Retained third molars removal in a severely resorbed edentulous mandible. A case report.
The presence of asymptomatic third molars can represent a potential problem in the mandible when these teeth are retained and the patient has lost all normally erupted teeth. Once the mandibular first and second molars are removed, the mandibular body becomes weaker with time, increasing the complexity, morbidity and incidence of complication in the surgical procedure to remove the retained third molar. This paper reports a case where the mandibular third molars retained in a severely resorbed mandible were removed in a 54-year-old female patient. The treatment plan was based on the safe surgical removal of the teeth and prosthetic rehabilitation with an implant-supported milled bar overdenture and a bone-mucous-supported complete denture in the mandibular and maxillary arch, respectively. If the removal of a retained third molar is indicated in a severely resorbed edentulous mandible, the treatment plan must involve not only preventive measures in order to avoid mandible fracture during or after tooth removal, but also alternatives that allow an adequate mandibular rehabilitation.
Cassio Edvard
CE
Sverzut
Alexandre Elias
AE
Trivellato
Alexander Tadeu
AT
Sverzut
Marcelo Rodrigues
MR
Azenha
Marco Aurélio Kenichi
MA
Yamaji
Andre Oliveira
AO
Pepato
D005260:Female; D006801:Humans; D008334:Mandible / Q000473:pathology*; D008875:Middle Aged; D008964:Molar, Third / Q000601:surgery*; D009066:Mouth, Edentulous / Q000000981:diagnostic imaging; D011862:Radiography, Panoramic; D014081:Tooth Extraction