Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2009, vol. 46, nr 4, October-December, p. 501–505

Publication type: clinical case

Language: English

Iatrogenic Injury During Extraction of Lower Molar Teeth

Uraz jatrogenny podczas usuwania dolnych zębów trzonowych

Iwona Niedzielska1,, Izabela Kowol1,, Agnieszka Sroczyńska−Grula1,

1 Department of Cranio−Maxillofacial Surgery, Medical University of Silesia, Poland

Abstract

The aim of the study is the assessment of iatrogenic complications occurring during extraction of mandibular molar teeth. Teeth extraction are sometimes accompanied by intraand post−surgical complications and most frequently observed while third molars are extracted. The authors present seven cases of iatrogenic complications during extraction of mandibular molar teeth. Considering the risk of iatrogenic complications, extraction of third molar teeth in their bud stage is suggested because of fewer trauma incidents. Iatrogenic mandibular fractures are extremely rare and caused by medical errors.

Streszczenie

Najczęściej wykonywanymi zabiegami w gabinetach chirurgii stomatologicznej są ekstrakcje zębów, w tym głównie zębów częściowo zatrzymanych. Na podstawie doniesień z piśmiennictwa nierzadko dochodzi w tych przypadkach do powikłań śródi pooperacyjnych, w tym złamań żuchwy lub przepchnięcia zęba do innej przestrzeni. Celem pracy jest ocena przyczyn jatrogennych powikłań podczas usuwania zębów trzonowych żuchwy. W pracy przedstawiono 7 przypadków jatrogennych powikłań podczas usuwania zębów trzonowych w żuchwie. Biorąc pod uwagę ryzyko jatrogennych powikłań, należałoby zlecać usuwanie trzecich zębów trzonowych w okresie związkowym, co wiąże się z mniejszą urazowością.

Key words

tooth extraction, post−surgical complications, intra−surgical complications, medical errors

Słowa kluczowe

ekstrakcja zęba, powikłania pooperacyjne, powikłania śródoperacyjne, błędy lekarskie

References (26)

  1. ANGELILLO I.F., NOBOLE C.G., PAVIA M.: Survey of reasons for extraction of permanent teeth in Italy. Commun. Dent. Oral Epidemiol. 1996, 24, 36–40.
  2. KAY E.J., BLINKHORN A.S.: The reasons underlying the extraction of teeth in Scotland. Br. Dent. J. 1986, 160, 287–290.
  3. OLUSEYE S.B.: Exodontia: A retrospective study of the reasons, methods and complications of tooth extraction in oral and maxillofacial surgery clinic. Lagos University Teaching Hospital. NPMC dissertation. National postgraduate medical college of Nigeria. 1993.
  4. BENEDIKTSDOTTIR I.S., WENZEL A., PETERSON J.K., HINTZE H.: Mandibular third molar removal: Risk indicatorsfor extended operation time, postoperative pain and complication. Oral Surg. Oral Med. Oral Pathol. Oral Radiol.d Endodont. 2004, 97, 438–446.
  5. CHAPARRO−AVENDANO A.V., PEREZ−GARCIA S., VALMASEDA−CASTELLON E., BERINI−AYTES L., GAY−ESCODA C.: Morbidity of third molar extraction in patients between 12 and 18 years of age. Med. Oral Patol. Oral Chirurg Bucal 2005, 10, 422–431.
  6. RENTON T., SMEETON N., MCGURK M.: Factors predictive of difficulty of mandibular third molar surgery. Br. Dent. J. 2001, 190, 607–610.
  7. IIZUKA T., TANNER S., BERTHOLD H.: Mandibular fractures following third molar extraction. A retrospective clinical and radiological study. Int. J. Oral Maxillofac. Surg. 1997, 26, 338–343.
  8. WAGNER K.W., SCHOEN R., WONGCHUENSOONTORN C., SCHMELZEISEN R.: Complicated late mandibular fracture following third molar removal. Quintes. Int. 2007, 38, 63–65.
  9. WOLDENBERG Y., GATOT I., BODNER L.: Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented? Medic. Oral Patol. Oral Chirug. Bucal 2007, 12, E70–72.
  10. BLONDEAU F., DANIEL N.G.: Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J. Canad. Dent. Assoc. 2007, 73, 325–329.
  11. CHUANG S.K., PERROTT D.H., SUSARLA S.M., DODSON T.B.: Age as a risk factor for third molar surgery complications. J. Oral Maxillofac. Surg. 2007, 65, 1685–1692.
  12. COHEN M.E., SIMECEK J.W.: Effects of gender−related factors on the incidence of localized alveolar osteitis. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endodont. 1995, 79, 416–422.
  13. DIMITRAKOPOULOS I., PAPADAKI M.: Displacement of a maxillary third molar into the infratemporal fossa: case report. Quintes. Int. 2007, 38, 607–610.
  14. HUANG I.Y., WU C.W., WORTHINGTON P.: The displaced lower third molar: a literature review and suggestions for management J. Oral Maxillofac. Surg. 2007, 65, 1186–1190.
  15. RACIĆ A., DOTLIĆ J., JANOSEVIĆ L.: Oral surgery as risk factor of odontogenic maxillary sinusitis. Srpski Arhiv za Celokupno Lekarstwo 2006, 134, 191–194.
  16. TUMULURI V., PUNNIA−MOORTHY A.: Displacement of a mandibular third molar root fragment into the pterygomandibular space. Austral. Dent. J. 2002, 47, 68–71.
  17. SAVI A., MANFREDI M., PIZZI S., VESCOVI P., FERRARI S.: Inferior alveolar nerve injury related to surgery for an erupted third molar. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endodont. 2007, 103, 7–9.
  18. TOLSTUNOV L.: Lingual nerve vulnerability: risk analysis and case report. Compend. Contin. Educat. Dent. 2007, 28, 28–31.
  19. LOPES V., MUMENYA R., FEINMANN C., HARRIS M.: Third molar surgery: an audit of the indications for surgery, post−operative complaints and patient satisfaction. Br. J. Oral Maxillofac. Surg. 1995, 33, 33–35.
  20. CHIAPASCO M., DE CICCO L., MARRONE G.: Side effects and complications associated with third molar surgery. Oral Surg. Oral Med. Oral Path.1993, 76, 412–420.
  21. YACHOUH J., JAMMET P., BENSAHA T., GOUDOT P.: Lingual nerve injury during removal of the lower third molar: importance of early intervention. Revue de Stomatologie et de Chirurgie Maxillo−faciale 2006, 107, 393–396.
  22. ZECHA P.J., STEGENGA B.: Nerve injury during mandibular third molar surgery. The importance of preoperative diagnosis and surgical skill. Nederlands tijdschrift voor tandheelkunde 2004, 111, 239–242.
  23. CADE T.A.: Paresthesia of the inferior alveolar nerve following the extraction of the mandibular third molars: a literature review of its causes, treatment, and prognosis. Military Med. 1992, 157, 389–392.
  24. HÄGLER G., REICH R.H.: Risk and prevention of lesions of the lingual nerve in wisdom tooth osteotomy. Analysis of the literature and faculty opinion in maxillofacial surgery in German−speaking countries. Mund−, KieferGesichtschir. 2002, 6, 34–39.
  25. KRIMMEL M., REINERT S.: Mandibular fracture after third molar removal. J. Oral Maxillofac. Surg. 2000, 58, 1110–1112.
  26. CLOMENERO C., RESTOY A., CARRERA G., LOPEZ U.: Tecnicas de preservacion periodontal en la extraccion de los terceros molars. Archiv. Odonto Stomatol. 1998, 14, 137–145.