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OMFS Referral Indication — NDEB AFK MCQ

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EasyOral SurgeryOMFS Referral IndicationNDEB AFK

Which of the following clinical scenarios represents an appropriate indication for referral to an oral and maxillofacial surgeon?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Impacted mandibular third molar in close proximity to the IAN canal with panoramic signs of nerve involvement

Referral to an oral and maxillofacial surgeon is appropriate for complex surgical procedures beyond the scope or comfort level of the general dentist. Impacted third molars with panoramic signs suggesting close proximity to the IAN (root darkening, canal narrowing/deflection, loss of canal cortex) represent a situation where CBCT assessment, surgical expertise, and capability to manage IAN injury are needed. General dentists should assess their own competence and refer when the complexity exceeds their training and experience.

Reference: Hupp – Contemporary Oral and Maxillofacial Surgery, 7th ed., 2019