title: Removal of a deeply impacted mandibular third molar through a sagittal split ramus osteotomy approach.
abstract: We describe the case of a 48-year-old man who, after a 5-year history of recurrent infection and intermittent trismus associated with a deeply impacted lower right third molar tooth, presented to the accident and emergency department with severely limited mouth opening, extensive facial swelling and pyrexia. The lower right third molar was later removed successfully through a sagittal split ramus osteotomy approach. This case shows that the sagittal split osteotomy continues to have a valuable role in the removal of deeply impacted lower third molars, particularly when they are in close proximity to the inferior alveolar nerve.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University Hospital Birmingham NHS Trust, Edgbaston, Birmingham B15 2TH, UK. terentius@blueyonder.co.uk
authors.forename: Terry A
authors.initials: TA
authors.lastname: Jones
authors.forename: Tanushree
authors.initials: T
authors.lastname: Garg
authors.forename: Andrew
authors.initials: A
authors.lastname: Monaghan
mesh_terms: D006801:Humans; D019248:Jaw Fixation Techniques; D008297:Male; D008334:Mandible / Q000601:surgery*; D008340:Mandibular Nerve; D008875:Middle Aged; D008964:Molar, Third / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D014095:Tooth, Impacted / Q000150:complications / Q000601:surgery*; D014313:Trismus / Q000209:etiology