Journal of Pierre Fauchard Academy (India Section)

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A Modified Cryer Elevator During Removal of Roots in Impacted Mandibular Third Molar Surgery


Affiliations
1 MDS, Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India
2 MDS, FIBOMS, Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India
     

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The most important aspect of impacted mandibular third molar surgery or in complicated exodontia is removal of ischolar_mains. Based on our clinical experience, we modified the cryer elevator and compared with normal cryer elevator during surgical removal of ischolar_mains in bilateral symmetrical impacted mandibular third molars. Therefore, a randomised single blind clinical trial was designed to analyze the efficacy of modified cryer elevator. Thirty-six patients with bilateral identical impacted lower third molars requiring surgical removal, under local anaesthesia, were included. A standard surgical protocol was followed. Roots were removed using Cryer elevator on one side and modified cryer elevator on the other. The ease of the removal of ischolar_mains (easy, moderate and difficult) and time interval from the start of buccal guttering until removal of ischolar_mains out of the socket were noted. The difference in ease of removal of ischolar_mains (p =0.03) and duration (p<0.001) was statistically significant between the two elevators. We conclude use of modified cryer elevator is effective in surgical extraction of impacted mandibular third molars.


Keywords

Cryer Elevator, Elevator, Impacted Tooth, Mandibular Third Molar, Roots.
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  • A Modified Cryer Elevator During Removal of Roots in Impacted Mandibular Third Molar Surgery

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Authors

Ashwant Kumar Vadepally
MDS, Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India
Ramen Sinha
MDS, FIBOMS, Department of Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India

Abstract


The most important aspect of impacted mandibular third molar surgery or in complicated exodontia is removal of ischolar_mains. Based on our clinical experience, we modified the cryer elevator and compared with normal cryer elevator during surgical removal of ischolar_mains in bilateral symmetrical impacted mandibular third molars. Therefore, a randomised single blind clinical trial was designed to analyze the efficacy of modified cryer elevator. Thirty-six patients with bilateral identical impacted lower third molars requiring surgical removal, under local anaesthesia, were included. A standard surgical protocol was followed. Roots were removed using Cryer elevator on one side and modified cryer elevator on the other. The ease of the removal of ischolar_mains (easy, moderate and difficult) and time interval from the start of buccal guttering until removal of ischolar_mains out of the socket were noted. The difference in ease of removal of ischolar_mains (p =0.03) and duration (p<0.001) was statistically significant between the two elevators. We conclude use of modified cryer elevator is effective in surgical extraction of impacted mandibular third molars.


Keywords


Cryer Elevator, Elevator, Impacted Tooth, Mandibular Third Molar, Roots.

References





DOI: https://doi.org/10.18311/jpfa%2F2018%2F21854