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Case DentalDate

Microsurgical extraction of tooth 38 near the nerve: how to avoid complications

Extraction of a mandibular third molar (tooth #38) with a root fracture.

Dr. Kseniia Islamova
Dr. Kseniia Islamova

Surgeon-Implantologist / General Dentist

Microsurgical techniques utilizing operating microscopes (binocular loupes) and specialized fine instruments allow for high precision, particularly near sensitive anatomical structures such as the inferior alveolar nerve, minimizing the risk of complications.

The remaining fragment, exhibiting a bulbous expansion, was located in close proximity to the inferior alveolar nerve. The use of microsurgical instruments and magnification allowed for the atraumatic removal of the fragment, preserving nerve integrity and preventing paresthesia (numbness) of the lower lip.

Conclusion:
Atraumatic tooth extraction is a minimally invasive technique that preserves bone volume, reduces the cost and time associated with implant placement, and minimizes the risk of complications through the use of microsurgical technology.