Accidental third molar displacement into the lateral pharyngeal space

Ertaş, Ümit; Yaruz, M.Selim; Tozoglu, Sinan

doi:10.1053/joms.2002.35802

Cited by 35 publications

(26 citation statements)

References 5 publications

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“…Delayed intervention may increase the risk of infection, injury to the vital carotid sheath and cranial nerves in the posterior compartment of the parapharyngeal space, migration of the tooth to deeper spaces and inducing infection of the adjacent fascial spaces even the deep cervical spaces [7,8]. The importance of prompt and appropriate management of the displaced tooth has also been emphasized in the reported cases [7][8][9][10]. mandibular was overlapped in the PNA images.…”

Section: Discussionmentioning

confidence: 97%

“…Conventional PAN radiographs could not determine the precise location of the displaced tooth and the relation between the tooth and the adjacent anatomical structures, whereas computed tomography (CT) scans could, especially the CBCT that could reconstruct the 3D images with lower x-ray dose than the conventional CT [6]. The necessity of using advanced imaging techniques to locate a displaced tooth and its relation to the adjacent anatomic structures has also been particularly pointed out, but the CBCT has not been used in the few reported cases [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Wang¹,

Gu²

2016

J Clin Case Rep

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A right impacted mandibular third molar (IMTM) accidently displaced into the parapharyngeal space was dislodged successfully in only 5 minutes, with no sequel. Cone-beam computed tomography (CBCT) images were used to direct the removal. Five minutes is the shortest time having been reported. Considering that the event happens rarely, this report could add another case, and provide further reference to the dentists.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Wang¹,

Gu²

2016

J Clin Case Rep

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“…The majority of case reports are for the displacement of lower wisdom teeth. 1 General dental practitioners extracting lower molar teeth should evaluate the degree of impaction, position of the roots, distal inclination, bone density and if appropriate surgical access should be planned.…”

Section: Discussionmentioning

confidence: 99%

“…Mandibular molar teeth, especially third molars, may be pushed into the sublingual space, submandibular space, pterygomandibular space 1 and cervical spaces in the neck. Open surgical techniques, application of correct force and placement of lingual retractors may help minimise this particular complication.…”

Section: Introductionmentioning

confidence: 99%

Unrecognised displacement of mandibular molar root into the submandibular space

Nusrath

Banks²

2010

Br Dent J

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“…[12][13][14] Otros autores señalan que existen múltiples factores predisponentes que no se consideran, como: la abertura bucal, la edad del paciente, la forma facial, el uso de aparatología bucal, etc. 15 Al examen clínico, los pacientes pueden presentar disminución en la abertura bucal, edema, trismo o molestias al deglutir. 1,3,8,12 Para obtener la ubicación exacta de la pieza dentaria desplazada las radiografías periapicales, panorámicas y laterales como exámenes complementarios para este tipo de casos son inadecuados porque nos muestran imágenes en dos dimensiones.…”

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Desplazamiento accidental de la tercera molar inferior impactada al espacio faríngeo lateral

Castillo

Ameghino

Guerra

2014

Odontol. sanmarquina

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36Desplazamiento accidental de la tercera molar inferior impactada al espacio faríngeo lateral Accidental displacement of the third lower molar impacted towards the lateral pharyngeal space Resumen Se reporta accidente inusual de desplazamiento de tercera molar inferior al espacio faríngeo lateral izquierdo, en paciente femenino de 21 años de edad, localizado mediante el examen tomográfico. Para la remoción de la pieza dentaria, se utilizó anestesia local (lidocaína al 2 % con epinefrina 1:100 000), se realizó incisión desde distal de la pieza 3,7 continuando por el reborde alveolar hasta la apófisis coronoides y mediante disección roma, se logró encontrar la pieza dentaria, la cual fue prensada y removida con pinza hemostática. Se concluye que debe realizarse una valoración de la posible complejidad en la exodoncia de las terceras molares y derivar al especialista los casos de moderada y alta complejidad para evitar complicaciones. Palabras clave:Tercer molar retenida, complicaciones, desplazamiento, espacio faríngeo lateral. AbstractAn unusual accident of displacement of the third lower molar towards the left lateral pharyngeal space was reported in a 21-year old female patient, located through the tomographic exam. In order to remove the dental piece, local anesthesia was used (2 % of lidocaine with epinephrine 1:100 000). An incision was made from the distal of the 3,7 piece continuing by the alveolar ridge up to the coronoid process, and through a blunt dissection the dental piece was found, the same that was grasped and then removed with haemostatic clamps. It was concluded that valuation of the potential complexity regarding the dental extraction of the third molars must be made; and that moderate and high-complexity cases must be derived to the specialist to avoid complications. IntroducciónLa exodoncia de las terceras molares es la intervención quirúrgica más frecuente en Cirugía Máxilo Facial y continúa siendo una práctica profiláctica universal. Algunos reportes estiman la remoción de terceros molares retenidos, sin justificación clínica, entre el 18 % y el 50,7 %. La cirugía profiláctica preconiza la necesidad de minimizar el riesgo de desarrollo de quistes, tumores, fractura a nivel del ángulo mandibular, pericoronaritis y reabsorción radicular del segundo molar. 1, 2Una complicación puede definirse como un evento desagradable que ocurre durante o después de una intervención quirúrgica. Si este suceso no es advertido, no es tratado o su tratamiento es incorrecto provocará serias consecuencias o secuelas al paciente. Las complicaciones durante la exodoncia del tercer molar son, básicamente, las mismas que pueden acontecer durante la intervención quirúrgica de cualquier otra pieza dentaria; pero por la complejidad de la técnica de exodoncia de un diente incluido o retenido y por las relaciones anatómicas que presenta el tercer molar, son más frecuentes, complicadas y tendrán características peculiares. 2Otros autores como Sacot N y Ferrería J, afirman que no se puede denominar accidentes a los casos ...

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Accidental third molar displacement into the lateral pharyngeal space

Cited by 35 publications

References 5 publications

Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Removal of Mandibular Third Molar Accidently displaced into the Parapharyngeal Space aided by Cone-Beam Computed Tomography: A Case Report

Unrecognised displacement of mandibular molar root into the submandibular space

Desplazamiento accidental de la tercera molar inferior impactada al espacio faríngeo lateral

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