Patolojik Lezyonlarla İlişkili Derin Gömülü Mandibular Molarların Cerrahi Yönetiminde Bone Lid Tekniği: Bir Olgu Serisi
European Journal of Research in Dentistry, cilt.10, sa.1, ss.43-49, 2026 (Hakemli Dergi)
- Yayın Türü: Makale / Vaka Takdimi
- Cilt numarası: 10 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.29228/erd.128
- Dergi Adı: European Journal of Research in Dentistry
- Derginin Tarandığı İndeksler: Sobiad Atıf Dizini
- Sayfa Sayıları: ss.43-49
- İnönü Üniversitesi Adresli: Evet
Özet
Objective: In the current literature, clinical data regarding the use of the bone lid approach for deeply impacted mandibular molars associated with pathological lesions are limited. The aim of this case series is to evaluate the clinical outcomes of the bone lid approach in the surgical management of deeply impacted mandibular molars associated with pathological lesions. Materials and Methods: Three patients with deeply impacted mandibular molars confirmed by cone-beam computed tomography (CBCT) and associated pathological lesions were included in this study. Written informed consent was obtained from all patients. In all cases, surgical treatment was performed using the bone lid approach. The pathological lesions were surgically enucleated, and the associated impacted teeth were extracted during the same session. In the postoperative period, all patients were prescribed antibiotics (amoxicillin 875 mg + clavulanic acid 125 mg, twice daily for 5 days), analgesics (ibuprofen 600 mg every 8 hours), and an antiseptic mouthwash containing 0.12% chlorhexidine (twice daily). Definitive diagnoses of the lesions were confirmed by histopathological examination. Patients were followed clinically and radiologically on postoperative day 1, week 1, and at 1, 3, and 6 months. Results: Two patients presented with pain, whereas in one patient the lesion was incidentally detected during radiological examination without any symptoms. Histopathological evaluation revealed dentigerous cysts in two cases and focal cemento-osseous dysplasia (FCOD) in one case. During the follow-up period, no inferior alveolar nerve (IAN) injury, infection, buccal segment necrosis, or lesion recurrence was observed in any patient. Conclusion: The bone lid approach can be considered a surgical option that provides adequate access while preserving bone integrity in the management of deeply impacted teeth and associated pathological lesions.