Optimization study of mandibular impacted third molar extraction based on multidimensional minimally invasive techniques

CHEN Xin; LU Xiuzheng; HUANG Chuanlong; LI Yang

doi:10.16766/j.cnki.issn.1674-4152.004344

Volume 24 Issue 1

Jan. 2026

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Article Navigation > Chinese Journal of General Practice > 2026 > 24(1): 121-125

CHEN Xin, LU Xiuzheng, HUANG Chuanlong, LI Yang. Optimization study of mandibular impacted third molar extraction based on multidimensional minimally invasive techniques[J]. Chinese Journal of General Practice, 2026, 24(1): 121-125. doi: 10.16766/j.cnki.issn.1674-4152.004344

Citation:

CHEN Xin, LU Xiuzheng, HUANG Chuanlong, LI Yang. Optimization study of mandibular impacted third molar extraction based on multidimensional minimally invasive techniques[J]. Chinese Journal of General Practice, 2026, 24(1): 121-125. doi: 10.16766/j.cnki.issn.1674-4152.004344

Citation:

CHEN Xin, LU Xiuzheng, HUANG Chuanlong, LI Yang. Optimization study of mandibular impacted third molar extraction based on multidimensional minimally invasive techniques[J]. Chinese Journal of General Practice, 2026, 24(1): 121-125. doi: 10.16766/j.cnki.issn.1674-4152.004344

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Optimization study of mandibular impacted third molar extraction based on multidimensional minimally invasive techniques

doi: 10.16766/j.cnki.issn.1674-4152.004344

College & Hospital of Stomatology, Anhui Medical University, Key Lab. of Oral Diseases Research of Anhui Province, Hefei, Anhui 230032, China

Funds:

2023xkfyts07

2023AH050644

Received Date: 2025-01-30
Available Online: 2026-04-01

Abstract

Abstract

The extraction of impacted mandibular third molars is a common yet complex oral surgical procedure. Due to the restricted operative field, proximity to vital anatomical structures, and variations in impaction depth and root morphology, such surgeries are technically challenging and carry a relatively high risk of postoperative complications. Current challenges include insufficient preoperative sedation and pain control, difficulty in managing postoperative swelling and bleeding, and the risk of nerve injury. Moreover, a unified and systematic standard for minimally invasive extraction techniques is still lacking. Based on clinical practice, this study introduces the new concept of "multidimensional minimally invasive techniques" through an analysis of several key aspects, including perioperative sedation and pain control strategies, standardized antibiotic prophylaxis for impacted tooth extraction, resistance-based surgical planning, flexible flap design, individualized mandibular third molar extraction strategies, and wound closure considerations. (1) By implementing perioperative sedation, effective pain management, and standardized prophylactic antibiotic use, patients ' anxiety and discomfort are alleviated, thereby improving overall surgical experience. (2) Through optimization of extraction procedures and flexible flap techniques guided by multidimensional resistance analysis, intraoperative tissue trauma is minimized. (3) Appropriate wound closure techniques combined with inferior alveolar nerve protection measures help to prevent postoperative complications to the greatest extent possible. (4) Standardization of the surgical process promotes personalized extraction strategies, enhancing procedural precision and efficiency. This study aims to advance the application and development of multidimensional minimally invasive techniques in the extraction of impacted mandibular third molars, thereby improving surgical outcomes and reducing the incidence of complications.
- Mandibular third molar,
- Impacted teeth,
- Multidimensional minimally invasive techniques,
- Resistance analysis,
- Personalized extraction strategies,
- Perioperative period

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References(35)

References

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Optimization study of mandibular impacted third molar extraction based on multidimensional minimally invasive techniques

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