Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcome
BACKGROUND: The use of dental drill during extraction of impacted mandibular third molars lead to production of aerosol, fear in some patients and this necessitates the need for an alternative instrument. OBJECTIVE: To compare the treatment outcome in two cohorts of patients after surgical extractio...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Nigerian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=52;epage=58;aulast=Anyanechi;type=0 |
| _version_ | 1818607786144038912 |
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| author | Charles E Anyanechi |
| author_facet | Charles E Anyanechi |
| author_sort | Charles E Anyanechi |
| collection | DOAJ |
| description | BACKGROUND: The use of dental drill during extraction of impacted mandibular third molars lead to production of aerosol, fear in some patients and this necessitates the need for an alternative instrument.
OBJECTIVE: To compare the treatment outcome in two cohorts of patients after surgical extraction of symptomatic mesio-angularly impacted mandibular third molars.
PATIENTS AND METHODS: Apparently healthy subjects who presented to the oral and maxillofacial surgery clinic of our institution, with an indication for surgical extraction of symptomatic mesio-angularly impacted mandibular third molar were assessed. Those classified as Pell and Gregory class 2 ramus relationship, class A and B depth, with favourable root morphology were uniformly randomized into dental drill and Crane pick elevator groups. Information on demographics, reasons for extraction, trismus, swelling, pain and complaints during follow-up were obtained and statistically analyzed.
RESULTS: Overall 86 subjects, evenly distributed between the two groups were studied. Post-operative mean for trismus, swelling and pain were lower on the 3rd day in those treated with Crane pick elevator than dental drill. However, by the 7th day, the results were the same as the trismus, swelling and pain resolved clinically, without complication.
CONCLUSION: Crane pick dental elevator could serve as a useful substitute to dental drill in the extraction of mild mesioangularly impacted mandibular third molars. |
| first_indexed | 2024-12-16T14:32:17Z |
| format | Article |
| id | doaj.art-fae7ce699cb64c90b1bb06fda41db7ef |
| institution | Directory Open Access Journal |
| issn | 1115-2613 |
| language | English |
| last_indexed | 2024-12-16T14:32:17Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Journal of Medicine |
| spelling | doaj.art-fae7ce699cb64c90b1bb06fda41db7ef2022-12-21T22:28:13ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132018-01-01271525810.4103/1115-2613.278230Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcomeCharles E AnyanechiBACKGROUND: The use of dental drill during extraction of impacted mandibular third molars lead to production of aerosol, fear in some patients and this necessitates the need for an alternative instrument. OBJECTIVE: To compare the treatment outcome in two cohorts of patients after surgical extraction of symptomatic mesio-angularly impacted mandibular third molars. PATIENTS AND METHODS: Apparently healthy subjects who presented to the oral and maxillofacial surgery clinic of our institution, with an indication for surgical extraction of symptomatic mesio-angularly impacted mandibular third molar were assessed. Those classified as Pell and Gregory class 2 ramus relationship, class A and B depth, with favourable root morphology were uniformly randomized into dental drill and Crane pick elevator groups. Information on demographics, reasons for extraction, trismus, swelling, pain and complaints during follow-up were obtained and statistically analyzed. RESULTS: Overall 86 subjects, evenly distributed between the two groups were studied. Post-operative mean for trismus, swelling and pain were lower on the 3rd day in those treated with Crane pick elevator than dental drill. However, by the 7th day, the results were the same as the trismus, swelling and pain resolved clinically, without complication. CONCLUSION: Crane pick dental elevator could serve as a useful substitute to dental drill in the extraction of mild mesioangularly impacted mandibular third molars.http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=52;epage=58;aulast=Anyanechi;type=0crane pick elevatordental drillmesio-angular impactionosteotomy |
| spellingShingle | Charles E Anyanechi Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcome Nigerian Journal of Medicine crane pick elevator dental drill mesio-angular impaction osteotomy |
| title | Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcome |
| title_full | Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcome |
| title_fullStr | Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcome |
| title_full_unstemmed | Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcome |
| title_short | Extraction of mesioangularly impacted third molar: Dental drill versus crane pick elevator on treatment outcome |
| title_sort | extraction of mesioangularly impacted third molar dental drill versus crane pick elevator on treatment outcome |
| topic | crane pick elevator dental drill mesio-angular impaction osteotomy |
| url | http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=52;epage=58;aulast=Anyanechi;type=0 |
| work_keys_str_mv | AT charleseanyanechi extractionofmesioangularlyimpactedthirdmolardentaldrillversuscranepickelevatorontreatmentoutcome |