“Minimum invasive procedure for mandibular impacted third molar tooth (mipmit)-a study to prevent incision and soft tissue handling.”

Abstract

Management of impacted mandibular third molars with surgical removal is a very common procedure in day-today- practicein whichever Wards or Modified Wards the incisions are performed. In some cases Envelope Flap and other such types of flaps are commonly performed. Incision, reflection of flap, osteotomy, suturing are the normal protocols which give more tissue handling, more trauma to tissue and discomfort to the patient. It also causes swelling and pain. This surgical procedure is needed in deeply seated impacted mandibular third molar tooth. But we observed in some cases of impaction, which werenot deeply seated, half or more than half the crown was clinically visible in the oral cavity. In such cases, we can modify the technique and remove this third molar with minimum invasive conservative approach. From this observation, we modified the technique for surgical removal of partially erupted third molar and inset to avoid incision and bone cutting. This paper suggests management of partially erupted mandibular third molar tooth with minimum invasive technique or conservative approach. We observed, minimum invasive procedures were causing less post-operative complications and it definitely reduces the time to perform the procedure. The prevention of incision with conservative approach is discussed in thirty patients. The purpose of this article is to present the cases that led to this observation, and present the technique modification in design and execution that we have used.[1-5]