Accidental displacement of an impacted mandibular third molar into the lateral pharyngeal space

Esen, Emin; Aydoan, Lüfti Barlas; Akçali, Mehmet Çaatay

doi:10.1016/s0278-2391(00)80024-5

Cited by 44 publications

(48 citation statements)

References 3 publications

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“…Firstly, the displaced tooth should be removed as soon as possible. Delayed intervention may increase the risk of infection, injury to the vital carotid sheath and cranial nerves in the posterior compartment of the parapharyngeal space, migration of the tooth to deeper spaces and inducing infection of the adjacent fascial spaces even the deep cervical spaces [7,8]. The importance of prompt and appropriate management of the displaced tooth has also been emphasized in the reported cases [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Conventional PAN radiographs could not determine the precise location of the displaced tooth and the relation between the tooth and the adjacent anatomical structures, whereas computed tomography (CT) scans could, especially the CBCT that could reconstruct the 3D images with lower x-ray dose than the conventional CT [6]. The necessity of using advanced imaging techniques to locate a displaced tooth and its relation to the adjacent anatomic structures has also been particularly pointed out, but the CBCT has not been used in the few reported cases [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

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Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Wang¹,

Gu²

2016

J Clin Case Rep

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A right impacted mandibular third molar (IMTM) accidently displaced into the parapharyngeal space was dislodged successfully in only 5 minutes, with no sequel. Cone-beam computed tomography (CBCT) images were used to direct the removal. Five minutes is the shortest time having been reported. Considering that the event happens rarely, this report could add another case, and provide further reference to the dentists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Wang¹,

Gu²

2016

J Clin Case Rep

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“…Certains chirurgiens préconisent le report de cet acte dans le but de favoriser la formation d'une fibrose qui stabilisera la dent ou le fragment en prenant le soin de mettre le patient sous traitement antibiotique afin d'éviter une surinfection [10]. En cas de reprise tardive et de surinfection, on peut observer une tuméfaction, des douleurs, un trismus ainsi que des difficultés à la mobilisation de la langue, lors de la mastication et de la déglutition [6,11]. La symptomatologie clinique varie selon le site de déplacement.…”

Section: Discussionunclassified

“…La symptomatologie clinique varie selon le site de déplacement. Un déplacement vers l'espace latéro-pharyngé peut se manifester par un risque d'infection, une thrombose de la veine jugulaire interne, l'érosion de l'artère carotide ou de l'une de ses branches, et une interférence avec les nerfs crâniens IX à XII [11]. L'examen radiographique est indispensable pour localiser la dent déplacée.…”

Section: Discussionunclassified

Déplacement accidentel de la troisième molaire dans l’espace submandibulaire : deux cas

Guenane

Ayat

Saari

2014

Med Buccale Chir Buccale

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Résumé -Introduction :Le déplacement ou le refoulement accidentel de la dent de sagesse dans les espaces de voisinages est une complication rare mais possible lors de son avulsion. Observation : Deux cas de déplacement accidentel de troisièmes molaires mandibulaires dans l'espace sub-mandibulaire sont rapportés. Le diagnostic topographique, la conduite du traitement et les causes de cette complication seront discutés. Discussion : Le déplacement peut intéresser l'espace sublingual, l'espace ptérygo-mandibulaire et l'espace sub-mandibulaire pour les 3 es molaires mandibulaires, les espaces cellulaires, le sinus maxillaire et la fosse ptérygo-maxillaire pour les 3 es molaires maxillaires. L'absence d'évaluation pré-chirurgicale des facteurs de risque a été citée comme la cause la plus fréquente de ces accidents notamment au niveau mandibulaire. Une bonne planification préopératoire, une analyse radiographique minutieuse et la maîtrise de la technique chirurgicale sont d'une importance capitale pour diminuer l'incidence de ces complications.Abstract -Accidental displacement of third molar into the submandibular space: two case reports. Introduction: The accidental displacement of the wisdom tooth into nearby spaces is a rare, but possible complication during extraction. Case report: We report two cases of accidental displacement of mandibular third molars into the submandibular space. Topographic diagnosis, treatment and the causes of this complication are discussed. Discussion: Displacement may involve the sublingual space, pterygomandibular space and submandibular space for the third lower molars, and cellular spaces, maxillary sinus and pterygomaxillary fossa for the third upper molars. The most frequent cause cited for these accidents, particularly for mandibular molars, was the lack of presurgery assessment of risk factors. Good preoperative planning, careful radiographic evaluation, and mastery of the surgical technique are of crucial importance in reducing the incidence of these complications.

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“…4 Otras complicaciones más severas, pero menos frecuentes, son: neumotórax, enfisema subcutáneo, retrofaríngeo y mediastinal, así como el desplazamiento accidental hacia diferentes espacios anatómicos. 1,5,6 Cabe destacar que la incidencia de dichas complicaciones es baja y se mantiene baja cuando el tiempo del cirujano dentista como especialista aumenta. …”

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Desplazamiento accidental de la tercera molar inferior impactada al espacio faríngeo lateral

Castillo

Ameghino

Guerra

2014

Odontol. sanmarquina

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36Desplazamiento accidental de la tercera molar inferior impactada al espacio faríngeo lateral Accidental displacement of the third lower molar impacted towards the lateral pharyngeal space Resumen Se reporta accidente inusual de desplazamiento de tercera molar inferior al espacio faríngeo lateral izquierdo, en paciente femenino de 21 años de edad, localizado mediante el examen tomográfico. Para la remoción de la pieza dentaria, se utilizó anestesia local (lidocaína al 2 % con epinefrina 1:100 000), se realizó incisión desde distal de la pieza 3,7 continuando por el reborde alveolar hasta la apófisis coronoides y mediante disección roma, se logró encontrar la pieza dentaria, la cual fue prensada y removida con pinza hemostática. Se concluye que debe realizarse una valoración de la posible complejidad en la exodoncia de las terceras molares y derivar al especialista los casos de moderada y alta complejidad para evitar complicaciones. Palabras clave:Tercer molar retenida, complicaciones, desplazamiento, espacio faríngeo lateral. AbstractAn unusual accident of displacement of the third lower molar towards the left lateral pharyngeal space was reported in a 21-year old female patient, located through the tomographic exam. In order to remove the dental piece, local anesthesia was used (2 % of lidocaine with epinephrine 1:100 000). An incision was made from the distal of the 3,7 piece continuing by the alveolar ridge up to the coronoid process, and through a blunt dissection the dental piece was found, the same that was grasped and then removed with haemostatic clamps. It was concluded that valuation of the potential complexity regarding the dental extraction of the third molars must be made; and that moderate and high-complexity cases must be derived to the specialist to avoid complications. IntroducciónLa exodoncia de las terceras molares es la intervención quirúrgica más frecuente en Cirugía Máxilo Facial y continúa siendo una práctica profiláctica universal. Algunos reportes estiman la remoción de terceros molares retenidos, sin justificación clínica, entre el 18 % y el 50,7 %. La cirugía profiláctica preconiza la necesidad de minimizar el riesgo de desarrollo de quistes, tumores, fractura a nivel del ángulo mandibular, pericoronaritis y reabsorción radicular del segundo molar. 1, 2Una complicación puede definirse como un evento desagradable que ocurre durante o después de una intervención quirúrgica. Si este suceso no es advertido, no es tratado o su tratamiento es incorrecto provocará serias consecuencias o secuelas al paciente. Las complicaciones durante la exodoncia del tercer molar son, básicamente, las mismas que pueden acontecer durante la intervención quirúrgica de cualquier otra pieza dentaria; pero por la complejidad de la técnica de exodoncia de un diente incluido o retenido y por las relaciones anatómicas que presenta el tercer molar, son más frecuentes, complicadas y tendrán características peculiares. 2Otros autores como Sacot N y Ferrería J, afirman que no se puede denominar accidentes a los casos ...

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Accidental displacement of an impacted mandibular third molar into the lateral pharyngeal space

Cited by 44 publications

References 3 publications

Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Déplacement accidentel de la troisième molaire dans l’espace submandibulaire : deux cas

Desplazamiento accidental de la tercera molar inferior impactada al espacio faríngeo lateral

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