Wisdom for Wisdom Tooth – Minimally Invasive Procedure for Mandibular Impacted Third Molar Tooth

Abstract:

Management of impacted mandibular third molars with surgical removal is a common procedure in day-to-day practice. Incision, reflection of flap, osteotomy, suturing is the normal protocol which involves traumatic tissue handling, patient discomfort, swelling and pain. The demand for conservative approach and stitch-less surgeries is increasing day-by-day. Dr. Nikam developed a technique to remove impacted third molars with a minimally invasive conservative approach, inset to avoid incision and soft tissue handling. This procedure reduces post-operative complications and procedure time. The purpose of this presentation is to present the modification in design and execution that Dr. Nikam has used in thousands of his cases.

Introduction:

 This copyrighted technique is a revolution in the field of Dentistry, and is accepted worldwide. The demand for stitch-less procedures is increasing day-by-day in all specialities like gynecology, general surgery, and cosmetology. So why not in dentistry? The conservative removal of mandibular impacted third molars gives immense patient satisfaction due to reduced pain and post operative complications. The removal of impacted molars is a challenging task for most dentists. This technique provides practitioners with a faster, easier, and more efficient approach. Hence, Dr. Nikam wishes to share it with dentists worldwide. This procedure has been trademarked by the Government of India under Dr. Nikam (MIPMIT Dr. V. H. Nikam’s technique).

Learning Objectives:

1. Minimal invasion and trauma to the patient using the technique
2. Less Postoperative complications using the new technique
3. Perform impacted third molar removal in less time.
4. The armamentarium used in procedure is less.
5. No need of sutures in some cases giving more satisfaction to such patients.