Luo GM, Yao ZS, Huang WX, Zou LY, Yang Y. Two-stage extraction by partial grinding of impacted mandibular third molar in close proximity to the inferior alveolar nerve. World J Clin Cases 2024; 12(10): 1728-1732 [PMID: 38660071 DOI: 10.12998/wjcc.v12.i10.1728]
Corresponding Author of This Article
Yan Yang, Director, Kunming Medical University School and Hospital of Stomatology, No. 1088 Middle Haiyuan Road, High-Tech Zone, Kunming 650106, Yunnan Province, China. 247822829@qq.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 6, 2024; 12(10): 1728-1732 Published online Apr 6, 2024. doi: 10.12998/wjcc.v12.i10.1728
Two-stage extraction by partial grinding of impacted mandibular third molar in close proximity to the inferior alveolar nerve
Guang-Ming Luo, Zhang-Shun Yao, Wei-Xiang Huang, Lei-Yan Zou, Yan Yang
Guang-Ming Luo, Zhang-Shun Yao, Wei-Xiang Huang, Lei-Yan Zou, Yan Yang, Kunbaida Outpatient Department, Kunming Medical University School and Hospital of Stomatology, Kunming 650106, Yunnan Province, China
Guang-Ming Luo, Zhang-Shun Yao, Wei-Xiang Huang, Lei-Yan Zou, Yan Yang, Yunnan Key Laboratory of Stomatology, Kunming 650106, Yunnan Province, China
Author contributions: Luo GM performed the experiment, contributed significantly to manuscript preparation, performed the data analyses, and wrote the manuscript; Yao ZS, Huang WX, Zou LY, and Yang Y contributed to the conception of the study and helped perform the analysis with constructive discussions.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Kunming Medical University School and Hospital of Stomatology.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: The datasets used and/or analysed during the current study are available from the corresponding author upon reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan Yang, Director, Kunming Medical University School and Hospital of Stomatology, No. 1088 Middle Haiyuan Road, High-Tech Zone, Kunming 650106, Yunnan Province, China. 247822829@qq.com
Received: October 4, 2023 Peer-review started: October 4, 2023 First decision: November 1, 2023 Revised: November 15, 2023 Accepted: March 12, 2024 Article in press: March 12, 2024 Published online: April 6, 2024
ARTICLE HIGHLIGHTS
Research background
The conventional method of extracting impacted mandibular third molars (IMM3) that are closely related to the inferior alveolar nerve (IAN) can easily damage the nerve.
Research motivation
To avoid damaging the IAN during tooth extraction.
Research objectives
To proposes a method for the partial grinding of an IMM3 near the IAN to prevent IAN injury during IMM3 extraction.
Research methods
The first stage was to use a high-speed turbo drill to grind and cut most of the IMM3 dental crowns, leaving the roots in place. After 6-12 months, when the IMM3 root left the nerve canal, complete extraction of the IMM3 root was performed.
Research results
Although it seemed to take longer after two stages, all IMM3s were completely removed, and there were no cases of complications of damaging the IAN.
Research conclusions
Two-stage extraction of IMM3 located closer to the IAN canal can minimize nerve damage to the greatest extent possible.
Research perspectives
Partial IMM3 grinding may be a good alternative treatment option to avoid IAN injury in high-risk cases.
