral sub-sigmoid osteotomy technique is a reproducible, effective method for ectopic third molar removal, avoiding extraoral scars, nerve damage, and extensive dissection. Preoperative planning using CBCT is essential to prevent complications, making this technique a valuable alternative to traditional approaches.

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乙状突下截骨术经口切除下颌骨支及乙状突区异位牙。

目的：提出一种新的口腔内入路联合乙状结肠下截骨术，有效、安全、无并发症地切除异位第三磨牙。方法：采用乙状骨下截骨术暴露并切除异位牙，然后用钛板固定截骨的冠状骨。术前使用锥形束ct （CBCT）进行牙齿精确定位。结果：成功拔除异位第三磨牙，除骨量最小。一个术中并发症，严重的前支分裂，被观察到，但有效地处理。术后愈合顺利，无神经损伤、感染或开口缩小。结论：经口乙状结肠下截骨术是一种可重复、有效的异位第三磨牙切除方法，避免了口外瘢痕、神经损伤和大面积剥离。术前规划使用CBCT是必不可少的，以防止并发症，使该技术有价值的替代传统方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.