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Complications of Extraction of Impacted Teeth
Complications of Extraction of Impacted Teeth
Outline
I. Soft Tissue Injuries II. Complications with the Tooth Being Extracted III. Injuries to Adjacent Teeth IV. Injuries to Osseous Structures V. Injuries To Adjacent Structures VI. Oroantral Communications VII.Postoperative Bleeding VIII.Delayed Healing & Infection
Management Reposition the flap & suture If the tear is jagged, trim it before suturing
1. Root Fracture
Cause Long, curved, divergent roots Excessive force during extraction Prevention Proper exposure & bone removal
2. Root Displacement
Into: Mandibular Canal Lingual Pouch Infratemporal Space Maxillary Sinus
Photoelastic model of the mandible, showing the development of stress during a luxation attempt of the third molar when insufficient bone has been removed from the tooth peripherally
Prevention -Good history taking (coagulopathy, medications etc) -Atrumatic surgical extraction (clean incisions, gentle management of soft tissues, smoothen bony specules, curette granulation tissue) -Obtain good homeostasis at surgery - Postoperative instructions
1. Infection
Cause Debris left under the flap Prevention Irrigation Management Debridement & Drainage
Management
Irrigate with warm saline Remove old clots Place sedative dressing Prescribe mild analgesics Reassess after 24 to 48 hours