Advances in Minimally Invasive Approach for Impacted Mandibular Third Molar Extractions: From Incision Design to Dynamic Navigation

The application of the minimally invasive concept in the extraction of impacted mandibular third molars has significantly improved surgical outcomes and patient prognosis. This review systematically examines the up-to-date research advances in various methods used for the extraction of impacted mandibular third molars within the context of the minimally invasive concept. Modified incision and flap designs have effectively reduced tissue damage. Ultrasonic bone knife technology has proven to reduce intraoperative bleeding and the risk of thermal injury, and its combined use with a dental electric motor further enhances procedural precision and efficiency. Dynamic navigation technology holds significant potential in improving surgical accuracy, facilitating precise debridement and distraction techniques, and reducing the risk of nerve injury and postoperative complications. Future integration of dynamic navigation with preoperative artificial intelligence assessment will further advance the minimally invasive approach, making it more widespread and cost-effective. Minimally invasive techniques are not only the starting point but also the means to achieve functional objectives, propelling the development of minimally invasive alveolar surgery to new heights.