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#coursekarma @coursekarma 10. Range of opening Pretty straight forwards, the more range the better access. Unfortunately you may not know this until surgery day if case was referred to you Avoid extracting teeth on patients with trismus due acute pericoronitis 11. Anxiety Not discussed enough in literature Anxious patients make the whole procedure more difficult, Consider sedation Swipe m
#coursekarma @coursekarma ck FREE ONLINE MASTERCLASS: "5 ESSENTIAL STEPS TO EXTRACT THIRD MOLARS" The Him dice Meantiaing is to clin dis goon Online and in-person CE IMPLANT LINK IN BIO Was This Helpful? Save For Later
#coursekarma @ coursekarma BEST INDICATORS FOR ASSESSING DIFFICULTY 1. Angulation EASIEST MESIO- ANGULAR : HORIZONTAL LEVEL OF DIFFICULTY MOST DIFICULT VERTICAL DISTO- ANGULAR Horizontal is easier than they look Vertical and Distoangular are challenging due to access. When the long axis is tipped distally you are fighting with the ramus. Save For Later Swipe
#coursekarma @coursekarma 3. Root Characteristics & Developement Easy - Conical single root Hard - bulbous, Divergent, multirooted Ideal when roots 1/2 to 2/3rd developed Save For Later Swipe
#coursekarma @coursekarma 5. Retromolar Space Distal of second molar to anterior of ascending ramus. The more space the easier access If space is limited and crown is in the ascending ramus you will have to flap, cut muscle, remove bone Save For Later Swipe m
THIRD MOLAR EXO CASE SELECTION - PART 2 OF 2 WHAT TO EXTRACT AND WHAT TO REFER! Stin COURSE KARMA X THIRD MOLARS ONLINE Swipe fo
#coursekarma @coursekarma 8. Depth of application Measure from CEJ of second molar to where you will be applying elevator during extraction. Deeper it is the more challenging. This has been described to be the single most important factor in extracting third molars Save For Later
THIRD MOLAR EXO CASE SELECTION - PART 1 OF 2 WHAT TO EXTRACT AND WHAT TO REFER! COURSE KARMA X THIRD MOLARS ONLINE Swipe
#coursekarma @ coursekarma 2. Age Ideal age 14 to 25 Due to: Bone density, root formation tooth in function, follicular space and PDL Space Avoid: Lone standing molars in function older patients Inflexible dense bone, minimal PDL space and partially fused to bone Save For Swipe Sig
#coursekarma @coursekarma 4. PDL Space & Follicular Space Both represent space in the socket, more space for instruments less bone More space in younger patients Save For Later
#coursekarma @ coursekarma ck Stay tuned for Part 2 for the remaining 7 indicators of difficulty! FREE ONLINE MASTERCLASS: "5 ESSENTIAL STEPS TO EXTRACT THIRD MOLARS" Online and in person Cal IMPLANT 55904 LINK IN BIO Was This Helpful? Save for
#coursekarma @coursekarma 6. Bone Density Ties in with Age Posible mandibular fracture with patients who are older with narrow PDL and dense bone 7. BMI Higher BMI, increase in bone density Harder Access Reduced cheek elasticity. Studies have also show reduced PDL space Due to airway may not be able to sedate Save For Later Swipe Mi
#coursekarma @coursekarma 9. Proximity to second molar If roots are touching harder to extract Common in distoangular impactions. No space for instruments. Once crown is removed its hard to see mesial root of third molar past second molar crown. More bone removal Higher chance of damage to adjacent ~ Later Save For Swipe fig
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