Module 13

Mastering Impactions

5 AGD/PACE CE Hours

Third molars can look intimidating, but the right framework makes them far easier to understand.

This module cuts straight to the essentials of third-molar development, diagnosis, management, and removal — so you can know which cases are appropriate to treat and which ones are better referred.

+ Third-molar development
+ Diagnosis & case selection
+ Management principles
+ Treat vs. refer decisions
Mastering impactions module image
13 Mastering Impactions
Mastering Impactions

Module 13 Videos

41 Accelerated Topics | 5 AGD / PACE CE Hours
01
Third Molar Development
22
The Incision Pt. 1
02
Theories & Causes of Impaction
23
The Incision Pt. 2
03
Sequelae of Impacted Third Molars
24
Flap Elevation & Retraction
04
Third Molar White Paper Pt. 1
25
Bone Removal & Troughing Pt. 1
05
Third Molar White Paper Pt. 2
26
Bone Removal & Troughing Pt. 2
06
Third Molar White Paper Pt. 3
27
Purchase Points
07
A.A.O.M.S. Position Statement on Third Molars
28
Sectioning
08
Prophylactic Third Molar Removal Pt. 1
29
Elevation & Force Application
09
Prophylactic Third Molar Removal Pt. 2
30
Wound Debridement
10
Mandibular Anatomical Overview
31
Wound Closure Pt. 1
11
Maxillary Anatomical Overview
32
Wound Closure Pt. 2
12
The Dental Follicle
33
Mesioangular Impactions
13
CBCT Imaging vs. Panoramic Radiographs
34
Horizontal Impactions
14
IAN Proximity
35
Vertical Impactions
15
Classification Systems
36
Distoangular Impactions
16
Case Selection
37
Maxillary Impactions Pt. 1
17
Surgical Consent
38
Maxillary Impactions Pt. 2
18
Surgical Site Preparation
39
Managing Postoperative Bleeding
19
Third Molar Anesthesia
40
Third Molars & Antibiotics
20
Lingual Retraction
41
Coronectomy
21
Third Molar Flap Design

Module 13 Objectives

20 objectives

Master the foundations of impaction surgery by learning how to assess difficulty, design access, remove bone conservatively, section predictably, and recognize when a case should be referred.

Assessment & Planning

+
Perform a comprehensive assessment of impacted teeth and identify key radiographic features.
+
Appreciate the factors that predict difficulty in impaction cases.
+
Identify cases suitable for in-office management versus those needing referral.
+
Outline a complete surgical plan for each impaction before picking up an instrument.

Access & Technique

+
Understand flap design principles for accessing impacted teeth and achieving predictable exposure.
+
Manage soft tissue effectively while minimizing trauma.
+
Determine when bone removal is necessary and discuss conservative, safe removal techniques.
+
Demonstrate controlled handpiece use around impacted teeth.
+
Understand when and how to section impacted teeth for safer, more predictable removal.
+
Recognize complex sectioning scenarios and manage them effectively.
+
Retrieve root fragments safely and confidently during impaction removal.

Patterns, Risk & Complications

+
Discuss unique challenges of maxillary impactions and safe techniques for removal.
+
Appreciate sinus proximity and strategies to reduce sinus complications.
+
Recognize mandibular impaction difficulty based on root morphology, bone density, and surrounding structures.
+
Appreciate IAN proximity and modify the approach when risk increases.
+
Identify horizontal impaction challenges and outline a predictable removal approach.
+
Understand mesioangular impactions and how to remove them efficiently.
+
Recognize the added difficulty of distoangular impactions and the modifications they require.
+
Appreciate technique differences when extracting vertically impacted teeth.
+
List common impaction surgery complications and strategies to help prevent them.

Dr. Amrit Singh Bhogal, DDS

______

"I wanted to say that your course is phenomenal! My confidence in extractions has increased exponentially. Every day I bring something new to work from the O.S. Accelerator."

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