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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Autores principales:	Sally Awad, Sara M. ElKhateeb
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Neurosensory deficit Third molar surgery Cone beam CT Medicine R Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/7734b106ab724a39ac69ccf3023ec4b4
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spelling	oai:doaj.org-article:7734b106ab724a39ac69ccf3023ec4b42021-11-10T04:19:12ZPrediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study1013-905210.1016/j.sdentj.2020.08.001https://doaj.org/article/7734b106ab724a39ac69ccf3023ec4b42021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1013905220307483https://doaj.org/toc/1013-9052Background: 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.Sally AwadSara M. ElKhateebElsevierarticleNeurosensory deficitThird molar surgeryCone beam CTMedicineRDentistryRK1-715ENSaudi Dental Journal, Vol 33, Iss 7, Pp 601-607 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosensory deficit Third molar surgery Cone beam CT Medicine R Dentistry RK1-715
spellingShingle	Neurosensory deficit Third molar surgery Cone beam CT Medicine R Dentistry RK1-715 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
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.
format	article
author	Sally Awad Sara M. ElKhateeb
author_facet	Sally Awad Sara M. ElKhateeb
author_sort	Sally Awad
title	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_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_sort	prediction of neurosensory disorders after impacted third molar extraction based on cone beam ct maglione’s classification: a pilot study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/7734b106ab724a39ac69ccf3023ec4b4
work_keys_str_mv	AT sallyawad predictionofneurosensorydisordersafterimpactedthirdmolarextractionbasedonconebeamctmaglionesclassificationapilotstudy AT saramelkhateeb predictionofneurosensorydisordersafterimpactedthirdmolarextractionbasedonconebeamctmaglionesclassificationapilotstudy
_version_	1718440663539777536

Prediction of neurosensory disorders after impacted third molar extraction based on cone beam CT Maglione’s classification: A pilot study

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