Surgical extraction of the impacted mandibular third molar – vestibular bone window technique

Abstract

Introduction Surgical extraction of impacted mandibular third molar can lead to the periodontal defect on distal aspect of the mandibular second molar causing pocket formation, tooth sensitivity, food retention, postoperative infections. Different surgical techniques have been proposed to reduce periodontal complications.

Case outline We presented five cases treated with Vestibular Bone Window Technique. Considering data from the literature review, benefits and limitations of the technique are discussed and compared to the Standard Surgical Technique.

Conclusion Vestibular Bone Window Technique might be recommended surgical procedure for the extraction of impacted mandibular third molar when bucco-distal bone wall is present preoperatively. Taking into account only five cases, future work should consider a randomized clinical trial with the larger stratified samples.

Keywords: mandibular third molar; periodontal defect; vestibular bone window technique