Accidents and complications associated with third molar extractions: a literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27782

Keywords:

Accidents; Complications; Tooth Extractions; Third molars.

Abstract

Removal of third molar components is the most common procedure performed in everyday practice in oral surgery. In all surgical procedures, proper and planned surgical procedures from preoperative techniques to surgical procedures, to lessen the difficulty of complications. Third molar removal is no different, but such a common procedure sometimes does not result in rare complications. In this study, this study will review the literature on accidents and complications related to third-party extractions, as well as define the most appropriate procedure to be performed in these situations. For the construction of this article, a bibliographic survey was carried out in the SciVerse Scopus, Scientific Electronic Library Online (Scielo), U.S. National Library of Medicine (PUBMED) and ScienceDirect databases, with the help of the Mendeley reference manager. The articles were included between the years 2010 to 2021. Surgical complications for third molar extractions can be classified as simple, such as dental fractures, small oro-sinus communications and ration of flaps and more serious complications that often have specialized treatment, such as oral-sinus communications, of instruments with total penetration into the tissues, as in some cases of needle fractures, trans-surgical mandibular fractures and others in cases of trans-surgical mandibular fractures, such as cases of nerve fractures. The prevention of complications should be the main objective of surgeons and a detailed information related to the knowledge of professionals are fundamental factors. The more complex the techniques in which osteotomy and odontosection are required, the greater the chance of postoperative complications, such as alveolitis, trismus and paresthesia, requiring more professionals.

References

Alexander, R. E. (2000). “Dental Extraction Wound Management: A Case against Medicating Postextraction Sockets.” Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons 58(5):538–51.

Andrade, V. C., Rodrigues, R. M., Bacci, A., Coser, R. C., & Bourguignon Filho, A. M. (2012). “Complicações E Acidentes Em Cirurgias De Terceiros Molares-Revisão De Literatura Complications and Accidents in Third Molar Surgery-a Literature Review.” Saber Científico Odontológico 2(1):27–44.

Aras, M. H., & Güngörmüş, M. (2009). “The Effect of Low-Level Laser Therapy on Trismus and Facial Swelling Following Surgical Extraction of a Lower Third Molar.” Photomedicine and Laser Surgery 27(1):21–24.

Bouloux, G. F., Steed, M. B. & Perciaccante, V. J. (2007). “Complications of Third Molar Surgery.” Oral and Maxillofacial Surgery Clinics of North America 19(1):117–28.

Breik, O., & D. Grubor. (2008). “The Incidence of Mandibular Third Molar Impactions in Different Skeletal Face Types.” Australian Dental Journal 53(4):320–24.

Sung-Kiang, C., Perrott, D.H., Susarla, S. M. & Dodson, T. B. (2008). “Risk Factors for Inflammatory Complications Following Third Molar Surgery in Adults.” Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons 66(11):2213–18.

Sampaio D. O., Castanha, D. M., Andrade, J. S. & Andrade, T. I. (2018). “Consequência De Erros Associados À Exodontia De Terceiros Molares : Relato De Caso Consequence of Errors Associeted To the Extraction Off Mollar Third Parties : Case Report.” 23:79–84.

Haug, R. H., Perrott, D. H., Gonzalez, M. L., & Talwar, R. M. (2005). “The American Association of Oral and Maxillofacial Surgeons Age-Related Third Molar Study.” Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons 63(8):1106–14.

Karaca, I., Simşek, S., Uğar, D. & Bozkaya, S. (2007). “Review of Flap Design Influence on the Health of the Periodontium after Mandibular Third Molar Surgery.” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics 104(1):18–23.

Libersa, P., Roze, D., Cachart, T., & Libersa, J-C. (2002). “Immediate and Late Mandibular Fractures after Third Molar Removal.” Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons 60(2):163–66.

Mehrabi, M. J. M. A., & Steven M. R. (2007). “Therapeutic Agents in Perioperative Third Molar Surgical Procedures.” Oral and Maxillofacial Surgery Clinics of North America 19(1):69–84, vi.

Moreira, A., & Dias, E. (2011). “Estudo Prospectivo Da Incidência de Infecção Em Cirurgias de Terceiros Molares Retidos : O Papel Da Profilaxia Antibiótica.” RGO - Rev Gaúcha Odontol 59(3):357–64.

Oliveira, M. S., Gontijo, D. M., Gonçalves, V. A., Melo, W. M. & Barros, L. (2017). “Acidentes e complicações trans e pós exodontias de terceiros molares: Revisão de Literatura.” Revista de Odontologia Conteporânea 1:4–11.

Pitros, P., N. O’Connor, A. Tryfonos, & V. Lopes. (2020). “A Systematic Review of the Complications of High-Risk Third Molar Removal and Coronectomy: Development of a Decision Tree Model and Preliminary Health Economic Analysis to Assist in Treatment Planning.” British Journal of Oral and Maxillofacial Surgery 58(9):e16–24.

Pogrel, M. A. (2012). “What Is the Effect of Timing of Removal on the Incidence and Severity of Complications?” Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons 70(9 Suppl 1):S37-40.

Sartawi, H. (2020). “A Noval Method for Surgical Removal of the Impacted Mandibular Third Molar: Sartawi Technique.” Case Reports in Dentistry 2020:8876086.

Sbricoli, L., Cerrato, A., Frigo, A. C., Zanette, G. & Bacci, C. (2021). “Third Molar Extraction: Irrigation and Cooling with Water or Sterile Physiological Solution: A Double-Blind Randomized Study.” Dentistry Journal 9(4).

Schoen, P. J., A. C. Hulshoff, G. M. Raghoebar, B. Stegenga, & L. G. de Bont. (1998). “[Complaints and complications associated with removal of the mandibular third molar. A prospective clinical study].” Nederlands tijdschrift voor tandheelkunde 105(5):170–73.

Srinivas M. S., B. F. & l Magalnick., D. (2003). “Third Molar Surgery and Associated Complications.” Oral and Maxillofacial Surgery Clinics of North America 15(2):177–86.

Mello, T. T. D. E. & Fernando, F. V. (2011). “Prevalência de Alveolite Após Exodontia de Terceiros Molares Impactados.” Rpg. Revista De Pos-Graduacao (Usp) 18(1):28–32.

Kueh, Y. Y. E., Ying, A. L .S., Mohan, M. & Menon, R. K.. (2021). “Prevalence of Postoperative Infection after Tooth Extraction: A Retrospective Study.” International Journal of Dentistry 2021:6664311.

Published

23/03/2022

How to Cite

AFONSO , Áquila de O. .; FERREIRA, G. R. S. .; RODRIGUES , M. C. .; CARNEIRO , G. K. M. .; SILVA, L. P. da; PEREIRA, L. D. .; CORREA, L. F. A. .; RIBEIRO, A. P. da C. .; OLIVEIRA , M. B. de; CHAGAS, L. E. de C. . Accidents and complications associated with third molar extractions: a literature review. Research, Society and Development, [S. l.], v. 11, n. 4, p. e45811427782, 2022. DOI: 10.33448/rsd-v11i4.27782. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/27782. Acesso em: 30 apr. 2024.

Issue

Section

Health Sciences