İnfratemporal Locaya Deplase Olmuş Maksiller Üçüncü Molar Dişin İntraoral Yaklaşım İle Çıkartılması

Year 2021, Volume: 3 Issue: 3, 262 - 266, 01.09.2021

Metin Berk Kasapoğlu , Gözde Gökçe , Ahmet Taylan Çebi , Burak Çankaya

https://doi.org/10.37990/medr.866404

Abstract

Gömülü maksiller üçüncü molar dişinin cerrahi olarak çıkarılması hem diş hekimleri hem de çene cerrahları için zor olabilmektedir. Sık karşılaşılan komplikasyonlar arasında enfeksiyon, ağrı, ödem, kök kırıkları, trismus ve kanama bulunur. Bu komplikasyonlara ek olarak, çekim sırasında maksiller üçüncü azı dişi anatomik boşluklara deplase olabilmektedir. Bu olgu sunumunda çekim esnasında infratemporal fossaya deplase olan bir maksiller üçüncü molar dişi ve 1 ay sonrasında intraoral yaklaşım ile bölgeden uzaklaştırılması nedensel faktörlerle birlikte bildirilmiştir. Dişin lokalizasyonunu belirlemede ortopantomografi ve dental volumetrik tomografinin rolü, farklı cerrahi seçenekler ve dişin infratemporal fossadan cerrahi olarak çıkarılması sırasında oluşabilecek riskler tartışılmaktadır.

Removal of a Maxillary Third Molar Displaced in the Infratemporal Fossa using an Intraoral Approach

Abstract

Removal of an impacted maxillary third molar can be challenging for both dental clinicians and oral surgeons. Frequently encountered complications include infection, pain, swelling, root fractures, trismus, and haemorrhage. In addition, unexpected displacement of the maxillary third molar may be encountered during the extraction process. This case report presents a maxillary third molar displaced to the infratemporal fossa, as well as removal of the tooth following 1 month, along with the causative factors. The roles of orthopantomography and dental volumetric tomography scans in determining the localization of the tooth are discussed, together with different surgical options and risks for surgical removal of the tooth from the infratemporal fossa.

Keywords

displacement, extraction, third molar, infratemporal fossa

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