Work

Predictable removal of deeply impacted mandibular third molars via custom sagittal split osteotomies – a case report

Year: 2026

Type: article

Abstract: A 31-year-old female patient presented to the oral and maxillofacial surgery (OMFS) clinic for evaluation of pain in the bilateral lower third molar regions. Unexplained pain and pressure sensation in the third molar region was noted, along with periodontal defects with probing depths >6mm. Review of the cone beam computerized tomography (CBCT) scan noted intimate relationship of the inferior alveolar nerve (IAN) at the mid-portion of the roots, making this a difficult extraction case for traditional or coronectomy/partial odontectomy approaches. Custom guides and plates were utilized to complete a bilateral sagittal split osteotomy (BSSO) to facilitate the third molar removal on the mandible with an intact, undamaged IAN bilaterally. The patient post-operatively noted gradual improvement in sensation of the IAN bilaterally.

Source: Advances in Oral and Maxillofacial Surgery

DOI: 10.1016/j.adoms.2026.100659

Authors: Carson Van Etta, Haider Imran, Jonathan Voge, John Kim

Institution: William Beaumont Army Medical Center

Language: English

Topic: Dental Radiography and Imaging

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,650