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?
- Debride & Irrigate