Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Oct 28, 2024; 16(10): 608-615
Published online Oct 28, 2024. doi: 10.4329/wjr.v16.i10.608
Asymmetric outcomes in bilateral maxillary impacted tooth extractions: A case report
Han Liu, Fang Wang, Yan-Li Tang, Xing Yan
Han Liu, Fang Wang, Yan-Li Tang, Xing Yan, Department of Stomatology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Author contributions: Liu H drafted the manuscript; Liu H and Yan X conducted the research; Wang F and Tang YL revised the language. All authors reviewed and edited the entire manuscript.
Informed consent statement: All involved persons gave their informed consent prior to study inclusion.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest concerning this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xing Yan, MD, Chief Physician, Department of Stomatology, Beijing Friendship Hospital, Capital Medical University, No. 95 Yongan Road, Xicheng District, Beijing 100050, China. happytooth@yeah.net
Received: May 28, 2024
Revised: September 19, 2024
Accepted: October 15, 2024
Published online: October 28, 2024
Processing time: 152 Days and 14.5 Hours
Core Tip

Core Tip: This case report presents unexpected findings in bilateral maxillary third molar extractions. Using cone-beam computed tomography (CBCT) and three-dimensional software, we digitally evaluated factors influencing extraction difficulty and risk, accounting for potential confounders. Key variables analyzed included alveolar bone volume, bone quality, crown-root angulation, and maxillary sinus mucosal thickness. Notably, variations in "tegmen bone" volume between the tooth and maxillary sinus emerged as a critical determinant. We propose a simplified CBCT-based measurement method to enhance risk assessment and extraction planning of impacted tooth.