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Precise Minimally Invasive Extraction of Impacted Teeth: Standardized Techniques and Management Practices
Baozhong Jin1, Ahmad Alhaskawi2, Yanzhao Dong2
1Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine.
Journal of Visualized Experiments : Jove
|December 29, 2025
Summary
This study introduces a minimally invasive surgical protocol for extracting impacted mandibular third molars. The new technique reduces operative time and postoperative pain, improving patient outcomes for various impaction types.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Techniques
Background:
- Impacted mandibular third molars present significant surgical challenges.
- Traditional extraction methods can lead to complications and increased patient morbidity.
Purpose of the Study:
- To present a standardized, minimally invasive surgical protocol for impacted mandibular third molar extraction.
- To evaluate the protocol's effectiveness in reducing trauma, operative time, and postoperative morbidity.
Main Methods:
- A standardized protocol involving a mesial vertical incision, atraumatic flap elevation, conservative bone contouring, and segmental tooth sectioning was employed.
- Thirty patients with impacted mandibular third molars were treated.
Main Results:
- Mean operative times were 16.8, 18.9, and 22.7 minutes for Pell and Gregory Class I, II, and III impactions, respectively.
- Postoperative pain significantly decreased from 3.1 ± 1.1 at 24 hours to 1.7 ± 0.9 at 48 hours (p < 0.0001).
- No major complications were reported.
Conclusions:
- The standardized minimally invasive protocol is reproducible, efficient, and safe for diverse impacted mandibular third molar types.
- This technique offers improved precision and reduced patient trauma compared to traditional methods.
