Removal of a Deeply Impacted Ectopic Mandibular Third Molar through a Buccal Corticotomy in Severe Trismus-A Case Report
Published: January 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/29051.11077
Ranjeet Bodh, Saroj Kumari, Sujata Mohanty, Rudra Deo Kumar, Catherine Diana
1. Senior Resident, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, Delhi, India.
2. Senior Resident, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, Delhi, India.
3. Professor and Head, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, Delhi, India.
4. Postgraduate Student, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, Delhi, India.
5. Postgraduate Student, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, New Delhi, Delhi, India.
Correspondence
Dr. Ranjeet Bodh,
Senior Resident, Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences,
New Delhi-110002, Delhi, India.
E-mail: rbjohnmayer85@gmail.com
Management of deeply impacted mandibular third molar in itself is a surgical challenge and when it is associated with restricted mouth opening, it becomes more devious job. Deeply impacted tooth can be approached by buccal corticotomy/osteotomy, lingual split, extraoral approach or sagittal split ramus osteotomy. In patients with restricted mouth opening, options get limited to buccal corticotomy and extraoral approach. Extraoral approach is not a preferred option pertaining to scar formation and potential risk of injury to the marginal mandibular branch of the facial nerve leaving buccal corticotomy as most viable option.
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