Iatrogenic displacement of impacted third molar. Case report
Emmanouil CHATZIPETROS(1) , Panagiotis CHRISTOPOULOS(2) , Maria PAVLI (3) , Spyridon DAMASKOS(4) , Konstantinos TSIKLAKIS5 (5)
(1,4,5) Oral Diagnosis and Radiology Clinic, Dental School, National and Kapodistrian University of Athens (Head: Prof. K. Tsichlakis) (2,3)Oral and Maxillofacial Clinic, Dental School, National and Kapodistrian University of Athens (Head: Prof. C. Alexandridis)
Hellenic Archives of Oral & Maxillofacial Surgery (2013) 2, 107-112
SUMMARY: Peri-operative complications may occur during the surgical extraction of impacted mandibular third molars such as the iatrogenic displacement of the whole tooth or a tooth fragment in to the adjacent anatomical structures. The purpose of this case report is to present the diagnosis and treatment planning, as well as the surgical management required for the removal of a 3rd molar displaced in the soft tissues of the floor of the mouth. A 38-year old male patient presented to the Dental School, complaining of pain around the left submandibular area that started three months after the extraction of the impacted mandibular left third molar. At the radiographic examination the tooth was detected in the soft tissues of the floor of the mouth and in close proximity to the lingual plate. It is noteworthy that the patient was under the assumption that the tooth had been extracted successfully. Radiographically the tooth appeared at an 180° turnaround from its original position. Surgical extraction of the displaced third molar took place under local anaesthesia. No post-operative complications were reported. Thorough clinical and radiographic examination, as well as competency at surgical procedures are prerequisites for the appropriate surgical management of impacted third molars.
KEY WORDS: Mandibular third molar, impacted third molars, radiographic examination, CBCT, surgical extraction
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