A minimally invasive technique for extraction of impacted mandibular third molar with luxators: A prospective study

Dr M R Haranadha Reddy; Dr Harish Kumar T.V.S; Dr. Santosh Kumar Vedati; Dr Santosh Reddy G; Dr Nadella Koteswara rao; Dr Guru Charan D

Volume : VII, Issue : II, February - 2018

A minimally invasive technique for extraction of impacted mandibular third molar with luxators: A prospective study

Dr M R Haranadha Reddy, Dr Harish Kumar T. V. S, Dr. Santosh Kumar Vedati, Dr Santosh Reddy G, Dr Nadella Koteswara Rao, Dr Guru Charan D

Abstract :

Purpose: A new minimally technique was used for surgical extraction of mandibular third molar to minimize the intra and post operative complications associated with traditional technique (buccal guttering).

Patients & Methods: A prospective cohort study was conducted on 50 patients who required surgical removal of bilateral impacted mandibular third molar such as class I and Class II, Position A and position B according to Pell and Gregory Classification. Among them, one side was operated with new minimal invasive technique (Group A) and the other side by conventional technique (Group B) on the same visit under the local anesthesia. Baseline measurements were obtained preoperatively on either side before starting the procedure. Intraoperative complications such as hemorrhage, damage to adjacent vital structure, length of surgical time, and accessibility during the procedure and post operative complications such as pain, trismus, swelling, and dry socket on 1^st, 3^rd, 5^th and 7^th post operative day were evaluated.

Result: A vast difference between the two groups in the study variables is noticed. There was a significant reduction in the operating time and hemorrhage intra–operatively and pain, swelling, trismus and dry socket post operatively in the Group A on post operative checkup (P<0.05) �T� test.

Conclusion: The result of this study suggest that the new technique (minimal invasive) can be used for minimizing the complication associated with conventional technique in most of the partially erupted impacted teeth such as class I and Class II, Position A and position B impacted mandibular third molar according to Pell and Gregory Classification.