TY  - BOOK
AU  - Agarwal, Ravi
AU  - Emery, Robert W
AU  - Korj, Oxana
TI  - A Review of In-Office Dynamic Image Navigation for Extraction of Complex Mandibular Third Molars
SN  - 0278-2391
PY  - 2017///
KW  - *Ambulatory Surgical Procedures/is [Instrumentation]
KW  - *Ambulatory Surgical Procedures/mt [Methods]
KW  - *Molar, Third/su [Surgery]
KW  - *Surgery, Computer-Assisted/is [Instrumentation]
KW  - *Surgery, Computer-Assisted/mt [Methods]
KW  - *Tooth Extraction/is [Instrumentation]
KW  - *Tooth Extraction/mt [Methods]
KW  - Adult
KW  - Aged
KW  - Cone-Beam Computed Tomography
KW  - Dental High-Speed Equipment
KW  - Dental Models
KW  - Equipment Design
KW  - Female
KW  - Humans
KW  - Imaging, Three-Dimensional
KW  - Male
KW  - Middle Aged
KW  - Molar, Third/dg [Diagnostic Imaging]
KW  - Postoperative Complications/et [Etiology]
KW  - Printing, Three-Dimensional
KW  - MedStar Washington Hospital Center
KW  - Medicine/Oral and Maxillofacial Surgery
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
N2  - CONCLUSIONS: We present results using a new technology, the DINS, for removal of complex mandibular third molars. Potential advantages are 1) improved visualization and localization of anatomic structures such as the inferior alveolar nerve, lingual cortical plate, and adjacent roots; 2) improved control during osteotomy; 3) decreased surgical access requirements and reduction in overall bone removal; 4) ability to perform complex procedures successfully in an in-office setting; 5) decreased surgical time resulting from improved visualization; and 6) potential use as a teaching tool. Possible limitations of the use of an in-office DINS include increased cost, increased time attributed to presurgical planning, initial learning curve, and optical array interference by the surgeon or assistants during surgery; Copyright � 2017. Published by Elsevier Inc; MATERIALS AND METHODS: A retrospective review was conducted of cases completed from 2010 to 2014 by a single oral and maxillofacial surgeon. The average age of the patients was 47 years (range, 27 to 72 years). Extraction complexity was classified with Juodzbalys and Daugela's classification system. The included study cases had complexity scores of 9 or greater. Each patient received custom intraoral splints to secure the tracking array and underwent cone beam computed tomography image acquisition. All surgical procedures were performed with a precalibrated tracking straight handpiece under dynamic navigation; PURPOSE: We performed a retrospective review of in-office removal of complex mandibular third molars with a dynamic image navigation system (DINS); RESULTS: All 25 cases were treated successfully with the use of the DINS. Twelve of these cases were associated with pathologic lesions. Three patients were noted to have inferior alveolar nerve paresthesia. One patient sustained a pathologic fracture at week 2. Postoperative infections were noted in 7 cases, 2 of which had a pre-existing infection. One patient reported temporary limitation of mouth opening. A coronectomy was performed in 1 case
UR  - https://dx.doi.org/10.1016/j.joms.2017.03.031
ER  -