Wisdom Teeth Removal, Pericoronitis, Infection, Hooked Root | Oral Surgery Techniques #3 with Dr. Gallagher

Key Concepts:

1 - X-Rays Can Deceive: #16's root was hooked toward the palate and invisible on the x-ray

2 - Identify Critical Anatomy: Trace the inferior alveolar nerve canal and mental foramen (lower), and the maxillary sinus floor, tuberosity. Check the second molar for bone loss or decay.

3 - Diagnose the Impaction Type of Teeth #16,17

4 - Lower #17: Incise, Drain, Reflect, Elevate Posterolateral incision

5 - Upper #16: Access, Bone Removal, Controlled Elevation

Key Instruments:

Periosteal Elevator: reflects the flap to expose the tooth and assists bone removal.

Rongeur: removes bone covering the bony impaction.

Straight and Back-Action Elevators: mobilize teeth by leveraging against bone.

Crane Pick: gains purchase to elevate the upper tooth; use with caution near the sinus.

Sweetheart Retractor with Throat Pack: protects the airway during upper extraction.

* Instrument Partner Of This Project – (Looking for a partner with instruments, I'll be talking about and showing the instruments I used in each case)

* Dental Implant Partner - (I place 3 different brands of implants and I'm waiting for my favorite one to partner with me on this project so I can finally reveal it...)

* Bone Grafting Partner - (This could be you! You know who you are lol let me know)

Top 10 Viewers on this Episode on TikTok LIVE 120 Q&A:

1st – @arhumkkkk

2nd – Jason, @sleepsshin

3rd – K, [handle not visible]

4th – GeorgeAnthony Kuttab, @georgeanthony.kut

5th – @user3380281842861

6th – @browneyes_1133

7th – Yo-Suf, @yobaha24

8th – Mar Alvarenga, @alvarengasea

9th – Tony Truong, @tonytruo

10th – George🔰, @draymqxgs0c

Top Questions:

21:30 – "What happens if you break the sinus floor during a sinus lift?"

23:00 – "What would you have done if the root fractured?"

25:30 – "If a root tip is close to a vital structure, how would you proceed?"

26:30 – "What's up with some dentists bone grafting all wisdom tooth extractions?"

29:45 – "Is pericoronitis always an indication for extraction?"

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver 200m Day Date (Black)

9.2026

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #oralsurgeon #doctorgallagher #doctorgallagherspodcast