Oral surgery · Level 2 — Clinical application

Third molar surgery — postoperative support

Case library

Patient profile (fictional)

Age

Medical history

Healthy

Dental history

Surgical removal of impacted lower third molar

Medications

Ibuprofen as needed

Findings

Day 1: moderate pain, buccal oedema, limited opening

Procedure / context

Surgical extraction with osteotomy and sutures

[Image placeholder — postoperative buccal oedema]

Step 1

Evidence: Moderate

Which clinical objectives are defensible?

Step 2

Evidence: Limited

The target includes deeper tissue. What follows for delivery?

Step 3

Evidence: Moderate

Extraoral: 0.2 W, 30 s per point, spot diameter 1.0 cm. Fluence per point?

Step 4

Evidence: High

Day 4: pain increases with purulent discharge. Next step?

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