An Unconventional Approach for Distoangular Mandibular Third Molar Extraction- Case Series

Abstract

Background: The classical technique of surgical extraction of a distoangular impacted mandibular third molar results in significant amount of bone and soft tissue trauma. Aim: We aim to describe an alternative, intra-alveolar approach to extraction of distoangular impacted mandibular third molar by presenting a series of 30 cases recorded. Materials And Methods: In appropriate cases, beaks of cowhorn forceps were engaged in the interdental space between mandibular second and third molar and pressure applied by closing the beaks, while simultaneously maintaining digital pressure on the occlusal surface of the mandibular second molar. In majority of cases, the third molar would pop out in the arc of rotation. Conclusion: This alternative technique if applied in cases where indicated, could substantially reduce bone and soft tissue trauma, and also required lesser armamentarium. Keywords: distoangular mandibular third molar, third molar extraction, mandibular cowhorn extraction forceps