Surgical Tip of the Week

#18 Seven Steps For Predictable Removal Of Mandibular Third Molar Impactions

Step 6 – Close. Primary closure of lower third molar surgical sites is controversial. Several studies have found pain and swelling were less severe with secondary closure than with primary closure.

A single interrupted suture can be placed distal to the second molar. Envelope flaps for maxillary third molars do not require sutures.