Revista clínica de periodoncia, implantología y rehabilitación oral
versión On-line ISSN 0719-0107
FUENTES, R; BELTRAN, V; CANTIN, M y ENGELKE, W. Removal of mandibular third molars with endoscopic approach: Technical note of a new surgical procedure to avoid IAN damage and bone defect formation. Rev. Clin. Periodoncia Implantol. Rehabil. Oral [online]. 2012, vol.5, n.2, pp. 83-86. ISSN 0719-0107. http://dx.doi.org/10.4067/S0719-01072012000200006.
Anatomic variability of the position of mandibular third molars represents significant challenges associated with its depth and angulation. The most common complications of conventional surgical procedure are related to extensive osteotomy and poor visualization, which can cause postsurgical effects such as inflammation, pain, trismus, reversible and irreversible lesions of the inferior alveolar nerve (IAN) or lingual nerve, fracture risk and formation of a deep periodontal defect on the distal aspect of the second molar. The implementation of rigid endoscopy in optics has allowed to use this technology via a minimally invasive approach to remove third molars by a minimally occlusal flapless ostectomy, preserving the buccal and lingual walls through direct and magnified visualization of the surgical site, adaptable to the patient’s movements during the surgery. In this report, we present a new and minimally invasive procedure through endoscopic assistance for bone conservation in the removal of third molars at risk of inferior alveolar nerve injury.
Palabras clave : Endoscope; mandibular third molars; impacted teeth; osteotomy; AIN injury.