Surgical Tip of the Week #1

How To Avoid IAN Injury

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.

SUPERIMPOSITION

Third molar roots are usually buccal or lingual to the IAN canal. This is termed radiographic “superimposition”. A quality digital panoramic x-ray can show you superimposition and at least 10 other indicators for intimate root contact with the inferior alveolar nerve.

Superimposition – The IAN canal “white lines” are continuous and uninterrupted indicating buccal or lingual root position and no intimate contact with the IAN. The root is not radiolucent near the canal.

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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...