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The extraction of impacted mandibular third molars is a common dental procedure. The reasons for extracting these teeth include acute or chronic pericoronitis, the presence of cysts or a tumor, periodontal problems, the presÂ­ence of a carious lesion, and preparation for orthodontic treatment or orthognathic surgery (1).
Wisdom teeth or third molars are routinely removed as an adolescent. They are the last tooth in our mouth to develop and erupt. Wisdom teeth may first appear radiographically as early as age 14. Since wisdom teeth are the last teeth to develop, they frequently become impacted. Impacted simply means something is obstructing the normal eruption of a tooth. This can be soft tissue, bone, another tooth or even a tumor. In the case of routine third molars, they are classified according to the degree of impaction. Soft tissue impaction, partial bony impaction or complete bony impaction. This degree of impaction will determine the difficulty of extraction and may dictate the degree of pain a patient experiences with an extraction.