Surgical Tip of the Week #4

How To Avoid IAN Injury - Perforation

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. A CT is recommended when injury is likely.

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PERFORATION

In rare cases, the developing third molar root completely encircles the inferior alveolar canal. This is seen on the radiograph as a narrowing, radiolucent band where the canal crosses over the third molar root. The top and bottom white lines are visible on the radiograph.

Perforation

  • 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...