Surgical Tip of the Week #14

Seven Steps For Predictable Removal Of Mandibular Third Molar Impactions
PreviousNext

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 distal to the second molar.

  • Large flaps heal as fast as small flaps.
  • Work 100% of the time regardless of skill level.
  • Increased visibility means decreased complications
  • One suture distal of second molar on mandible, no suture maxilla (triangular flaps require two sutures).

Access is very important when removing impacted third molars. Why not try a large envelope flap?

  • Flap
  • Trough
  • Section
  • Split
  • Remove
  • Debride & Irrigate
  • Close

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

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

"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

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

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...