Laboratory Medicine

Atlas of Minor Oral Surgery: Principles and Practice by David A. McGowan

By David A. McGowan

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The distal gingival margin can easily be bisected by an incision from the distal groove, and the buccal gingival roll is thick and will form a good corner for advancing across the socket. The distal surface of the second molar is apparently intact and unweakened by caries or restoration. I ncision The incision was made as planned. Note the angle at which the incision crosses the attached gingivae. Minor bleeding is often encountered from small vessels cut at the end of the relieving incision. This can be minimized by keeping the angle of the relieving incision as flat as possible.

I saw this man a month ago at his insistence and, because he caused a riot, I arranged for him to be brought to my practice where I removed his remaining standing teeth under general anaesthetic. Unfortunately, I was unable to remove the unerupted lower left third molar. I told Mr F that the tooth was still present and most unlikely to cause trouble. However, yesterday, he came to see me again complaining that the tooth was causing trouble and wanting it cut out. As there is considerable bony covering with just the cusps showing above bone level, and the roots appear radiographically to be close to the The patient complained of a shooting pain on the left side when eating, leading to earache.

Third molar removal Unerupted mesio-angular impaction DK, a 21-year-old apprentice joiner, complained of numbness in the right lower jaw. No explanation could be found, but he was advised to have the unerupted right lower third molar Radiographic assessment The large lower right third molar has tapered roots with a tendency to distal curvature, which i s more pronounced in the mesial root. There is marked mesio-angular inclination, and the mesial point of elevation is level with the middle third of the distal root of the second molar.

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