Surgical Tip of the Week #9

How To Avoid IAN Injury - Deflection of Root

A quality panoramic x-ray is sufficient when assessing possible IAN injury while removing third molars. Nine panoramic radiographic markers can reliably predict IAN injury. ACT is recommended when injury is likely.

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DEFLECTION OF ROOT

The final radiographic sign for possible IAN contact is root deflection. It should be emphasized that none of the STOW radiographic signs are absolute indicators of IAN contact. Furthermore, contact of third molar roots with the IAN canal and nerve does not always result in paresthesia. These radiographic signs are red flags indicating caution should be observed. A referral to a maxillofacial surgeon or CT scan should be considered. Conversely, superimposition is not a guarantee that nerve injury will not occur. Patient age is always a consideration.

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Surgical Tip of the Week #14 – 7 Steps for Predictable Removal of Mandibular Third Molar Impactions

by jmalan | March 28, 2021 | Surgical Tips | 0 Comments

STEP 1 FLAP Many flap designs will work. The two most popular flaps for impacted third molars are the triangular and envelope. Western Surgical and Sedation recommends a large envelope flap starting distal to the second premolar (including papilla) and ending 1-1.5 cm...

Surgical Tip of the Week #13 – “S” Flap

by jmalan | March 26, 2021 | Surgical Tips | 0 Comments

"S" FLAP There are many flap designs recommended for the removal of impacted third molars. Western Surgical and Sedation’s STOW will discuss four different flap designs: envelope, triangle, modified triangle, and “S” flap. The most commonly recommended flaps are the...

Surgical Tip of the Week #12 – Modified Triangle Flap

by jmalan | March 25, 2021 | Surgical Tips | 0 Comments

MODIFIED TRIANGLE FLAP There are many flap designs recommended for the removal of impacted third molars. Western Surgical and Sedation’s STOW will discuss four different flap designs: envelope, triangle, modified triangle, and “S” flap. The most commonly recommended...

Surgical Tip of the Week #11 – Triangular Flap

by jmalan | March 23, 2021 | Surgical Tips | 0 Comments

TRIANGULAR FLAP There are many flap designs recommended for the removal of impacted third molars. Western Surgical and Sedation’s STOW will discuss four different flap designs: envelope, triangle, modified triangle, and “S” flap. The most commonly recommended flaps...