Malik Salman Aziz, Anser Maxood, Ayub Hassan.
Dilemma of Impacted Mandibular Third Molar Extractions: Review of a Case.
J Pak Dent Assoc Jan ;22(4):237-40.

Risks involved in removal of impacted mandibular third molars are, by far, much higher than the perceived risk of development of any condition compelling their prophylactic removal. Mandibular third molars, lying in close proximity to the most important sensory nerves especially the mandibular nerve, pose a considerable threat of possible neurological injury. Removal of impacted mandibular third molars especially if asymptomatic, is not desirable and has detrimental consequences affecting the patient’s quality of life. Damage to the inferior alveolar nerve may result in paraesthesias or abnormal sensations, hypoaesthesias, dysaesthesias and even anesthesia with or without taste disturbances. This paper reviews a case involving prophylactic bilateral extractions of impacted mandibular third molars in a male patient 26 years of age, the aftereffects that occurred and some directives to improved management and avoidance of such problems.

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