Kirurgisk teknik ved fjernelse af mandiblens tredjemolar

Removal of the mandibular third molar (M3 inf.) varies from a simple tooth extraction to a complex surgical procedure. The complexity of the procedure depends on factors such as the morphology, position within the jawbone, and bone density as well as the relation to the inferior alveolar nerve of the tooth. The removal of M3 inf. is often associated with postoperative discomfort, including pain, swelling, restricted mouth opening, and a temporary reduction in quality of life lasting approximately one week. The complexity of the surgical procedure, duration of the surgical procedure, intraoperative exposure of the inferior alveolar nerve, and limited surgical experience are risk factors that may intensify and prolong postoperative discomfort. The purpose of this review is to describe various surgical techniques that might influence the degree and duration of postoperative discomfort and complications following removal of M3 inf. Based on a literature review combined with the authors' personal experiences, no clinically significant differences were identified in postoperative discomfort and complications between different techniques regarding incision, bone removal, tooth sectioning, and suturing. However, it is important to emphasize that minimally invasive surgical technique under aseptic conditions is paramount to minimise the degree and duration of the postoperative discomfort and complications as much as possible.