Three-Dimensionally Printed Individual Drill Sleeve for Depth-Controlled Sections in Third Molar Surgery

J Oral Maxillofac Surg. 2019 Apr;77(4):704.e1-704.e7. doi: 10.1016/j.joms.2018.11.028. Epub 2018 Dec 10.

Abstract

During surgical third molar removal and coronectomy procedures, tooth sectioning is an important and, in some cases, an inferior alveolar nerve-endangering step. This article introduces a drilling sleeve that was printed according to the individual tooth-sectioning situation preoperatively, using diagnostic cone-beam computed tomography data. Not only did the sleeve function in our case as a mark on the drill; it was also a reliable physical limiter, serving as a determinant of the required depth during tooth sectioning. This fast and cost-effectively produced drilling sleeve may help younger colleagues when the depth of tooth sections should be precisely controlled.

MeSH terms

  • Cone-Beam Computed Tomography
  • Dental Instruments*
  • Equipment Design
  • Humans
  • Mandible
  • Mandibular Nerve
  • Molar, Third / surgery*
  • Printing, Three-Dimensional*
  • Tooth Crown
  • Tooth Extraction / instrumentation*
  • Tooth, Impacted / surgery*
  • Trigeminal Nerve Injuries / prevention & control