Intraoperative accidents associated with surgical removal of third molars

Abstract

Aim: To evaluate the prevalence of intraoperative accidents associated with extraction of third molars and identify possible risk factors. Methods: Prospective study with patients undergoing third molar surgery by residents of the Oral and Maxillofacial Surgery Service at the Federal University of Parana. Epidemiological data were collected from preoperative evaluation forms. During the surgical procedure were evaluated the radiographic position classifications of all third molars removed, using methods such as osteotomy and/or tooth section, time for the procedure and occurrence of any complication. Results: The students extracted a total of 323 teeth. The mean surgical time was 45 min. Conclusions: The prevalence of intraoperative accidents during extraction of third molars was 6.19%. The most prevalent accident was maxillary tuberosity fracture, followed by hemorrhage. Age, positioning of the teeth and use of the techniques of osteotomy and tooth section are possible risk factors.

Assessment of the complications encountered during and after surgical removal of maxillary third molar: An observational study

“…One rare possibility of third molar displacement into infratemporal fossa. Others like fracture of root apex of tooth, may occur mainly in root morphology such as hypercementosis and ankylosis and conditions that more resistance to avulsion [10] . In our study the cases of haemorrhage was 2 (5.3%).…”

Estudo retrospectivo das complicações associadas a exodontia de terceiros molares em um serviço de referência no sertão paraibano, Brasil

“…Todos os casos manifestaram no sexo feminino o que se confirma com o estudo de Silveira 30 , este por sua vez explica que este sexo é mais susceptível a proximidade entre os terceiros molares inferiores com o canal mandibular, devido a menor espessura óssea mandibular no sentido vestíbulo-lingual, acarretando uma maior proximidade entre os ápices radiculares dos terceiros molares com o canal mandibular. Entretanto, outros autores não encontraram essa complicação [31][32][33] .…”

“…Os quadros de hemorragia do presente estudo 0,62% ocorreram no transoperatório e 0,2% no pós-operatório. No estudo de Sebastiani et al 31 , também encontraram prevalência baixa para este tipo de complicação e segundo Boulox et al 34 , a hemorragia é mais prevalente em pacientes mais idosos com dentes profundamente impactados e quatro vezes mais associada a terceiros molares inferiores que os terceiros molares superiores.…”

Efficacy of serratiopeptidase after impacted third molar surgery: a randomized controlled clinical trial

“…Postoperative sequelae associated with such procedures include pain, trismus and swelling which occur due to the local inflammatory reaction [1]. Proper surgical technique and gentle handling of the tissues will help minimize postoperative inflammation but it will not prevent it [2]. In recent years, several drugs such as corticosteroids and Nonsteroidal anti-inflammatory drugs (NSAIDs) have been prescribed to suppress inflammation [3][4][5].…”