Post-Operative Clinical and Radiological Evaluation of Coronectomy Operation with Concentrated Growth Factor in Bilateral Mandibular Third Molars Associated with Nervus Alveolaris Inferior
Project no. 24019 · Status: Kapanmış (Yayın bekleniyor) · 2022
Summary
<p>The decision to extract impacted mandibular third molars is evaluated according to the presence of disease and symptom findings. In many cases, operative extraction of the involved teeth can be performed routinely. However, in some cases where impacted mandibular third molars are associated with the nervus alveolaris inferior, extraction of the teeth may cause significant postoperative complications. Thanks to the "Coronectomy" operation, which was defined to prevent this situation, the factor causing the symptoms and disease findings is eliminated, while post-operative nerve complications are prevented as the roots and nerve alveolaris inferior are not touched.</p><p>The positive effect of Concentrated Growth Factor (CGF) application on wound healing and postoperative patient comfort has been reported in studies conducted in recent years. In our study, we aimed to reduce the complications such as post-operative paresthesia, pain and edema by placing CGF together with the operation of coronectomy on the mandibular third molar teeth that roots are associated with the nervus alveolaris inferior.</p><p>Our study was carried out at Ege University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery. As a result of detailed observations and examinations made here, 35 patients whose roots were found to be related to the nervus alveolaris inferior and who were indicated for "Coronectomy" were included in the study. In order to ensure standardization, care was taken to select patients with impacted teeth in the bilateral vertical position. After the bilateral coronectomy procedure, concentrated growth factor obtained from the patient's own venous blood was applied to one side, and the surgical site was closed primarily. The other side was primary closed after the coronectomy procedure. In order to evaluate the amount of post-operative edema, the patients were checked on the post-operative 2nd and 7th day. Pain degrees were recorded with VAS over a 7-day period. The obtained data were reported to us after being analyzed for statistical evaluation in Ege University Faculty of Medicine, Department of Biostatistics and Medical Informatics. Accordingly, it was understood that the application of concentrated growth factor had a positive effect on postoperative pain and edema for the patients.</p><p>In conclusion, none of the patients experienced post-operative nerve damage after coronectomy. It has been observed that concentrated growth factor minimizes edema and pain formation after coronectomy operation. In order to evaluate the effect of coronectomy and concentrated growth factor on postoperative patient comfort, studies involving more patient groups are needed on subjects such as alveolitis, bleeding, infection, effect on root migration, effect on bone remodeling rate, apart from edema and pain.</p>