Alaadden Mahmoud Abu Al Enein, Mamdouh Sayed Sayed Ahmed And Nesrine Mohammad Khairy,

ABSTRACT


Purpose: To Evaluate Clinically And Radiographically Conventional Versus Computer Guided Surgical Removal Of Deeply Impacted Mandibular Third Molar.

Materials and Methods: Thirty Cases Were Included, Patients Were Divided Into 2 Groups: Study Group Comprised 15 Cases Undergoing Surgical Removal Using Surgical Cutting Guide. Control Group Comprised 15 Cases Undergoing Surgical Removal Using Conventional Technique. Clinical Assessment Included Visual Analogue Scale, Maximal Mouth Opening, Facial Swelling And Cone Beam Computed Tomography Radiograph Immediate And Six Months Postoperatively For The Study Group To Evaluate Bone Healing Of The Socket.

Results: The Pain Score 14 Days Postoperatively Showed That Study Group Had Significantlylower Median Value Than The Control Group While In Maximal Mouth Opening; The Study Group Had Higher Mean Values Than The Control Group 3 ,7, And 14 Days Postoperatively, But It Was Statistically Significant3 Days Postoperatively, And The Study Group Had A Lower Mean Value Of Facial Swelling Than The Control Group But There Was No Significant Diference 7 Days Postoperatively.Conclusion: We Concluded That Use Of Surgical Cutting Guide Can Efficientlyeliminate Inferior Alveolar Nerve Injury During Surgical Removal Of Lower Deeply Impacted Third Molars And The Technique Represents Promising Alternative To Conventional One With Preservation Of The External Oblique Ridge.