Complications post simple exodontia: A systematic review

Abstract

Exodontia procedures are not without complications, which are the dentist's responsibility to avoid by taking into account clinical, imaging, systemic, and operative factors, among others. The purpose of this systematic review is to determine and analyze the prevalence of complications post simple exodontia (CPES). The method used in this systematic review was adapted from the Cochrane Handbook and PRISMA statement. A systematic search was conducted in PubMed, Scopus and ScienceDirect using the search terms "Exodontia" AND "Complications". The search was conducted from the starting coverage date to January 31, 2020. The inclusion criteria were studies on simple exodontia, studies on CPES prevalence and human studies. Studies on complications after third molar exodontia, generalities in exodontia, narratives and systematics literature reviews, book chapters, and animal studies were excluded. A total of 1,446 articles were found in the first search using the search strategy (725 in PubMed, 96 in Scopus and 631 in ScienceDirect). After duplicates were removed, 948 articles were obtained. After reading the title and abstract, 9 articles were read in full. Finally, 3 articles were included in the review, with the most common complications being trismus, alveolitis, pain, dehiscence, infections, and retained roots. Trismus of the chewing muscles, alveolitis and retained roots were the most prevalent CPES, which were most likely related to the surgeon's experience, surgery duration and tissue trauma during surgery.

Assessment of Electromyographic Changes in Masseter and Temporalis Muscles for Patients Undergoing Lower Third Molar Surgery: A Prospective Study

“…Some studies have correlated the reduced electrical activity with clinical signs like maximum mouth opening, and it has been found that in patients with whom there is a faster recovery of the electrical activity to a normal or preoperative value, the recovery is faster concerning the mouth opening and also the reduction of swelling [18]. In this study, it has been found that the electrical activity of the temporalis is higher than that of the masseter muscle measured at all the intervals of the follow-up period, with statistically significant values (p = 0.001).…”

Improper Treatments in the Field of Oral and Maxillofacial Surgery: A Clinical Cohort Study of 55 Cases

“…If dentists anticipate complica-tions or lack expertise, they should consider referring the patient to a specialist physician to avoid harm. [10][11][12]22,23 The study's results highlight nerve injuries, oroantral fistulas, tooth or root migrations, foreign bodies in bones and anatomical spaces, and jaw fractures as common occurrences during or after tooth extractions.…”

“…8,9 Even seemingly simple tooth extractions, commonly performed by dental trainees in their third year of education, hold potential complications for patients. [10][11][12] Moreover, improper interventions in the oral and maxillofacial region can lead to rapid and evident consequences, impacting functions such as chewing, speaking, and facial aesthetics (e.g., after jaw fracture treatment or orthognathic surgery), making the results of improper treatments more apparent. 2,3,5,13 Improper medical treatment, considered professional negligence, can lead to additional patient injuries.…”

Structural and Color Alterations of Teeth following Orthodontic Debonding: A Systematic Review

“…The adhesive technique utilizes the bonding capability of the adhesive to establish a connection between the enamel surface and the base of the attachment [2].…”