Complications of extractions

Lommer, Milinda J.

doi:10.1016/b978-0-7020-4618-6.00016-6

Cited by 13 publications

(9 citation statements)

References 25 publications

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“…By knowing the anatomical characteristics of each patient, during various procedures such as tooth extraction, the probability of occurring some iatrogenic lesions such as bleeding, fractures and nervous lesions is very reduce. Although anatomical variations exist, they might increase the complications prevalence (Gioso et al., ; Boudrieau, ; Lommer, ; Guimarães et al, ). Thus, due to the complications and the particularity of each clinical case, it is of great benefit to plan the medical and surgery procedures using information about the localization and size of the mandible anatomical structural elements.…”

Section: Discussionmentioning

confidence: 99%

Insight of Dogs' Inner Mandible Anatomy using Mathematical Models

Santos¹,

Carreira

2016

Anat. Histol. Embryol.

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This study was performed in a sample of 20 dogs (n = 20) and aimed to: (1) characterize the mandible height (Mh), mandibular canal height (MCh) and distance between the inter-dental alveolar margin and the mandibular canal (dIAM-MC) dimensions, and (2) to develop mathematical models that express the insight's mandible anatomy of those important mandible structural elements allowing the prediction of their dimensions using physical parameters such as patient body weight (Wg) and the canine tooth width at the free gingival margin level-(wCGM). Lateral-view X-rays of both sides of the skull were taken for all the individuals. Three mathematical prediction models were developed to calculate Mh, MCh and dIAM-MC. Achieved proportions of the mandible considered parameters regarding its height were of 36.45% for MCh, 50.90% for dMAI-MC and 12.65% for vMC. Statistically significant differences were registered between the Wg and wCGM (P = 0.00), Mh (P = 0.00), MCh (P = 0.00) and dIAM-MC (P = 0.00). Only the Wg presented a strong correlation with the wCGM (R = 0.58), Mh (R = 0.70), dIAM-MC (R = 0.60) and MCh (R = 0.68). These models will allow a clinician to estimate the size of the mandible structures by only using data obtained during the physiological examination, with a sufficiently high prediction capacity and a very low standard error. The study points out the relationships of physiological parameters such as Wg and wCGM with mandible anatomical structural elements considered as important in oral surgery. The results of this study give the surgeon a new additional tool providing more information on the mandible anatomical structures and its relationships. This reduces the risk of iatrogenic lesions during the oral surgical procedures and improves patient safety.

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Section: Discussionmentioning

confidence: 99%

Insight of Dogs' Inner Mandible Anatomy using Mathematical Models

Santos¹,

Carreira

2016

Anat. Histol. Embryol.

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“…Adjacent teeth were extracted to allow for making guide holes through the bone and placing intraosseous sutures. This patient suffered from postoperative neurapraxia, defined as a temporary interruption of nerve conduction ( 22 ). This was suspected to affect branches of the trigeminal nerve based on electromyogram testing and could have caused additional tension on the surgery site of the dropped lower jaw.…”

Section: Discussionmentioning

confidence: 99%

Clinical Presentation, Causes, Treatment, and Outcome of Lip Avulsion Injuries in Dogs and Cats: 24 Cases (2001–2017)

Saverino

Reiter

2018

Front. Vet. Sci.

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Lip avulsions are a common result of orofacial trauma in dogs and cats. Vehicular trauma and bite wounds are common causes. Surgical therapy is highly successful with early decontamination and tension-free closure. This retrospective case series assessed the signalment, causes, lesion location, treatment and outcome of lip avulsion injuries in dogs and cats. A total of 23 patients with 24 lip avulsion injuries were included in the study. They were comprised of 11 dogs and 12 cats. The patients were generally young, with 68.2% under 3 years of age and 36.4% under 1 year of age. The most common known causes were animal bites (26.1%) and vehicular trauma (21.7%). In cats, the most common cause was vehicular trauma (25%). In dogs, the most common cause was an animal bite (45.4%). Bilateral rostral upper lip avulsion was most common in dogs (36.3%), whereas bilateral rostral lower lip avulsion was most common in cats (53.8%). Concurrent injuries were frequent in both species with tooth fractures reported in 34.7%. All lip avulsion injuries were treated via wound debridement and lavage followed by appositional repair with absorbable suture material. The most common short-term complication was wound dehiscence (21.4%). Surgical therapy was highly successful with no significant long-term complications reported. The results suggest that lip avulsion injuries are primarily seen in younger dogs and cats, usually result from vehicular trauma or animal bites, and are successfully managed with surgical repair.

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“…Tension has been identified as the major contributor to dehiscence by many authors. 2,4,6,11 It has been suggested that the mechanism behind tension related dehiscence is that the sutures under tension cause ischemia of the margin of the flap and necrosis of the tissue allows the sutures to pull through the flap margin. 22 A human study quantified the amount of tension flaps were experiencing at closure and found that flaps with >0.1N of force were at a significantly higher risk of dehiscence.…”

Section: Discussionmentioning

confidence: 99%

“…6 Other causes for dehiscence include excessive oral activity in patients during the healing period, regional infection, unmanaged sharp alveolar bone and protruding tooth root remnants. 11 Systemic health comorbidities, such as diabetes mellitus and hyperadrenocorticism, can also delay or complicate the healing process. In spite of dehiscence being one of the most commonly reported complications, little has been published in the veterinary literature in regard to one of the main factors under the control of the surgeon, suture technique.…”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation of Intraoral Suture Patterns Using Poliglecaprone 25 in Greyhound Dogs

Pegg

Hoyer

Kelley³

et al. 2022

J Vet Dent

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To evaluate healing and complications of extraction sites closed with a simple interrupted pattern (SI) and a simple continuous (SC) suture pattern in a prospective randomized clinical trial. Greyhounds were selected from a rescue with a standardized environment and naturally occurring disease. Surgical extractions were performed (35 sites) and all mucogingival flaps were closed with 4–0 poliglecaprone 25 using either SI or SC randomly assigned by surgical site. Oral healing/dehiscence, suture inflammation, suture loss, accumulation of debris, presence/nature of discharge, necrotic tissue and adjacent contact ulceration were evaluated. Fisher’s exact test was used to compare categorical data and two-tail T tests used to compare continuous data. Results showed SC was faster to apply. No new dehiscence events were detected after Recheck 1. There was no significant difference for dehiscence scores between SI and SC. A trend was seen towards more major dehiscence in the SI group. This study concluded SC is an alternative to SI for closure of occlusal surfaces in the mouth. Mandibular canine tooth extraction sites were more likely to have a high dehiscence score than all other sites combined regardless of surgical technique.

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Complications of extractions

Cited by 13 publications

References 25 publications

Insight of Dogs' Inner Mandible Anatomy using Mathematical Models

Insight of Dogs' Inner Mandible Anatomy using Mathematical Models

Clinical Presentation, Causes, Treatment, and Outcome of Lip Avulsion Injuries in Dogs and Cats: 24 Cases (2001–2017)

Clinical Evaluation of Intraoral Suture Patterns Using Poliglecaprone 25 in Greyhound Dogs

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