The inferior alveolar nerve canal is partially surrounded by cribriform bone which is full of small holes to allow vessels and nerves to pass from the neurovascular bundle to the teeth and surrounding bone. Many textbooks incorrectly state that the canal is made of cortical bone. Cribriform bone is intermediate in strength between cortical and trabecular bone which makes it vulnerable to crushing during surgical removal of third molars. Evaluation of the proximity of third molar roots to the canal is essential in treatment planning to avoid surgery if the roots are close to the canal.

The riskiest situation is where the root is touching the bundle with no intervening cribriform canal tube. The CBCT image A below shows a circular ring of canal some distance away from the root and this has a low risk of crushing.

See images: EVALUATING_3RD_MOLAR_IMPACTIONS

Good employees, courteous, prompt and attentive..read more

Metro West Dental is always cheerful, efficient, and accommodatingread more

Becky is always top notch. She makes coming to your office always a positive experience.read more

Dr. Kim is so personable and caring, she really takes interest in you as a person.read more