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troughing your own impactive third molar teeth is a key part of just about every impaction that youll face now as a general practitioner its something you have to kind of get your head around because were not used to doing this on a routine basis so when were taking out other teeth in the mouth typically now were almost shying away from bone removal in some instances to try to be more conservative for safe placement of an implant afterwards when we get back to the posterior of the mandible though we have to try to shift our thinking into one that makes more sense for the removal of the tooth based on the area of the mouth that were working in now what do I mean by that well what I mean is if you remember back to our very first lecture one of the first videos that we did we talked about bone and the different types of bone now we have a lot of cortical bone in the posterior mandible as opposed to the cortical bone in the anterior mandible what that means is that the cortical bone