DINS – DYNAMIC IMAGE NAVIGATION SYSTEM TO ASSIST IN COMPLEX MANDIBULAR THIRD MOLAR REMOVAL

To an experienced OMS the idea of complexity of surgery for any problem is a relative thought. All surgery is at the same time complex and, if prepared, trained and experienced – all is straightforward. The way we approach any surgical procedure involves planning and carrying out the plan while being prepared to deal with variables and possibilities along the way (J Oral Maxillofac Surg 75:1591-1600, 2017). The term “complex third molar extraction” usually describes a situation or case that falls outside of what we are used to as normal. We enter into any surgical case prepared to face unknowns, but you can never guarantee that all variables can be covered so we prepare with the best methods possible.

The cone beam scanner has been a quantum leap for us in evaluation and preparation for third molar extractions. This is particularly true with the cases where we see greater risks or concerns for adjacent vital structures such as the neurovascular bundle in the lower jaw.

I feel that you should get the scan for any case where the risks are accelerated by unusual positioning or development of the third molar teeth. We offer it to our patients and get the study if they agree. Planning with or without the scan takes into account the risks and concerns, and with careful planning we have a very high success rate with very few complications.