Surgical Tip of the Week #14

Seven 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 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...