Analysis of complications after the removal of 339 third molars

Kiencało, Andrzej; Jamka-Kasprzyk, Małgorzata; M, Panas; Wyszyńska-Pawelec, Grażyna

doi:10.17219/dmp/127028

Cited by 35 publications

(12 citation statements)

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“…Iatrogenic soft tissue and vascular injuries perioperatively are usually self-limiting and resolved with local haemostatic measures. In one study of post-operative complications associated with 161 upper third molars extractions, there were no cases of haematomas or bleeding in the perioperative period [ 2 ], while another study noted bleeding occurred in 0.16% of cases [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Airway emergency after dental extraction

Cheng

Young

Kim

et al. 2023

Journal of Surgical Case Reports

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Life-threatening airway emergencies and uncontrolled haemorrhage following dental extractions is rarely encountered. Inappropriate handling of dental luxators may lead to unexpected traumatic events resulting from penetrating or blunt trauma to the surrounding soft tissues and vascular damage. Bleeding during or after surgery usually resolves spontaneously or with local haemostatic interventions. Pseudoaneurysms are rare occurrences secondary to blunt or penetrating trauma usually produced by arterial injury leading to extravasation of blood. The rapidly enlarging haematoma with risk of spontaneous pseudoaneurysm rupture is an airway and surgical emergency necessitating urgent intervention. The following case highlights the importance of appreciating the potential complications associated with extractions in the maxilla, significant anatomical relationships and recognizing the clinical signs of a threatened airway.

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Section: Discussionmentioning

confidence: 99%

Airway emergency after dental extraction

Cheng

Young

Kim

et al. 2023

Journal of Surgical Case Reports

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“…3 The most common complication after the removal of third molars is inflammation, especially during surgical extraction with root separation. 33 There are reports suggesting that such surgery should be performed using a triangular flap, which reduces the risk of postoperative complications. It is also vital to focus on the bone structure of the mandibular alveolar process, especially in the retromolar area.…”

Section: Discussionmentioning

confidence: 99%

Retromolar canal: Frequency in a Polish population based on CBCT and clinical implications – a preliminary study

Bukiel,

Kania,

Kałkowska

et al. 2023

Dent. Med. Probl.

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Background. A retromolar canal (RMC) is an anatomical variation of the mandibular canal located in the retromandibular area. Retromolar canals and their contents may be of great clinical importance for clinicians dealing with the discussed region. The analysis of the available literature indicates that RMC is not a rare phenomenon.Objectives. The purpose of the present study was to present the prevalence of RMC and its dependence on patient gender, as well as the location of RMC (unilateral or bilateral), by using cone-beam computed tomography (CBCT).Material and methods. Two hundred CBCT examinations taken from the database of the Department of Dental and Maxillofacial Radiodiagnostics of the Medical University of Lublin, Poland, were analyzed by 2 independent observers (a fifth-year dentistry student and a dentist with 9 years of experience in the field of dental and maxillofacial radiodiagnostics). The research sample included 134 women and 66 men.Results. After comparing the results obtained by the 2 independent observers, the more experienced researcher excluded 9 cases from the study; RMC was ultimately found in 21/200 subjects (10.5%). The unilateral variant was observed in all 21 cases -13/21 (61.9%) on the right side and 8/21 (38.1%) on the left side. Seven (5.2%) RMCs were found among the 134 women, while among the 66 men there were14 (21.2%) RMCs found.Conclusions. On the basis of the conducted research, RMCs were found in 10.5% of cases. They were more common in men than in women. Cone-beam computed tomography is an examination that allows the determination of the position and course of RMC more precisely than panoramic X-rays.

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“…Extraction of impacted mandibular wisdom teeth often results in ipsilateral inferior alveolar nerve (IAN) injury, which leads to lower lip hypoesthesia 1 . Additionally, the surgical operation could cause a deep periodontal pocket and alveolar bone defect on the distal site of the second molar, which could impact the patients' oral health 2 . Nowadays, drugs have been used as the main line of treatment for IAN injury, such as mecobalamin, vitamins and glucocorticoids 3 .…”

Section: Introductionmentioning

confidence: 99%

“… 1 Additionally, the surgical operation could cause a deep periodontal pocket and alveolar bone defect on the distal site of the second molar, which could impact the patients' oral health. 2 Nowadays, drugs have been used as the main line of treatment for IAN injury, such as mecobalamin, vitamins and glucocorticoids. 3 Moreover, physical therapy such as acupuncture and photodynamic therapy was used, but for severe cases such as nerve rupture, nerve anastomosis or nerve graft, repair is often required.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of concentrated growth factor and laser therapy on wound healing, inferior alveolar nerve injury and periodontal bone defects post‐mandibular impacted wisdom tooth extraction: A randomized clinical trial

Lu,

Bingquan,

Jun

et al. 2024

International Wound Journal

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The extraction of wisdom teeth with mandibular impact frequently results in complications including damage to the inferior alveolar nerve (IAN) and malformations of the bone. The objective of this research endeavour was to assess the efficacy of low‐level laser therapy and concentrated growth factor (CGF) in facilitating nerve recovery and wound healing in such instances. A total of thirty‐one patients (mean age 27.52 ± 5.79 years) who presented with IAN injury after extraction were randomly assigned to one of three groups: control group (which received oral mecobalamin), CGF group (which received CGF gel applied to the extraction sockets) and laser group (which received low‐level lasers (808 nm, 30 mW, 10 J/cm2)) at the extraction site. Patients' recovery from IAN paresthesia was evaluated seven times over the course of 14 days utilizing visual analogue scale (VAS) and the pinprick test (PP). At multiple intervals following surgery, periodontal probing and bone level measurements were utilized to assess the recovery of both soft and hard tissues. The findings revealed that, compared with the control group, both the CGF and laser treatment groups exhibited a markedly greater improvement in VAS scores and wound healing of soft tissues, as well as in PP results (p < 0.001), indicating enhanced wound healing processes. Despite these improvements, there was no significant difference in wound healing outcomes between the CGF and laser groups. Notably, the CGF group showed a statistically significant improvement in healing bone defects at 30 and 90 days post‐treatment compared with the control group (p = 0.003 and p = 0.004, respectively), underscoring its effectiveness in bone healing as a critical aspect of the overall wound healing process. However, in terms of other wound healing comparisons, no significant differences were observed. CGF and laser therapy significantly enhanced the healing of wounds, including soft tissue and bone recovery, in addition to accelerating the recovery of IAN injuries following mandibular wisdom tooth extraction. Although both treatments were equally effective in nerve recovery, CGF notably excelled in promoting bone healing, suggesting its pivotal role in comprehensive wound healing. This highlights that both CGF and laser therapy are viable options for not only nerve recovery but also for overall wound healing in such dental procedures.

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Analysis of complications after the removal of 339 third molars

Cited by 35 publications

References 0 publications

Airway emergency after dental extraction

Airway emergency after dental extraction

Retromolar canal: Frequency in a Polish population based on CBCT and clinical implications – a preliminary study

Effectiveness of concentrated growth factor and laser therapy on wound healing, inferior alveolar nerve injury and periodontal bone defects post‐mandibular impacted wisdom tooth extraction: A randomized clinical trial

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