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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model

The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model

Published on: January 13, 2023

Buccal rotation for wholly impacted maxillary third molar extraction.

Zhou-Xi Ye¹, Wen-Hao Qian², Yu-Bo Wu¹

¹Shanghai Xuhui District Dental Disease Prevention and Control Institute, No. 500, Fenlin Rd, Shanghai, People's Republic of China.

Head & Face Medicine

|January 31, 2023

Summary

A novel buccal rotation technique effectively extracts impacted maxillary third molars, especially those with deep impaction and significant angulation. This method offers a viable alternative for challenging surgical cases.

Keywords:

Angulation Impacted maxillary third molar Impacted position Surgical simulation Tooth extraction

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Area of Science:

Oral and Maxillofacial Surgery
Dental Implantology
Surgical Innovation

Background:

Extracting impacted maxillary third molars presents surgical challenges including limited visibility and risk of complications.
A novel buccal rotation technique is proposed to address these difficulties.

Purpose of the Study:

To introduce and evaluate the clinical applicability of the buccal rotation method for extracting impacted maxillary third molars.
To compare the efficacy of the buccal rotation technique against traditional methods.

Main Methods:

A cohort study included 72 impacted maxillary third molars between October 2020 and September 2021.
Teeth were classified by impaction position (I, II, III) and angulation (A, B, C) relative to adjacent teeth.
Surgical simulations determined the application of traditional or buccal rotation methods; results were analyzed using the Chi-square test.

Main Results:

The buccal rotation method was predominantly used for deeply impacted teeth (position III) and those with significant angulation (angulation C) (p<0.05).
Traditional methods were favored for less complex cases (positions I and II, angulation A).
Four temporary complications were reported across all cases.

Conclusions:

Buccal rotation is a feasible and effective technique for extracting deeply impacted maxillary third molars.
The method is particularly advantageous for molars with substantial angulation towards adjacent teeth.