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ePaper created 2014-12-05, 15:38:45 | version 1.33.01
_Introduction Deeply impacted lower third molars may have a close relationship to important anatomical struc- tures, including the mandibular canal, the lower border of the mandible and the lingual cortex.1 Therefore, surgical extraction could be affected by severe complications, such as excessive bleeding, infection, nerve damage, accidental root displace- ment or even a mandibular fracture.2–4 Today, a panoramic radiograph is considered to be the standard diagnostic tool for the localisation ofimpactedthirdmolarsandforpreoperativeplan- ning.5, 7 However, three-dimensional radiographic modalities (CBCT) are required in cases where there is a close proximity of the impacted third molars and the mandibular canal, in order to provide more accurate information and to avoid injuries and complications.5, 6, 8 _Case report A 48-year-old female patient was referred to ourclinicforthemanagementofaninfection,asso- ciated with an impacted right lower third molar. The level of the infection indicated a 5-day course of Amoxicillin 500 mg (Sinacilin, Galenika AD) and Metronidazole 400 mg (Orvagil, Galenika AD) three times a day. A regression of the infection could be observed and the patient was scheduled for the surgical removal of the impacted third molar. 12 I I case report _ CBCT in diagnostics cone beam4_2014 Fig. 1_Panoramic radiograph, lucency in the lower third of the root of the tooth 48. Fig. 1 CBCTin assessment of the anatomic relations of a deeply impacted lower third molarto importantanatomicalstructures Authors_Prof. Snježana Cˇ olić & Dr Jelena Stepić, Serbia CBE0414_12-13_Soredex 28.11.14 11:33 Seite 1 CBE0414_12-13_Soredex 28.11.1411:33 Seite 1