Third Molar Disimpactions in Routine Practice - A Step-by-Step Approach Clinically & Radiographically

Third molar impaction arises when eruption is obstructed by anatomical or positional factors, often related to evolutionary jaw size reduction. Accurate assessment using classification systems such as Winter’s and Pell–Gregory is vital for determining impaction type, surgical approach, and potential complications. Preoperative evaluation, including radiographic analysis with orthopantomogram (OPG) or cone-beam CT, guides surgical planning by identifying root morphology and proximity to vital structures. Surgical management involves meticulous flap design, bone guttering, and tooth sectioning, with technologies such as piezosurgery enhancing precision and reducing morbidity. Common postoperative complications include pain, swelling, trismus, and dry socket, necessitating careful patient education and follow-up for optimal recovery and long-term functional outcomes.

Download this comprehensive guide for your reference and to enhance your clinical decision-making in third molar management.
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