Damage to facial nerves, vasculature and parotid duct
The standard lateral buccotomy extraction technique has largely been discontinued due to its invasive nature, necessitating long incisions in the cheeks and/or supporting bones with risk of damaging buccal nerve branches, facial vasculature or the parotid salivary duct and always requiring general anaesthesia. There is a low risk of such damage with a carefully performed MITT.