Abstract
Extraction of the lower third molar is one of the most common procedures performed in oral surgery. In general, impacted tooth extraction involves sectioning the tooth’s crown and roots. In order to divide the impacted tooth so that it can be extracted, high-speed air turbine drills are frequently used. However, complications related to air turbine drills may occur. In this report, we propose an alternative tooth sectioning method that obviates the need for air turbine drill use by using a low-speed straight handpiece and carbide bur. A 21-year-old female patient presented to the institute’s dental hospital complaining of symptoms localized to the left lower third molar tooth that were suggestive of impaction. After physical examination, tooth extraction of the impacted left lower third molar was proposed and the patient consented to the procedure. The crown was divided using a conventional straight low-speed handpiece and carbide bur. This carbide bur can easily cut through the enamel of crown. On post-operative day number five, suture was removed and the wound was extremely clear. This technique could minimise intra-operative time and reduce the morbidity associated with air turbine drill assisted lower third molar extraction.
Highlights
Extraction of the lower third molar is one of the most common procedures performed in oral and maxillofacial 2
We propose a novel tooth sectioning method by using a low-speed straight hand piece and carbide bur
The patient consented to proceed with surgical extraction of the impacted tooth
Summary
A 21-year-old female patient presented to the institute’s dental hospital complaining of morbidity in the left third molar tooth. She was diagnosed with chronic pericoronitis and informed that her mandibular third molar was impacted. Thereafter, the treatment options were explained to the patient, including the risks versus the benefits of surgically removing her impacted tooth. The alveolar bone overlying the crown was shaved to a groove with a round bur ensuring only minimal bony loss This groove served as a guide for the carbide bur used for sectioning the tooth. The crown was divided using a conventional straight handpiece and carbide bur (E 0138 ISO 016 USA 702, 44.5 mm, Dentsplymaillefer, Switzerland) (Figure 2). The extraction socket required thorough irrigation and mechanical debridement with a curette in order to prevent debris such as chips of crown, other bony fragments, and granulation tissue including dental sac from persisting
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