Author(s)

Fares Kablan¹, Victoria Yaffe¹, Imad Abu El-Naaj²

¹Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center, Poriya, Israel.
²Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center, Affiliated to the Faculty of Medicine of Bar-Ilan University in the Galilee, Poriya, Israel.

Background: The surgical removal of impacted mandibular molars represents one of the most prevalent procedures carried out by the oral and maxillofacial surgeon. Despite its prevalence, unusual impaction location of mandibular molars necessitates alternative extraction approaches. One of the methods described for extraction of deeply impacted molars is the bony lid approach which was first presented for surgical endodontic treatment of mandibular molars. The aim of this study was to evaluate the outcome of the bony lid approach in extracting mandibular molars. In addition, critical clinical key points, new aspects while performing this procedure, indications and contraindications are discussed. Materials and Methods: 9 patients were treated with the bony lid technique. A retrospective analysis of medical charts was conducted to evaluate the results of surgery. Results: The operative technique described in the article was successfully carried out in 12 cases of impacted mandibular molars. No incidence of permanent sensory deficit was recorded. In one patient, an infection mandated the removal of the bony lids. In all other cases the healing process was uneventful. Conclusion: The bony lid technique has many advantages over alternative extraction methods and should be considered as a treatment option in cases of critical proximity between an impacted tooth and the inferior alveolar nerve.

Buccal Lid, Mandibular Molars, Extraction

Kablan, F. , Yaffe, V. and El-Naaj, I. (2017) The Buccal Lid Approach for Removal of Impacted Mandibular Molars—When, How and Why?. Open Journal of Stomatology, 7, 81-90. doi: 10.4236/ojst.2017.71004.