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All of the Protruserati clan get 15% OFF the third molar experience with the code 'protrusive'! A brilliant course by Dr Nekky Jamal A tricky Third molar surgery can humble even the most experienced of Oral Surgeons. Surgical removal of Wisdom teeth has become somewhat of a post-graduate discipline, with many Dentists lacking the confidence or even the appetite for their removal. We have today the very enthusiastic Dr Nekky Jamal who is a GDP that lives and breathes third molar surgery. He shares with us his top tips for the planning and execution of M3Ms surgery! Protrusive Dental Pearl: When you are sectioning a mesio-angular impacted tooth, start your section 1-2 millimeters more mesial to where you think the furcation is - you will have a tendency to drift distally and therefore more likely to HIT that furcation which is when the magic begins. https://youtu.be/Cc_dp2ktt2w Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! (Regarding disto-angular third molars) “If you lose your crown, you almost lose your ability and your orientation of where that tooth is.” Dr Nekky Jamal Click Here to visit Nekky's Third Molar Experience Course - coupon code is PROTRUSIVE. In this episode, I asked Dr Nekky about: What clinical and radiographic features suggest an easier third molar? 9:51Main features that identify a tricky third molar worthy of referal 15:15The two characteristics to determine the difficulty of third molar removal 16:37Things to look out to determine a high risk of inferior alveolar nerve damage 20:15Does CBCT help in planning tooth removal for Wisdom Teeth 24:19When to consider a coronectomy? 26:37Tips and Tricks on how to get cleaner flaps 30:54The Hydraulic flap Technique 32:34Armamentarium for wisdom tooth removal 35:30Three magic Nekky tips 38:33 Join us in our Telegram Community, where we can always help each other out! If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth with Dr Chris Waith Click below for full episode transcript: Opening Snippet: The situations where I failed in, I noticed when the third molar roots are directly touching the second molar roots. Okay? That's what makes it difficult and if you look at at the classification of that, that's a distal angular impaction. But what makes it so difficult is you can't get your instruments between the second and the third molar. And if you break off the crown of that third molar, you can't even see the mesial root because you can't see past that second molar crown. Jaz's Introduction: In this episode, Dr. Nekky Jamal will cover all the points you need to know as a GDP if you're extracting wisdom teeth, and that's surgically what makes it an easy case, what makes it complex case. What about those cases where you're worried about nerve damage? When do you need take a CB CT? What about coronectomy? How to get cleaner flaps so you could take out wisdom teeth in a much more cleaner field, what equipment to use, and how to get cleaner flaps as well as Nekky's main tips to improve your success rates with surgical third molars. Hello, Protruserati. I'm Jaz Gulati, my journey with wisdom teeth began when I was a DCT, a Dental Core Trainee at Guys hospital, I was doing my oral surgery post. And that's when I started to see my consultants the way they were moving it. But when I got to do some easier cases, it felt good. And then a few times I got stuck and I needed rescuing. Now when I went to Singapore, the fascinating thing about practicing in Singapore and how that's so different to UK when it comes to wisdom teeth is like in the UK, we have the nice guidelines and we touched on that in this episode. But in Singapore, I felt as though like the only people that wouldn't have third molars removed is that if you actually had hypodontia, if you didn't have a wisdom tooth,