IMPACTED THIRD MOLARS

1 Anatomy 1
Nerves 1
Blood Vessels 4
Buccal Fat Pad 6
Submandibular Fossa 7
Maxillary Sinus 8
Infratemporal Fossa 8
References 10
2 Case Selection 13
Medical Evaluation 13
Radiographic Assessment 20
Early Third Molar Removal 27
Prophylactic Removal of Third Molars 29
Summary 30
References 31
3 Complications 33
Paresthesia 33
Alveolar Osteitis 40
Infection 46
Bleeding and Hemorrhage 52
Jaw Fracture 54
Osteomyelitis 56
Damage to Proximal Teeth 57
Buccal Fat Pad Exposure 57
Oral�]Antral Communication 57
Displacement of Third Molars 58
Aspiration and Ingestion 61
Temporomandibular Joint Injury 62
Complications Summary 62
References 62
4 Work Space: Equipment, Instruments, and Materials 67
Equipment 68
Instruments 74
Materials 83
Bloodborne Pathogens Standard 93
References 94
5 Surgical Principles and Techniques 97
Surgical Principles 97
Surgical Technique 108
Germectomy 125
References 126
6 Pharmacology 131
Pharmacokinetics and Pharmacodynamics 131
Pharmacology for Third Molar Removal 134
Sedation 134
Pain Management 140
Inflammation 150
Infection 153
Authors Medication Regimen 156
References 157
7 Sedation Techniques 163
Sedation as a Continuum 165
ADA Definitions (Verbatim) 166
ADA Clinical Guidelines (Verbatim) 167
Medical Evaluation 173
Routes of Administration 174
Inhalation (N2O) 176
Oral Sedation 183
Sublingual Administration 184
Intravenous Sedation 185
Venipuncture 188
References 194
8 Sedation Emergencies and Monitoring 197
Patient Safety and Sedation Law 197
Sedation Emergencies 200
Monitors 207
References 212
9 Documentation 213
Informed Consent 213
Progress Notes 217
Malpractice Cases 218
Summary 223
References 224
10 The Mobile Third Molar Practice 225
Mobile Practice Benefits 227
General Dentist or Specialist 228
Mobile Practice Promotion 229
Third Molar Procedure Manual 234
Third Molar Removal With IV Sedation 235
Introduction 235
Guidelines for Third Molar Surgery 236
Instruments/Operatory Setup 237
Instruments/Sterilization 238
Emergency Procedures 238
Medical History 241
Presurgical Instructions 242
Postsurgical Instructions 243
Progress Notes 244
Progress Notes Key 245
Sedation Record 246
Third Molar Impaction Consent 247
IV Sedation and Wisdom Teeth Briefing 248
Third Molar Research 249
Contractual Agreement for Dental Services 250
Documents 253
Scheduling Letter 253
Scheduling Protocol 254
Scheduling Tips 254
Insurance/Fees 255
Summary 257
References 257
Index 259

Offers clinically focused instruction for successful and safe removal of impacted third molars
This book offers a comprehensive surgical guide for the successful removal of impacted third molars. It walks readers through basic anatomy, case selection, complications, pharmacology, and anesthesia, and covers surgical principles and techniques in detail with illustrations and photos. Instruments and postoperative care are also described, and a unique chapter discusses the author's mobile third molar practice.

Impacted Third Molars covers everything that dentists need to know to safely remove impacted third molars with efficiency and confidence.

• Provides step-by-step procedures for removing impacted third molars
• Includes practice management, legal, and marketing advice
• Features procedural videos on a companion website

Impacted Third Molars is an ideal reference for the general dentist, specialist, or resident.

The author
John Wayland, DDS, FAGD, MaCSD, is founder of Western Surgical and Sedation and maintains a mobile third molar practice in the San Francisco Bay Area, California, USA.