The removal of deeply impacted lower third molars by means of the bone lid technique with piezoelectric instruments Surgery

13 Aim To report the clinical outcome of the removal of deeply impacted lower third molars in direct relationship with the inferior alveolar nerve through a lateral approach (the so-called bone lid technique). Methods From 2007 and 2011 six patients with symptomatic deeply impacted lower third molars in close relationship with the inferior alveolar nerve and therefore requiring surgical removal of the impacted teeth, were treated by means of the “bone lid” technique with piezoelectric instruments. Results Post-operative recovery was uneventful in all patients. Three patients reported a transient paresthesia in the area innervated by the inferior alveolar nerve which lasted from 7 to 30 days. No patients suffered permanent neural disturbances. Conclusion This approach allows direct control of the surgical field with a relevant reduction of possible damages to the inferior alveolar nerve during the removal of deeply impacted lower third molars, as compared to the standard approach.

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