Cystic changes can arise in relation with unerupted lower third molars. This case report describes a large odontogenic keratocyst (OKC) which developed rapidly and aggressively over a short period of 2 years and presented with acute symptoms. The development of a large OKC over the mandible is evidenced by radiographs taken 2 years apart. The OKC was enucleated and the residual cavity was treat...

Tooth impaction is a pathological situation where a tooth fails to attain its normal functional position. Impacted third molars are commonly encountered in routine dental practice. The impaction rate is higher for third molars when compared with other teeth. The mandibular third molar impaction is said to be due to the inadequate space between the distal of the second mandibular molar and the a...

OBJECTIVES The purpose of this retrospective study is to find the differentiating characteristics of cystic and cystic-appearing lesions that involve the impacted mandibular third molar by analyzing panoramic radiographs and computed tomography images, and to aid the preoperative diagnosis. MATERIALS AND METHODS Eighty-one patients who had a mandibular cystic or cystic-appearing lesion that i...

Facial nerve paralysis (FNP) is the most common cranial nerve disorders and it results in a characteristic facial distortion that is determined in part by the nerves branches involved. With multiples etiologies, these included trauma, tumor formation, idiopathic conditions, cerebral infarct, pseudobulbar palsy and viruses. FNP during dental treatment is very rare and can be associated with the ...

OBJECTIVES To determine the incidence, severity and duration of lingual tactile and gustatory function impairments after lower third molar removal. STUDY DESIGN Prospective cohort study with intra-subject measures of 16 patients undergoing lower third molar extractions. Sensibility and gustatory functions were evaluated in each subject preoperatively, one week and one month after the extracti...

The aim of this study was to evaluate the effectiveness of submucosal application of tramadol, for acute postoperative facial pain, following the extraction of impacted third molar teeth. This prospective, double-blind, randomised placebo-controlled study included 60 ASA I-II patients undergoing impacted third molar surgery under local anaesthesia. Following the surgical procedure, patients wer...

OBJECTIVES To compare the effect of preoperative and postoperative antibiotics therapy on postoperative sequelae after impacted mandibular third molar extractions. MATERIAL AND METHODS This was a prospective study conducted at Department of Oral and Maxillofacial Surgery of the Lagos University Teaching Hospitalon consecutive patients with impacted third molar extractions for a 12 month perio...

The extraction of impacted mandibular third molars has long been associated with the dreaded and rarely, grave and irreversible complications. The oral and maxillofacial surgeons’ dogma strongly links most complications with the proximity of inferior alveolar canal and the impacted teeth, the relationship of which is still a topic of debate among surgeons. In this randomized, prospective case s...