During the extraction of a maxillary third molar, the tuberosity is fractured. What should be done?

In the case of a fractured tuberosity during the extraction of a maxillary third molar, the most appropriate action is to leave the tuberosity and stabilize it if necessary. The tuberosity is a bony prominence at the back of the upper jaw, and while a fracture can complicate the extraction, intervention should be measured carefully.

Leaving the tuberosity intact minimizes trauma to the surrounding tissues and maintains the structural integrity of the upper jaw. If stability is an issue, careful techniques can be employed to ensure that the fractured segment is supported, promoting healing and preventing unnecessary complications. This approach allows for a more natural healing process and reduces the risk of potential complications that can arise from overly aggressive surgical intervention.

Other options may imply unnecessary manipulation or treatment of the fractured tuberosity that could lead to additional issues. For instance, removing the tuberosity might lead to greater discomfort and a more extensive surgical procedure, while attempting to fill the defect or suture the area may not address the underlying stability required in the healing phase. Leaving it without intervention could be appropriate in some situations, but the option to stabilize if needed strikes a balance between allowing natural healing and ensuring patient comfort.