What is best technique to extract horizontal deeply impacted lower 3rd molar please

2 Likes

LikeAnswersShare

Deeply impacted implies Pell and Gregory class 3C. 1)Nerve block LA(IANB+Lingual+Long Buffalo/ Mandibular block) 2)Full thickness flap extending from 1st molar to retromolar region, take care to avoid damaging the lingual nerve. 3)Bone guttering with thorough irrigation 4)Coronectomy 5)Make a purchase point on the distal root which lies superior to medial root in horizontal impactions, lunate using Cryer elevator, repeat for medial root. 6)Irrigate thoroughly, grind away any sharp spicules of bone. 6)Suture using interrupted suture pattern with non resorbable suture. 7)Injection diclofenac sodium and dexamethasone to control pain and post op swelling. Give post op instructions and medications. Recall after 1 week and review.

Thank you doctor
0

If get answer pls also tell me on 9881010535 , my whats app number . May be you first get percussion point and then elevate the tooth by straight elevator , percussion poing also made from bone drilling , call oral surgeon for this case and learn from him on your pateint .

If it is in position c the difficulty increases and such case is better done under short GA

Thank you doctor
0

Depends on how deep it is