Abstract
Today, impacted mandibular third molar surgery has become a routine procedure in oral and maxillofacial surgery. One of the numerous complications which can occur during the procedure is iatrogenic tooth or tooth fragment displacements into the neighboring soft tissues such as the submandibular space, the pterygomandibular space and the lateral pharyngeal space. The dentist should be able to recognize this complication and refer the patient to an oral surgeon. In this case report we present an iatrogenic root displacement into the pterygomandibular space during impacted third molar surgery. In the 31 year old female patient, lingual mucosa flap was used for retrieval surgery, fragment was raised upwards with external hand pressure beneath the mandibula, directed to the floor of the mouth. The tooth fragment was then visualized with dissection using blunt tissue scissors and retrieved. Wound was sutured and antibiotics, analgesics and mouth wash was prescribed. Healing was uneventful with no lingual nerve complication
References
- Satnam Singh Jolly , Vidya Rattan , Sachin Kumar Rai. Intraoral management of displaced root into submandibular space under local anaesthesia –A case report and review of literature. The Saudi Dental J 2014.
- Susrala SM , Blaeser BF , Magalink D. Third molar surgery and associated comp- lications. Oral Maxillofac Surg Clin N Am 2003; 15,177-186.
- Tumuluri V , Punnia-Moorthy A. Displacement of a mandibular third molar root fragment into ptreygomandibular space. Just Dent J 2002; 47,68-71.
- De Biase A , Guerra F , Giordano G. Surgical removal of a left lower third molar root after iatrogenic displacement in soft tis- sue. Case report Minerva Stomatol 2005; 54, 389–391.
- Kamburoglu K , Kursun S , Oztas B. Submandibular displacement of a mandibular third molar root during extraction: a case re- port. Cases J 2010; 3, 8–10.
- Nusrath MA , Banks RJ. Unrecogni- sed displacement of mandibular molar root in to the submandibular space. BDJ 2010; 209 (6), 279–280.
- Arasa LA , Figueiredo R , Escoda CG. Iatrogenic displacement of third molar roots in to the sublingual space: report of 6 cases. J Oral Maxillofac Surg 2012; 70, e107–e115.
- Ertas U , Yaruz MS , Tozoglu S. Acci- dental third molar displacement into the lateral pharyngeal space. J Oral Maxillofac Surg 2002; 60, 1217–1219.
- Huang IY , Wu CW , Worthington P. The displaced lower third molar: a literature review and suggestions for management. J Oral Maxillofac Surg 2007; 65, 1186–1190.
- Ozalp B , Kuvat SV , Emekli U. Con- servative treatment of displacement mandibu- lar third molar. J Craniofac Surg 2010; 21, 1314–1316.
- Yeh CJ. A simple retrieval technique for accidentally displaced mandibular third molars. J Oral Maxillofac Surg 2002; 60, 836– 837.
Abstract
Gömülü alt yirmi yaş dişi çekimi günümüzde ağız, diş ve çene cerrahisi alanında rutin olarak uygulanan bir işlem haline gelmiştir. Bu işlem sırasında meydana gelebilecek birçok komplikasyondan biri de çekilen dişin ya da dişin bir bölümünün submandibuler loj, pterygomandibuler lojya da lateral faringeal loj gibi komşu yumuşak dokulara kaçması-itilmesidir. Bu komplikasyon meydana geldiği zaman hekimin durumu tanıyabilmesi ve maxsillafasial cerraha yönlendirmesi gerekmektedir. Vaka raporumuzda gömülü alt yirmi yaş dişi çekimi sırasında, pterygomandibular loja deplase olan bir kökün cerrahi olarak çıkartılması paylaşılmıştır. 31 yaşındaki kadın hastada kökün çıkartılması için lingual mukoza flebi kaldırılmış, mandibula altından ağız tabanına doğru uygulanan ekstraoral bası ile kök ağız içerisine doğru yükseltilmiştir. Künt doku makasları ile yapılan diseksiyonla kök parçasına ulaşılarak çıkartılmıştır. Yara dikilmiş, antibiyotik, ağrı kesici ve ağız gargarası reçete edilmiştir. İyileşme lingual sinir hasarı gelişmeden, komplikasyonsuz olarak gerçekleşmiştir.
References
- Satnam Singh Jolly , Vidya Rattan , Sachin Kumar Rai. Intraoral management of displaced root into submandibular space under local anaesthesia –A case report and review of literature. The Saudi Dental J 2014.
- Susrala SM , Blaeser BF , Magalink D. Third molar surgery and associated comp- lications. Oral Maxillofac Surg Clin N Am 2003; 15,177-186.
- Tumuluri V , Punnia-Moorthy A. Displacement of a mandibular third molar root fragment into ptreygomandibular space. Just Dent J 2002; 47,68-71.
- De Biase A , Guerra F , Giordano G. Surgical removal of a left lower third molar root after iatrogenic displacement in soft tis- sue. Case report Minerva Stomatol 2005; 54, 389–391.
- Kamburoglu K , Kursun S , Oztas B. Submandibular displacement of a mandibular third molar root during extraction: a case re- port. Cases J 2010; 3, 8–10.
- Nusrath MA , Banks RJ. Unrecogni- sed displacement of mandibular molar root in to the submandibular space. BDJ 2010; 209 (6), 279–280.
- Arasa LA , Figueiredo R , Escoda CG. Iatrogenic displacement of third molar roots in to the sublingual space: report of 6 cases. J Oral Maxillofac Surg 2012; 70, e107–e115.
- Ertas U , Yaruz MS , Tozoglu S. Acci- dental third molar displacement into the lateral pharyngeal space. J Oral Maxillofac Surg 2002; 60, 1217–1219.
- Huang IY , Wu CW , Worthington P. The displaced lower third molar: a literature review and suggestions for management. J Oral Maxillofac Surg 2007; 65, 1186–1190.
- Ozalp B , Kuvat SV , Emekli U. Con- servative treatment of displacement mandibu- lar third molar. J Craniofac Surg 2010; 21, 1314–1316.
- Yeh CJ. A simple retrieval technique for accidentally displaced mandibular third molars. J Oral Maxillofac Surg 2002; 60, 836– 837.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 1, 2016 |
| Published in Issue | Year 2016 Volume: 43 Issue: 3 - Volume: 43 Issue: 3 |