Diagnosis and Management of Common Postextraction Complications

Pierse, Joseph E.; Dym, Harry; Clarkson, Earl

doi:10.1016/j.cden.2011.09.008

Cited by 15 publications

(13 citation statements)

References 57 publications

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“…38 'There are occasions when leaving the root is one of the most prudent and sound clinical decisions one can make.' 59 Roots may displace into surrounding anatomical structures such as the maxillary antrum 44,60 and lingual pouch, 45 and their removal can damage adjacent teeth 61 or the inferior alveolar nerve. 45 The risk of an oral-antral fistula increases with age due to the increased density of alveolar bone 62 and pneumatisation of the maxillary sinus reducing the distance interval between the root tips and the maxillary sinus.…”

Section: Risks Of Attempting Root Tip Removalmentioning

confidence: 99%

“…59 Roots may displace into surrounding anatomical structures such as the maxillary antrum 44,60 and lingual pouch, 45 and their removal can damage adjacent teeth 61 or the inferior alveolar nerve. 45 The risk of an oral-antral fistula increases with age due to the increased density of alveolar bone 62 and pneumatisation of the maxillary sinus reducing the distance interval between the root tips and the maxillary sinus. 63 When root tips fracture during challenging extractions, prolonged operative times may increase the risk of alveolar osteitis.…”

Section: Risks Of Attempting Root Tip Removalmentioning

confidence: 99%

“…6,8,9 It is thought that these teeth are susceptible to intra-operative fracture due to divergent and curved root morphology, difficult operator access 44 and thin and multiple roots. 41,45 Maxillary left molars had a higher proportion of root fractures and oro-antral complications (59.3-60.2%) than maxillary right molars (40.7-39.8%), 2,44 with the operator's dominant hand being postulated as a causative factor 44 (Table 2).…”

Section: Introductionmentioning

confidence: 99%

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Fractured root tips during dental extractions and retained root fragments. A clinical dilemma?

et al. 2015

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Root tip fracture can occur during the extraction of teeth. The clinician must then decide to either leave the root fragment in situ, or to attempt its removal. A similar decision is made when retained root fragments are found incidentally on oral radiographs. The prevalence of retained root fragments is reported as 11-37%. This article aims to highlight the risk benefit matrix of the removal or retention of retained root fragments, in light of the present evidence base.

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Section: Risks Of Attempting Root Tip Removalmentioning

confidence: 99%

Section: Risks Of Attempting Root Tip Removalmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fractured root tips during dental extractions and retained root fragments. A clinical dilemma?

et al. 2015

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“…The use of rubber dam is quite common in restorative and endodontic dentistry because it permits operatory field isolation from oral fluids and permits correct disinfection and adhesive procedures [8]. A dental extraction is a common procedure that often involves intra-surgical bleeding and exposure to blood and oral fluids [9]. Moreover, in some cases, the tooth has to be sectioned with a handpiece, and this creates an aerosol spread made of air, water and contaminants.…”

Section: Discussionmentioning

confidence: 99%

Surgical Field Isolation Through Rubber Dam to Prevent COVID-19 Exposure During Tooth Extraction: Case Report

Checchi¹,

Ragazzini²,

Ragazzini³

2021

TODENTJ

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Background: At the beginning of 2020, a new pathogen named SARS-CoV-2 spread from China to the globe, becoming responsible for a potentially lethal acute respiratory syndrome: COVID-19. Direct contact and airborne contamination are the most frequent infection ways of SARS-CoV-2. During routine dental practice, SARS-CoV-2 transmission can occur through direct contact with mucous membranes, oral fluids, and contaminated instruments or inhalation of aerosol from infected patients. Introduction: Tooth extraction often involves exposure to blood and oral fluids, and the use of a rubber dam could be indicated to minimize direct contact and to decrease the amount of potentially infected droplets around the operatory field. The aim of this clinical case is to show how the use of a rubber dam could help in preventing or minimizing COVID-19 exposure during dental extraction. Materials and Methods: A 32-year-old patient reported severe pain and discomfort to an upper first molar due to a deep carious lesion and vertical tooth fracture. Under local anaesthesia, a rubber dam was placed, isolating the whole upper right sextant, and an atraumatic extraction was performed. Results: All three roots were intact, the bone septum was stable, and no oro-antral communication was present. A gauze swab was placed onto the socket and compressed slightly. After 5 minutes, the socket stopped bleeding, and both clamp and rubber dam, were removed. Conclusion: Within the limits of this single case report, the use rubber dam prior to tooth extraction could be a useful device to decrease aerosol spread and exposure to blood.

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“…As with any procedure, complications are expected to rise during or after teeth extractions, these include; infection, dry socket, hemorrhage, and dysesthesia. 1 With the increasing number of surgical extractions, the frequency of complications is expected to increase. Fracture of the root tips during extraction is a frequent finding, in which sometimes the accessibility of the fractured fragment is difficult.…”

mentioning

confidence: 99%