佐々木　亮    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Assistant Professor
Article types	Other
Language	English
Peer review	Peer reviewed
Title	Concomitant Third Molar Removal During Sagittal Split Osteotomy of the Mandible.
Journal	Formal name：The Journal of craniofacial surgery Abbreviation：J Craniofac Surg ISSN code：(1536-3732)1049-2275(Linking)
Domestic / Foregin	Foregin
Volume, Issue, Page	27(1),pp.e34-6
Author and coauthor	Sasaki Ryo, Yao Chuan-Fong, Chen Ying-An, Lin Cheng-Hui, Chen Yu-Ray
Authorship	Lead author
Publication date	2016/01
Summary	It is described in textbook about management of third molar in orthognathic surgery that "ideally, the third molars should be removed 9 to 12 months before sagittal split osteotomy (SSO)." At the Chang Gung Craniofacial Center, the authors always remove mandibular third molars during SSO, because: removal of third molars at the same time of SSO could reduce psychological stress on patients by saving 1 surgical procedure under local anesthesia, better exposure of impacted third molars could be facilitated by sagittal split of buccal cortical plate, rigid fixation could be performed without difficulty by our fixation method using plates and screws crossover anterior oblique line. Strong force during the elevation of third molars, however, may result in the fracture of distal segment of SSO, where the buccal cortical plate is relatively thin because of the presence of third molar. Therefore, more care needs to be taken in the surgical technique, which is different from ordinary tooth extraction. In this paper, the details of surgical procedure of third molar removal during SSO were reported.
DOI	10.1097/SCS.0000000000002301
PMID	26745199