Removal of displaced maxillary third molar using modified gillie's temporal approach

Abstract

Tooth impaction is a pathological situation where a tooth is unable to achieve its normal functional position within the expected time span. The removal may be associated with intra-operative or post-operative complications. The Le Fort I osteotomy is a procedure used by maxillofacial surgeons to correct a wide range of dentofacial deformities. Due to its versatility and simplicity, it has gained popularity for a wide range of uses. This case report describes the location and surgical removal of a right maxillary third molar which was accidentally displaced into the infratemporal fossa in a 26-year-old female while performing Le Fort I osteotomy. The patient underwent a second surgery for the retrieval of tooth using modified Gillie's temporal approach. The important role of the cone beam computed tomography in determining the localization of the displaced tooth is demonstrated.

Effects of platelet‐rich fibrin on post‐extraction wound healing and wound pain: A meta‐analysis

“…Based on the titles and abstracts, 532 studies that did not meet the inclusion criteria were excluded, leaving 34. Subsequently, the full text was obtained and finally 14 papers were included, 5 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 with a total of 508 patients and 1016 affected teeth extracted, including 508 in the PRF group and 508 in the control group. The risk of bias for the inclusion of RCTs is shown in Figure 2 .…”

“…Ten 5 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 studies reported VAS scores on postoperative day 7, and 646 affected teeth were finally included: 323 in the PRF group and 323 in the control group. There was a high degree of heterogeneity among the studies ( I 2 = 95%, p < 0.001), so a random‐effects model was applied.…”

Management of third molars projected into the temporal fossa and infratemporal fossa: systematic literature review

“…The extra oral approach in first intention seems rather indicated for the teeth projected in high position, as the teeth located in the temporal space. This was done by Paoli et al [20], Elgbouri et al [19] and Shruthi et al [17]. The full coronal approach is reserved for bilateral projections [20].…”

“…The extra oral approach, with an incision at the capillary level also remains very acceptable aesthetically with a scar camouflaged in the hairline, a low morbidity for the modified Gillies incision but more important for the hemicoronal or coronal approach with a risk of injury to the facial nerve and alopecia, atrophy of the temporal muscle [12,17,[19][20][21].…”

“…The presence of a tooth in the temporal or infra-temporal spaces can lead to immediate or delayed symptoms, such as limited mouth opening, pain or swelling [2,4,11,13,14,17,20,22,24,33]. They can also be completely asymptomatic over periods ranging from 4 days to 2 years [1,3,12,15,18,26].…”