Simplified surgical extraction planning using cone beam computed tomography

Nikolovski, Bruno and Radojkova-Nikolovska, Vera and Veleska-Stefkovska, Daniela and Radeska, Elena and Terzievska, Aneta and Gigovska Arsova, Ana (2023) Simplified surgical extraction planning using cone beam computed tomography. In: 26th BaSS Congress, 11-14 May 2023, Skopje, North Macedonia.

	Text 26_BASS Congress PP-13.pdf - Published Version Download (3MB)
	Slideshow PP-13 SIMPLIFIED SURGICAL EXTRACTION PLANNING USING CONE BEAM COMPUTED TOMOGRAPHY.pdf - Published Version Download (614kB)

Abstract

Introduction: An impacted tooth is one that fails to erupt within the dental arch in the expected time and away from its anatomic position. Treatment decision depends on several factors: location of the impaction, prognosis of the intervention on the impacted tooth and adjacent teeth, surgical accessibility, impact of treatment on the final functional occlusion, and possible surgical morbidity. This decision has traditionally been based on planar 2-dimensional (2D) radiography. New imaging techniques like cone-beam computed tomography (CBCT), which has a lower-dose and lower-cost alternative to conventional CT can direct us in proper planning and make it easier.
Case presentation: A 43-year-old woman complained of facial pain and headache, with no signs of any disorders but, based on a panoramic radiograph, with the presence of impacted maxillary wisdom teeth. 3D CBCT scans were performed to evaluate the position and direction of the impacted teeth in the maxillary sinus and related teeth. We noticed that the left third maxillar molar lying on the root of the second maxillar molar and the right one located inside the maxillary sinus, were not clearly demonstrated on panoramic radiography. After that, an appropriate and concise treatment plan was set up and successful surgical removal was done.
Conclusion: CBCT offers 3-dimensional and multi-planar views for a more accurate diagnosis and easier and more appropriate planning for a minimally possible invasive treatment approach without radiation exposure of conventional computed tomography (CT) scans.
Keywords: Ectopic wisdom teeth, Cone Beam Computed Tomography, surgical planning, extraction

Item Type:	Conference or Workshop Item (Poster)
Uncontrolled Keywords:	Ectopic wisdom teeth, Cone Beam Computed Tomography, surgical planning, extraction
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	07 Nov 2023 10:14
Last Modified:	07 Nov 2023 10:14
URI:	https://eprints.ugd.edu.mk/id/eprint/32528

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