Current thinking in lower third molar surgery

Br J Oral Maxillofac Surg. 2022 Apr;60(3):257-265. doi: 10.1016/j.bjoms.2021.06.016. Epub 2021 Jul 30.

Abstract

The removal of lower third molar teeth is one of the most common surgical procedures performed worldwide, but many concepts in this surgery have been unclear and have engendered different opinions. This paper aims to review current thinking in certain pertinent aspects of this surgery to update the reader on the most current research and synthesise it to make clinical recommendations. Topics covered include preoperative imaging, timing of removal, flap design, lingual retraction, coronectomy, lingual split, closure techniques, and use of antibiotics, steroids, and drains.

Keywords: Coronectomy; Odontectomy; Third molar extraction; Wisdom tooth.

Publication types

  • Review

MeSH terms

  • Humans
  • Mandible / surgery
  • Molar, Third* / surgery
  • Tongue
  • Tooth Extraction / methods
  • Tooth, Impacted* / surgery
  • Wound Closure Techniques