Persistent lingual paresthesia caused by a displaced tooth fragment: a case report and literature review

Torul, Damla; Kazan, Dilara; Bereket, Mehmet Cihan; Karli, Rıfat

doi:10.5125/jkaoms.2017.43.s1.s9

Cited by 12 publications

(10 citation statements)

References 26 publications

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“…The submandibular displacement of a tooth may be accompanied by swelling, pain, limited mandibular movements, severe tissue damage, psychological distress, and medico-legal issues (8,41,42). It could be associated with permanent or transient neurologic damages to lingual nerve with paraesthesia of the lateral region of the tongue, numbness, intense pain, burning tongue and taste impairment (39,42). A case of submasseteric abscess occurred after 1 month from a submandibular displacement of an impacted lower third molar was also reported (43).…”

Section: Discussionmentioning

confidence: 99%

“…The proper use of surgical instrumentation, extractive forces, with a exhaustive knowledge of the anatomical structures provided by a panoramic radiography and CT scans may prevent the iatrogenic displacement (37,41). Intraoral or extraoral finger pressure is considered useful in avoiding ligual cortex leakage and it could also aid the operator in finding and directing the displaced tooth to the way out (39,40,42).…”

Section: Discussionmentioning

confidence: 99%

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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%

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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“…There are only three reported cases that the patient had a lingual nerve paresthesia with the displacement of the tooth fragment before retrieval including our case 7 [3,20]. Although those might be caused by wisdom tooth removal procedure itself, the common important findings in the three cases in CT images were that the lingual plate fracture was observed above the mylohyoid line (this means displacement happened in the sublingual space initially), and the fragment was detected at the level of or below the mylohyoid line.…”

Section: Lingual Nerve Paresthesia Due To Displacementmentioning

confidence: 82%

“…Of these, displacement into the submandibular space is the most common [2]. Since Doran 4 reported the first case of the displacement into the floor of the mouth, in fact, not so many cases have been reported in English literature [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. It seems like the displacement of the tooth is a rare entity due to the small number of reports.…”

Section: Introductionmentioning

confidence: 99%

Displacement of lower third molar into floor of mouth: a single institutional experience

Masui

Ibaragi

Takeshita

et al. 2021

Oral Maxillofac Surg

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The displacement of the tooth/tooth fragment into the floor of mouth sometimes happens during the lower third molar surgery and the patients are usually referred to oral and maxillofacial surgeons. To date, however, there is no consensus how to manage the displaced tooth due to the lack of available data. MethodsIn this study, we have retrospectively analyzed the management of the displaced lower third molar into the floor of mouth. Our institute experienced seven cases during 2010 to 2020. ResultsIncidence rate of the lingual nerve injury caused by displacement of the lower third molar was 1/7. Six patients out of seven underwent surgical removal of the displaced fragment. The direct approach was used when the fragment was palpable superficially and the fragment was horizontally located away from the lingual plate (2 cases). While, when the fragment was not palpable, or was palpable and adjacent to the lingual plate, the lingual mucoperiosteal flap was selected (4 cases). ConclusionWe conclude that the palpation and preoperative diagnosis with computed tomographic images are significantly important to decide a better and most effective surgical approach.

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“…6,8 Prior to performing retrieval, the tooth should be localised with at least a onedimensional image, 14 such as panoramic, postero-anterior, submento-vertex and occlusal views, in addition to image intensifiers. [10][11][12]18 Computed Tomography (CT) or Cone-Beam Computed Tomography (CBCT) is desirable due to exact localisation and is indicated when plain film imaging is not conclusive. 4,5,[7][8][9][10]12,16,19 CBCT is preferable to a standard CT due to its lower radiation dose as compared with a standard CT. 3,12,19 However, choice will be partly dependant on the availability of such modalities within the particular secondary care setting.…”

Section: Special Investigationsmentioning

confidence: 99%

Accidental intraosseous displacement of mandibular premolar root during extraction with guidance and literature review

2021

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Iatrogenic displacement of teeth during extraction is a rare but significant complication. [1][2][3][4][5][6][7][8][9][10] When it does occur, it is more often associated with the displacement of third permanent molars into fascial spaces. 11 We present a rare case of a 30-year-old female patient who presented to our department with significant intraosseous displacement of a mandibular premolar root during attempted extraction, resulting in paraesthesia. We believe this to be the first such case described in the literature.

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Persistent lingual paresthesia caused by a displaced tooth fragment: a case report and literature review

Cited by 12 publications

References 26 publications

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

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

Displacement of lower third molar into floor of mouth: a single institutional experience

Accidental intraosseous displacement of mandibular premolar root during extraction with guidance and literature review

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