A Brief Introduction

Oral Academy is a modern platform for communication between colleagues. It is a new medium for sharing experiences and ideas. The platform is created by a young team and aims to shorten the distance between dentists in the virtual space and to assist them in more difficult clinical cases.

The platform has an active Facebook page, announcing the main publications and news, as well as a group where you can discuss everything in the field of dental medicine. The site has already published many useful materials that are free to download. Some of these are questionnaires for assessment of the patients' medical status, various informed consent, a brief guide to antibiotics used in odontogenic infections, and many more.

The concept of microinvasiveness in the extraction of a third molar dates back to 1930 with the article by Pell and Gregory, which presents the classification of wisdom teeth impaction and the methods for extraction. Considering the time the article was published and the absence of any antibiotics, surgery to remove a third molar was risky for infection, inflammation, and even death. To avoid the relevant side effects, it was mandatory that cuts and as well as bone removal, to be done with caution.

With the technological advancement - the presence of better illumination of the operative field, magnification and minimally traumatic cutting tools, such as a piezotome, the operation to remove the third molar can reach a new level of micro invasiveness. We present you a clinical case of lower right wisdom tooth extraction.

Radiography Before Extraction
Figure 1: Panoramic radiography before surgery.
Third Molar Area Before Surgery
Figure 2: Third Molar Area Before Surgery.
Surgical Incision and Osteotomy
Figure 3: Incision distal to the second molar, which preserves the tissues around the second molar as much as possible. Elevation of mucoperiosteal flap and osteotomy to uncover the tooth.
Cutting and Removal of the Wisdom Tooth
Figure 4: The wisdom tooth is divided into pieces and extracted. This minimizes the bone trauma as much as possible.
Figure 5: Two sutures are placed in order to close the surgical wound and leave a spot for post-operative drainage.
The Extracted Tooth
Figure 6: The extracted tooth divided into three pieces.