Preventive conduct for ectopic third molar extractions - Clinical case report

Abstract

Third molars are one of the greatest challenges in oral surgery due to the many different positions these teeth can be found in the dental arch, as suggested by the classifications described by Pell and Gregory, according to MEDEIROS(1) et al. In addition, there are also morphological variations in the number and shape of the roots. This case report aims to provide a preventive approach to the extraction of ectopic third molars, which have a high risk of migrating to other anatomical spaces during surgery, bringing more peace of mind to the dental surgeon's actions in outpatient or inpatient surgeries.
After confirming the need through a CT scan, the patient underwent surgery to remove the third molar tooth, following the normal surgical protocols until the tooth was exposed, where a tie wire was used to pierce the tooth after drilling it, to guarantee traction without the possibility of it being pulled into the submandibular space.
The surgical procedure was carried out smoothly due to the approach used, and the patient was monitored during and after surgery, with excellent results.
We conclude that the strategy used is an efficient method for reducing the occurrence of trans-operative accidents in noble areas of the facial anatomy.

DOI:https://doi.org/10.56238/sevened2024.003-011