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Extraction of a deeply impacted lower third molar by sagittal split osteotomy.
Metin Sencimen1, Altan Varol, Aydin Gülses
1Department of Oral and Maxillofacial Surgery, Gulhane Medical Academy, Ankara, Turkey.
Summary
Sagittal split osteotomy provides better surgical access for impacted lower wisdom teeth, reducing bone removal and risks. This technique is recommended for deeply positioned molars to minimize complications.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
Background:
- Deeply impacted mandibular third molars often require bone osteotomy for extraction.
- Traditional osteotomy techniques can lead to significant bone loss and risks like inferior alveolar nerve damage or mandibular fractures.
Observation:
- A case study involving the extraction of a deeply impacted lower third molar with mild infection located in the mid-ramus is presented.
- The procedure utilized the sagittal split of the mandible for osteotomy.
Findings:
- The sagittal split osteotomy technique provided excellent surgical field exposure.
- This method minimized bone loss at the mandibular ramus compared to conventional approaches.
- The technique proved effective in managing a deeply impacted lower third molar with associated infection.
Implications:
- Sagittal split osteotomy is a reliable and preferred technique for extracting deeply impacted lower third molars.
- It offers a safer alternative, reducing the risk of nerve injury and mandibular fractures.
- This approach is particularly advantageous when molars are positioned between the buccal and lingual cortices.
