Shehadat, Saaid Al, Khouly, Mohamed Nidal Al, Shetty, Shishir Ram, Renugalakshmi, Apathsakayan, Nagendrababu, Venkateshbabu and Dummer, Paul M. H.  ORCID: https://orcid.org/0000-0002-0726-7467
2026.
Conservative management of a partially impacted mandibular second molar at risk of inferior alveolar nerve injury during extraction: case report.
Australian Endodontic Journal
10.1111/aej.70119
|
Preview |
PDF
- Accepted Post-Print Version
Available under License Creative Commons Attribution. Download (517kB) | Preview |
Abstract
This case report describes the conservative management of an incompletely erupted, subgingivally positioned mandibular right second molar with extensive caries and periapical pathosis in close anatomical relationship to the IAN canal. Complete extraction was initially considered as a provisional treatment option; however, CBCT revealed partial encirclement of the IAN canal by the roots, leading to a conservative treatment plan comprising root canal treatment followed by coronectomy. The initial treatment involved the extraction of tooth 48, followed by root canal treatment and tooth restoration of tooth 47; the patient declined coronectomy. At the 1-year follow-up, the patient was asymptomatic and periapical radiographs and CBCT scans indicated substantial periapical healing and preservation of the IAN. This case illustrates the role of CBCT-guided conservative endodontic management of impacted teeth as a viable alternative to extraction in high-risk anatomical situations.
| Item Type: | Article |
|---|---|
| Date Type: | Published Online |
| Status: | In Press |
| Schools: | Schools > Dentistry |
| Additional Information: | RRS applied |
| Publisher: | Wiley |
| ISSN: | 1329-1947 |
| Date of First Compliant Deposit: | 10 September 2026 |
| Date of Acceptance: | 24 August 2026 |
| Last Modified: | 10 Sep 2026 09:00 |
| URI: | https://orca.cardiff.ac.uk/id/eprint/189499 |
Actions (repository staff only)
 |
Edit Item |
Dimensions
Dimensions