Third Molar Elevation Technique — NDEB AFK MCQ

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ModerateOral SurgeryThird Molar Elevation TechniqueNDEB AFK

In which direction should an elevator be applied to luxate a mesioangular impacted mandibular third molar?

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Correct answer: C — Mesially and superiorly along the path of withdrawal

For a mesioangular impaction, the elevator (Coupland or Cryer) is applied to the mesial surface of the third molar at the alveolar crest level, and force is directed distally and superiorly along the path of least resistance (the path of withdrawal). The mesial angulation means the tooth is already partially aligned for distal and superior delivery. Lingual elevation risks lingual nerve damage and lingual plate fracture.

Reference: Hupp – Contemporary Oral and Maxillofacial Surgery, 7th ed., 2019