Delayed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature

Şençimen, Metin; Gülses, Aydın; Seçer, Sencer; Zerener, Tamer; Özarslantürk, Savaş

doi:10.1007/s10006-016-0593-y

Cited by 16 publications

(18 citation statements)

References 14 publications

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“…Delayed approaches (2-4 weeks) have been suggested in order to allow the formation of fibrous tissue which could stabilize the tooth, avoiding further displacement in the deeper areas. However, an antibiotic therapy should be always administered due to avoid infections in the area of the displacement (12,15,24,25).…”

Section: Discussionmentioning

confidence: 99%

Immediate or delayed retrieval of the displaced third molar: A review

Nardo¹,

Mazzucchi²,

Lollobrigida³

et al. 2019

J Clin Exp Dent

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BackgroundThe displacement of a third molar is a rare occurrence, but it could lead to serious and/or life threatening complication. Aim of this review is to understand the most correlated causes of displacement and the possible solutions proposed in literature to avoid and solve this complication for maxillary and mandibular third molars at the appropriate time.Material and MethodsA search for “third molar displacement” was performed by using Pubmed database. Articles referred to soft tissues displacement, from 1957 to 2018, were included in the review. The references lists of all eligible articles were examined and additional studies were added to the review only if indexed on Pubmed. All the articles on maxillary sinus displacement and the dislocation of dental fragments or surgical equipment were excluded.ResultsFrom a total of 134 results, 68 articles were examined for satisfying inclusion criteria. 18 articles were excluded because not inherent with the topic; 19 articles on infratemporal space, 11 on sublingual space, 9 on submandibular space, 11 on lateral pharyngeal space displacement were considered congruent for the review and included.ConclusionsThe displacement of the third molar in deeper tissues could be avoided by the use of proper surgical procedures and instrumentarium. If displacement occurs, and the operator could not reach the tooth in safe conditions, the patient should be immediately referred to a maxillo-facial surgeon, because of the possibility of further displacement or the onset of hazardous or potentially fatal infections in vital regions. Key words:Third molar, wisdom tooth, maxillary, mandibular, displacement.

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Section: Discussionmentioning

confidence: 99%

Immediate or delayed retrieval of the displaced third molar: A review

Nardo¹,

Mazzucchi²,

Lollobrigida³

et al. 2019

J Clin Exp Dent

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show abstract

“…Battisti, et al (2017) emphasize the importance of imaging to accurately evaluate the position of the tooth. Currently, cone beam CT, due to its low radiation dose, is the gold standard to determine the exact position of the tooth and to plan the most conservative approach (Sverzut CE et al, 2009;Sencimen M et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…The use of image intensifiers, transantral approaches and an endoscope have also been reported as resources to remove displaced teeth. (Orr DL II, 2019;Battisti A et al, 2019;Sencimen M et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Late removal of an upper third molar displaced into the infratemporal space using an intermaxillary fixation screw: a case report

Dallazen

Carvalho

Hochuli‐Vieira

et al. 2020

RSD

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Teeth displacement during extractions even tough rare are extremely unwanted, especially for infra temporal space. This accident generally necessitate additional treatment for their resolution, being either immediate or late. Several authors discribed surgical techniques for removal displaced teeth into the infratemporal space, varying according to the degree of displacement, being that in some of this cases, is necessary the utilization of complementary tools. This case describes the technique utilized for late removal of tooth 18 (upper right third molar) dislocated into the lower portion of the infratemporal space (confirmed by the Cone Bean Computer tomography Scan), exam was performed after the patient reported pain in the operated region and during mandibular movement too, with an interincisal opening maximum of 20 millimeters. The procedure was realized under local anesthesia by a conservative intraoral approach and aid of intermaxillary fixation screw to facilitate extraction. The patient recovered well, without complications, with remission of pain and restoration of mouth opening.

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“…The displacement of a maxillary third molar to the ITF is a well-known complication of wisdom tooth extraction [6, 14].…”

Section: Discussionmentioning

confidence: 99%

“…Extraoral and intraoral retrieval techniques have been reported [6, 9–13], sometimes using additional instruments. Exploratory blunt dissection in the ITF can be dangerous because of its complex and rich anatomy and can result in additional complications.…”

Section: Introductionmentioning

confidence: 99%

Retrieving a displaced third molar from the infratemporal fossa: case report of a minimally invasive procedure

et al. 2019

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Background The appropriate management of postoperative complication of wisdom teeth removal is of utmost importance as it can result in legal procedures. The accidental displacement of a maxillary third molar in the infratemporal fossa (ITF), is a rare complication that can occur even with experienced surgeons. The numerous retrieval techniques reported are invasive and provide an unpredictable access. Our aim was to achieve the safe and swift retrieval of the tooth displaced to an area of such complex anatomy. Case presentation We describe the case of a 17-year-old female patient whose right upper third molar was accidentally pushed upward to the ITF and became unreachable. Retrieval based on interventional radiology using the CT-guided placement of a bone trocar above the displaced tooth was successfully performed. The postoperative course was uneventful. Conclusions CT scan assisted interventional radiology provides both, real-time assessment of the tooth position through image refreshment, and steady stabilization of the displaced tooth. Therefore, it allows a safe and non-traumatic retrieval with a time-efficient procedure achieved through a minimally-invasive approach with inconspicuous scaring. We believe that such a procedure is an interesting treatment option for optimal outpatient care. To our knowledge, no such case has been previously described. Electronic supplementary material The online version of this article (10.1186/s12903-019-0852-z) contains supplementary material, which is available to authorized users.

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Delayed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature

Cited by 16 publications

References 14 publications

Immediate or delayed retrieval of the displaced third molar: A review

Immediate or delayed retrieval of the displaced third molar: A review

Late removal of an upper third molar displaced into the infratemporal space using an intermaxillary fixation screw: a case report

Retrieving a displaced third molar from the infratemporal fossa: case report of a minimally invasive procedure

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