Displacement of tooth or root in submandibular or parapharyngeal spaces is one of the serious complications while extracting mandibular third molar by the general practitioners. Possibilities enhance in cases with extremely thin lingual plates. Moreover, there are no posterior fascial borders limiting the sublingual and submandibular spaces. In addition, no fascial border separates these spaces from the inferior parapharyngeal space. Thus, there is free communication between these spaces and tooth easily may dislodge into further spaces and lead to serious complications ahead. Patients may represent with pain and swelling of the submandibular region and sometimes the limitation in mouth opening when the patient had undergone an unsuccessful surgical procedure and third molar displacement into submandibular space. Two cases of such complications are presented ahead. On clinical examination, submandibular area on the left side of the mandible was tender on palpation. Panoramic radiographs elicited presence of a radiopaque mass similar to that of a tooth root. The computed tomography (CT) scan confirmed the presence of a high-density area in the submandibular region. Orthopantomography and cone beam CT in another patient revealed the displaced third molar in submandibular space. Patients were planned to retrieve the tooth under local anesthesia and the postoperative course was uneventful.

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Background: During the biomechanical preparation of the root canal by rotary file systems, stress is generated within the canal, which leads to dentinal microcrack formation. Such defects are evaluated only under the microscope. Aim: The present study aimed to evaluate dentinal microcrack formation after instrumentation with ProTaper Next (M-wire), Revo S (conventional NiTi), and WaveOne Gold (Gold-wire) file systems under the stereomicroscope. Materials and Methods: Forty single-rooted teeth free from any defect were selected and divided into four groups (Control, PTN, RS, and WOG). Experimental groups were instrumented with file system used in the study, and the control group were left unprepared. Samples were further decoronated and sectioned at 3 mm, 6 mm, and 9 mm from the apex perpendicular to the long axis and examined under a stereomicroscope at ×25 for different types of microcracks (no fracture, complete fracture, partial fracture, and other fracture). Statistical Analysis Used: Data analysis was done by the Chi-square test using the SPSS version 17.0 software. A two-sided (α = 2) P < 0.05 (P < 0.05) was considered statistically significant. Results: The null hypothesis was rejected. There was a statistically significant difference between the groups. All file systems created microcracks in the root dentin. WOG group showed an incidence of 66.7% for no fracture, PTN group had 40% for other fracture, and RS group had 60% for complete fracture. Conclusion: Single file system WOG with gold wire technology proves to be the best choice for canal preparation among the tested groups in terms of least dentinal crack formation.

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