Dental and Medical Problems
2018, vol. 55, nr 1, January-March, p. 69–74
Publication type: review article
Risk factors in oroantral communication while extracting the upper third molar: Systematic review
Czynniki ryzyka połączenia ustno-zatokowego podczas usuwania górnego trzeciego zęba trzonowego – systematyczny przegląd piśmiennictwa
1 Department of Conservative Dentistry and Endodontics, Pomeranian Medical University Szczecin, Poland
2 Doctoral Studies of the Faculty of Dentistry, Pomeranian Medical University, Szczecin, Poland
The removal of the upper third molar is a procedure commonly performed in oral and maxillofacial surgery. Maxillary third molars are generally less difficult to extract than mandibular third molars. The surgical removal of maxillary third molars is usually associated with low complication rates and low morbidity. This procedure involves the risk of developing complications such as oroantral communication, displacement into adjacent anatomic spaces, fracture of the maxillary tuberosity, and root fracture. Orthopantomograms are the standard preoperative imaging modality, but there is no proven tool for predicting oroantral communication. New possibilities have been offered by cone-beam computed tomography, which is increasingly used in dentistry and is an innovative technique that provides more information as it eliminates the superimposition of surrounding structures and allows the acquisition of 3-dimensional images and their qualitative assessment. The aim of this systematic review was to assess risk factors during the extraction of the upper third molar using orthopantomograms and cone-beam computed tomography.
cone-beam computed tomography, radiography, third molar, oroantral fistula
stożkowa tomografia komputerowa, radiografia, trzeci ząb trzonowy, połączenie ustnozatokowe
- Sharan A, Madjar D. Correlation between maxillary sinus floor topography and related root position of posterior teeth using panoramic and cross-sectional computed tomography imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:357–381.
- Netter FH. Atlas of Human Anatomy. 5th ed., Philadelphia, PA: Saunders; 2010:318–342.
- Kilic C, Kamburoglu K, Yuksel SP, Ozen T. An assessment of the relationship between the maxillary sinus floor and the maxillary posterior teeth root tips using dental cone-beam computerized tomography. Eur J Dent. 2010;4:462–467.
- Oberman M, Horowitz I, Ramon Y. Accidental displacement of impacted maxillary third molars. Int J Oral Maxillofac Surg. 1986;15:756–758.
- Sverzut CE, Trivellato AE, Lopes LM, Ferraz EP, Sverzut AT. Accidental displacement of impacted maxillary third molar: A case report. Braz Dent J. 2005;16:167–170.
- Brauer HU. Unusual complications associated with third molar surgery: A systematic review. Quintessence Int. 2009;40:565–572.
- Bouquet A, Coudert JL, Bourgeois D, Mazoyer JF, Bossard D. Contributions of reformatted computed tomography and panoramic radiography in the localization of third molars relative to the maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98:342–347.
- Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol. 1993;76:412–420.
- Batra H, Jindal G, Kaur S. Evaluation of different treatment modalities for closure of oro-antral communications and formulation of a rational approach. J Maxillofac Oral Surg. 2010;9:13–18.
- Heurich T, Ziegler C, Steveling H, Wörtche R, Mühling J, Hassfeld S. Digital volume tomography: An extension to the diagnostic procedures available for application before surgical removal of third molars. Mund Kiefer Gesichtschir. 2002;6:427–432.
- Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. J Clin Epidemiol. 2009;62:1006–1012.
- Kuijpers MAR, Chiu YT, Nada RM, Carels CEL, Fudalej PS. Three-dimensional imaging methods for quantitative analysis of facial soft tissues and skeletal morphology in patients with orofacial clefts: A systematic review. PLoS ONE. 2014;9:4:e93442. doi:10.1371/journal.pone.0093442.
- Lewusz K, SmektałaT, Lesiakowski M, Butkiewicz F, Natora P, Sporniak-Tutak K. Evaluation of risk factors for oroantral communication during the extraction of third upper molar. Dent Med Probl. 2015;52:17–21.
- Hasegawa T, Tachibana A, Takeda D, et al. Risk factors associated with oroantral perforation during surgical removal of maxillary third molar teeth. Oral Maxillofac Surg. 2016;20:369–375.
- Nedbalski TR, Laskin DM. Use of panoramic radiography to predict possible maxillary sinus membrane perforation during dental extraction. Quintessence Int. 2008;39:661–664.
- del Rey-Santamaría M, Valmaseda Castellón E, BeriniAytés L, Gay Escoda C. Incidence of oral sinus communications in 389 upper third molar extraction. Med Oral Patol Oral Cir Bucal. 2006;11:334–338.
- Pourmand PP, Sigron GR, Mache B, Stadlinger B, Locher MC. The most common complications after wisdom-tooth removal; part 2: A retrospective study of 1,562 cases in the maxilla. Swiss Dent J. 2014;124:1047–1061.
- Lim AAT, Wong CW, Allen JC. Maxillary third molar: Patterns of impaction and their relation to oroantral perforation. American Association of Oral and Maxillofacial Surgeons. J Oral Maxillofac Surg. 2012;70:1035–1039.
- Demirtas O, Harorli A. Evaluation of the maxillary third molar position and its relationship with the maxillary sinus: A CBCT study. Oral Radiol. 2016;32:173–179.
- Fragiskos FD. Oral surgery. Berlin, Heidelberg: Springer-Verlag; 2007:155–157.
- Jung YH, Cho BH. Assessment of maxillary third molars with panoramic radiography and cone-beam computed tomography. ImagingSci Dent. 2015;45:233–240.
- Jung YH, Cho BH. Assessment of the relationship between the maxillary molars and adjacent structures using cone beam computed tomography. Imaging Sci Dent. 2012;42:219–224.
- Jung YH, Nah KS, Cho BH. Correlation of panoramic radiographs and cone beam computed tomography in the assessment of a superimposed relationship between the mandibular canal and impacted third molars. Imaging Sci Dent. 2012;42:121–127.
- Prashant PJ, Sushma PJ. Cone-beam computed tomography: Time to move from ALARA to ALADA. Imaging Sci Dent. 2015;45:263–265.