By David A. McGowan
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Extra resources for Atlas of Minor Oral Surgery: Principles and Practice
43 44 An atlas Removal of retained unerupted lower third molar of minor oral surgery AF, a 31-year-old prisoner, was referred by his prison dentist with a helpful letter which read: i nferior dental canal, I would be most grateful if you could look at this man and arrange the extraction of the lower left third molar. He is a drug addict and veins in both arms are considerably sclerosed. I saw this man a month ago at his insistence and, because he caused a riot, I arranged for him to be brought to my practice where I removed his remaining standing teeth under general anaesthetic.
At a further review two weeks later healing was complete. 25 Third molar removal 27 2. Angulation • Angle of mean long axis of the third molar to the `occlusal plane'. ) Described as mesio-angular (acute angle), vertical (right angle), disto-angular (obtuse angle), or horizontal (parallel). 3. Depth Conveniently defined by referring the standard mesial point of elevation of the third molar to the root of the second molar. The mesial point of application is seen on the radiograph as the enamel-cementum junction, and this can be related by eye to the upper, middle or l ower third of the distal root of the second molar.
Third molar removal Closure The wound is gaping open and requires to be sutured to appose the edges. I n the majority of cases, an upper third molar wound would lie together well enough without suturing. The first suture reconstitutes the buccal gingival margin. As the buccal end of the incision is still gaping and bleeding, a second suture has been inserted there. Follow-up The wound healed perfectly. 53 Endodontic surgery Radiographic assessment The panoramic radiograph shows that both the upper central incisors have been root-filled and post-crowned, and that there are no other problems requiring surgery.