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The Use of Chisels in the Extraction of Mandibular Third Molars: A Technique That May Prevent the Aerosolization of Severe Acute Respiratory Syndrome Coronavirus 2.

ABSTRACT: An aerosolizing reducing technique for the extraction of impacted mandibular third molars with the use of a bibevel chisel and mallet will be presented. Every oral and maxillofacial surgeon should have this technique in their armamentarium, especially with the current global pandemic with the severe acute respiratory syndrome coronavirus 2, the cause of coronavirus disease 2019. In this era, we must all consider ways to reduce the number of aerosols produced during the extraction of third molars. Prioritizing hand instrumentation with the use of chisels and mallets will reduce aerosolization as compared with the more traditional technique of using a surgical handpiece.

SUBMITTER: Chien AT

PROVIDER: S-EPMC7857142 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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The Use of Chisels in the Extraction of Mandibular Third Molars: A Technique That May Prevent the Aerosolization of Severe Acute Respiratory Syndrome Coronavirus 2.

Chien Allen T AT Stehle Nicole E NE Karian Bernard K BK

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 20210203 6

An aerosolizing reducing technique for the extraction of impacted mandibular third molars with the use of a bibevel chisel and mallet will be presented. Every oral and maxillofacial surgeon should have this technique in their armamentarium, especially with the current global pandemic with the severe acute respiratory syndrome coronavirus 2, the cause of coronavirus disease 2019. In this era, we must all consider ways to reduce the number of aerosols produced during the extraction of third molars ...[more]

PMID: 33647247

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Project description:Study designAutotransplantation, if possible, is a viable option for replacing a missing tooth when a donor tooth is available. The most typical tooth transplant is the transfer of a third molar to a first molar site. No immune reaction results from transplants of this nature. It restores the proprioceptive function and normal periodontal healing; thus, the patient can have a natural chewing feeling and natural biological response.ObjectiveThis study aims to evaluate the prognosis of autotransplanted mandibular third molar and also to evaluate the cost effectiveness of the treatment performed when compared to the other treatment modalities for prosthetic rehabilitation.MethodsA prospective study was done in the Department of Oral & Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental & Medical Sciences, Lucknow, UP, India, with over 20 patients to evaluate the prognosis of autotransplanted mandibular third molars with complete root formation after atraumatic extraction of first or second mandibular molar, which were randomly selected irrespective of race, sex, caste, and socio-economic status. Regular clinical and radiographical examinations were performed over a period of 1 year and the patients were assessed for pain, swelling, infection, dry socket, periodontal pocket depth, ankylosis, root resorption, tooth mobility, and level of buccal bone in relation to cementoenamel junction (CEJ).ResultsEighteen out of 20 transplants were successful; only 2 mandibular transplants were extracted because of abnormal horizontal and axial mobility and the reason of failure was attributed to fact that the roots of transplant were short and conical and there was lack of alveolar bone height at the recipient site in one patient, while root resorption was the reason for failure of transplant in the other patient.ConclusionsThis study assessed the efficacy of autotransplantation of molars and the viability of the procedure to replace unrestorable molar teeth; it also supports the hypothesis that transplantation of a mandibular third molar for replacement of a lost or seriously damaged molar tooth could be a reasonable alternative.

Dataset Information

The Use of Chisels in the Extraction of Mandibular Third Molars: A Technique That May Prevent the Aerosolization of Severe Acute Respiratory Syndrome Coronavirus 2.

Publications

The Use of Chisels in the Extraction of Mandibular Third Molars: A Technique That May Prevent the Aerosolization of Severe Acute Respiratory Syndrome Coronavirus 2.

Similar Datasets

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