J Korean Assoc Oral Maxillofac Surg.  2022 Oct;48(5):326-328. 10.5125/jkaoms.2022.48.5.326.

Straight lift technique as an alternative to surgical extraction of an intact, partially impacted mesioangular mandibular third molar

• Rai AJ
• Kumar J
• Lal B
• Shakti P

• KMID: 2534815
• DOI: http://doi.org/10.5125/jkaoms.2022.48.5.326

Abstract

Impacted mandibular third molar removal is the most common procedure performed by oral and maxillofacial surgeons. An array of alternative procedures have been suggested, like operculectomy in cases of pericoronitis and coronectomy in certain cases. However, these procedures pose several disadvantages, and we propose a relatively non-invasive ‘straight lift technique’. This technique is specifically useful in straightening abnormally positioned mesioangular third molars as a substitute of complete removal. This can improve tooth function, eliminate the need for surgical intervention, and reduce the risk of complications associated with third molar removal.

Keyword

Impacted mandibular third molar; Straight lift technique; Coronectomy; Coronoplasty; Operculectomy

Figure

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  Fig. 1 A. Intraoral periapical radiograph showing the partially impacted mesio-angular third molar (preoperative). B. Intraoral periapical radiograph showing the upright third molar with normal occlusion (immediate postoperative). C. Intraoral periapical radiograph showing the healed periapical region in relation to the third molar (at the 6-month follow-up).

• 

  Fig. 2 Clinical photograph showing the third molar in normal and stable occlusion (at the 6-month follow-up) (arrow).

Reference

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