Third Molars 3

Question 1

what are the common treatment options of third molars

Answer 1

refer
clinical review
removal of M3M /maxillary 3 molar
coronectomy

Question 2

when would you perform a coronectomy on a mandibular third molar

Answer 2

if there is a close relationship to the IAN canal

Question 3

what are the less common options for treatment of third molars

Answer 3

operculectomy
surgical exposure
pre-surgical orthodontics
surgical reimplantation (into 7 space)

Question 4

what is involved in the decision making of treatment

Answer 4

patient involvement
good note keeping
current status of patient and M3M
risk complications
patient access to treatment

Question 5

what is included in the management summary

Answer 5

what is the current status of the third molar
what other factors need to be considered
is it symptomatic
presence or absence of disease

Question 6

what is active surveillance

Answer 6

reviewing the patient with radiographs at periodic intervals

Question 7

what consent is needed for GA and IV sedation

Answer 7

written consent form

Question 8

how do you gain voluntary and informed consent

Answer 8

explain procedure to patient
explain if it might need sectioned
give patient idea of what to expect
explain flap/drilling/sutures
large restoration fracture
post op complications
numbness

Question 9

what post op complications can occur

Answer 9

pain
swelling
bruising
jaw stiffness
bleeding
infection
dry socket

Question 10

what do you include in the referral letter

Answer 10

SBAR
situation, background, assessment, recommendation