Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study
Background: Surgical difficulty assessment in the extraction of impacted mandibular third molars is a constant challenge for oral surgeons. Aim: The first aim was to apply Maglione's new classification on patients that needed surgical extraction of impacted mandibular third molars, and the seco...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | Saudi Dental Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1013905220307483 |
| _version_ | 1819012401531453440 |
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| author | Sally Awad Sara M. ElKhateeb |
| author_facet | Sally Awad Sara M. ElKhateeb |
| author_sort | Sally Awad |
| collection | DOAJ |
| description | Background: Surgical difficulty assessment in the extraction of impacted mandibular third molars is a constant challenge for oral surgeons. Aim: The first aim was to apply Maglione's new classification on patients that needed surgical extraction of impacted mandibular third molars, and the second aim was to study the correlation of the classification classes with the occurrence of postoperative neurosensory disorders. Materials & methods: The present prospective clinical trial pilot study was conducted on patients attending oral and maxillofacial surgery clinics from February 2017 until January 2018 for the surgical extraction of impacted lower third molars. Results: Fifty-one out of sixty-nine patients made the surgical removal of one impacted mandibular third molar. The most common subclass was 1B (24.6%), followed by subclass 3B (23.2%). Subclass 3A and 4B showed an equal distribution of (11.6%) each, and then subclass 2B (10%). The most significant subclass was 4B with (5.9%) neurosensory disturbance. None of the patients had a permanent disturbance. Conclusion: Maglione's classification offers unique detailed description of the buccolingual relationship of MTM with IAC that could be used as a future reliable radiographic guide to reduce the risk of post-operative neurosensory disturbances after MTM surgical removal. |
| first_indexed | 2024-12-21T01:43:28Z |
| format | Article |
| id | doaj.art-7734b106ab724a39ac69ccf3023ec4b4 |
| institution | Directory Open Access Journal |
| issn | 1013-9052 |
| language | English |
| last_indexed | 2024-12-21T01:43:28Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Saudi Dental Journal |
| spelling | doaj.art-7734b106ab724a39ac69ccf3023ec4b42022-12-21T19:20:05ZengElsevierSaudi Dental Journal1013-90522021-11-01337601607Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot studySally Awad0Sara M. ElKhateeb1Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mansoura University, Egypt; Department of Oral & Maxillofacial Surgery, Taibah University, Almadinah Almunawarah, Saudi ArabiaDepartment of Basic Dental Sciences, College of Dentistry, Princess Nourah Bint Abdurahman University, Riyadh, Saudi Arabia; Department of Oral Medicine, Periodontology, Diagnosis and Oral Radiology, Faculty of Dentistry, Ain Shams University, Cairo, Egypt; Corresponding author at: Princess Nourah University Staff Housing, Airport Road, Riyadh 84428/11671, Saudi Arabia.Background: Surgical difficulty assessment in the extraction of impacted mandibular third molars is a constant challenge for oral surgeons. Aim: The first aim was to apply Maglione's new classification on patients that needed surgical extraction of impacted mandibular third molars, and the second aim was to study the correlation of the classification classes with the occurrence of postoperative neurosensory disorders. Materials & methods: The present prospective clinical trial pilot study was conducted on patients attending oral and maxillofacial surgery clinics from February 2017 until January 2018 for the surgical extraction of impacted lower third molars. Results: Fifty-one out of sixty-nine patients made the surgical removal of one impacted mandibular third molar. The most common subclass was 1B (24.6%), followed by subclass 3B (23.2%). Subclass 3A and 4B showed an equal distribution of (11.6%) each, and then subclass 2B (10%). The most significant subclass was 4B with (5.9%) neurosensory disturbance. None of the patients had a permanent disturbance. Conclusion: Maglione's classification offers unique detailed description of the buccolingual relationship of MTM with IAC that could be used as a future reliable radiographic guide to reduce the risk of post-operative neurosensory disturbances after MTM surgical removal.http://www.sciencedirect.com/science/article/pii/S1013905220307483Neurosensory deficitThird molar surgeryCone beam CT |
| spellingShingle | Sally Awad Sara M. ElKhateeb Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study Saudi Dental Journal Neurosensory deficit Third molar surgery Cone beam CT |
| title | Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study |
| title_full | Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study |
| title_fullStr | Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study |
| title_full_unstemmed | Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study |
| title_short | Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study |
| title_sort | prediction of neurosensory disorders after impacted third molar extraction based on cone beam ct maglione s classification a pilot study |
| topic | Neurosensory deficit Third molar surgery Cone beam CT |
| url | http://www.sciencedirect.com/science/article/pii/S1013905220307483 |
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