Excision of Large Mandibular Complex Odontoma through Unilateral Sagittal Split Osteotomy

Introduction : There are various alternative surgical approaches for removal of large benign lesions in the posterior part of the mandible. This study describes three cases of large mandibular mixed odontogenic lesions which were excised via sagittal split approach. Report of Cases : All three cases were treated by surgical excision via unilateral sagittal split osteotomy under general anesthesia following a 2 weeks period of intermaxillary fixation. Results : The lesions were enucleated completely and all three osteotomy sites healed with no consequences with an intact neurosensory function. Conclusion : This article suggests the sagittal split osteotomy approach for conservative treatment of large mandibular lesions based on excellent access, limited bone removal and reducing further complications.