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By David A. McGowan

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The periapical view, as is often the case with horizontal impactions, does not extend far enough distally to show the whole of the root and this important relationship. If no other technique is available, it may be possible to gain the patient's cooperation in repeating the view with a film placed more distally than before. This cooperation is vital, since the more posterior placement is uncomfortable. An alternative is to use a film holder or an artery clip. 2 per cent). Aqueous iodine was applied and a 5-day course of metronidazole prescribed (200 mg, three times daily).

25 Third molar removal 27 2. Angulation • Angle of mean long axis of the third molar to the `occlusal plane'. ) Described as mesio-angular (acute angle), vertical (right angle), disto-angular (obtuse angle), or horizontal (parallel). 3. Depth Conveniently defined by referring the standard mesial point of elevation of the third molar to the root of the second molar. The mesial point of application is seen on the radiograph as the enamel-cementum junction, and this can be related by eye to the upper, middle or l ower third of the distal root of the second molar.

As the buccal end of the incision is still gaping and bleeding, a second suture has been inserted there. Follow-up The wound healed perfectly. 53 Endodontic surgery Radiographic assessment The panoramic radiograph shows that both the upper central incisors have been root-filled and post-crowned, and that there are no other problems requiring surgery. The apparent periapical radiolucency, related to the over-filled upper l eft lateral incisor, was not confirmed in a periapical view, which showed no evidence of active disease about the apices of either left incisor.

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