Cranial Maxillofac Trauma Reconstruction 2018; 11(01): 059-064
DOI: 10.1055/s-0036-1594275
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ectopic Molar Removal from the Ramus/Condyle Unit: A Minimally Invasive Approach

Gary A. Forgach
Department of Oral and Maxillofacial Surgery, Loyola University Medical Center, Maywood, Illinois
Stephen P.R. MacLeod
Division of Oral and Maxillofacial Surgery and Dental Medicine, Department of Surgery, Loyola University Medical Center, Maywood, Illinois
› Author Affiliations
Further Information

Publication History

30 June 2016

02 September 2016

Publication Date:
03 January 2017 (eFirst)


Ectopic molars within the mandibular ramus/condyle unit, although rare, present a unique challenge to the surgeon. Multiple approaches have been described in the literature for their removal. A review of the English literature on the subject of mandibular ectopic molars and their epidemiology, etiology, indications for removal, and surgical techniques was completed. In addition, a case report is presented of an ectopic mandibular molar in the mid-ramus region which was removed via a minimally invasive, intraoral, technique combining the use of endoscopy and piezoelectric surgery. The authors advocate this technique as it offers the following advantages: avoidance of injury to branches of the facial nerve, unaesthetic scars, and sialocele formation; maximization of surgical field visualization with limited dissection; ability for safe sectioning of the tooth with minimal risks to adjacent structures; and precise bone removal, reducing the risk of iatrogenic or postoperative mandible fracture.