The Comparative Study of Two Surgical Techniques Applied in Mesial-Horizontal Impacted Mandibular Third Molars Extraction

Objective: Impacted lower third molars are present in approximately 90% of the population, often leading to various postoperative complications. This study aims to compare the operating time and postoperative complications between two surgical techniques for extracting mandibular impacted third molars: the T-shape and the three sections methods. Methods: A total of 100 patients, aged 18 to 26, with bilateral symmetrical mandibular impacted third molars, were selected for this study. Each patient's left and right sides were operated on using the T-shape and three sections methods, respectively. Preoperative and postoperative care were consistent across groups. Outcomes such as operating time, root pruning, postoperative complications, and evaluations at 24, 48, and 120 hours post-surgery were recorded. Data analysis was performed using the t-test in SPSS version 17.0. Results: A statistically significant reduction in distal parts removing time, as well as in 24-hour postoperative facial edema and pain, was observed with the T-shape method. No significant differences were found in postoperative trismus, root pruning, or nerve lesions. Conclusion: The T-shape method appears to be a reliable technique for the extraction of horizontally impacted third molars, offering reduced trauma and complications.