Complication of Exodontia

7/28/2019 Complication of Exodontia

1/54

Dr. MSK


2/54

1. Fracture of the crown of the adjacent tooth orluxation of the adjacent tooth

2. Soft tissue injuries

3. Fracture of the alveolar process

4. Fracture of the maxillary tuberosity

5. Fracture of the mandible


3/54

6. Broken instrument in tissues

7. Dislocation of the temporomandibular joint

8. Subcutaneous or submucosal emphysema

9. Hemorrhage

10. Displacement of the root or root tip into softtissues


4/54

11. Displacement of an impacted tooth, root orroot tip into the maxillary sinus

12. Oroantral communication

13. Nerve injury


5/54

1. Trismus

2. Hematoma

3. Edema

4. Post extraction granuloma


6/54

5. Painful post extraction socket

6. Fibrinolytic alveolitis (dry socket)

7. Infection of wound

8. Disturbances in postoperative wound healing


7/54

Perioperative

Complications


8/54


9/54


10/54


11/54


12/54


13/54


14/54


15/54


16/54


17/54


18/54


19/54


20/54


21/54


22/54


23/54


24/54


25/54

Postoperative

Complications


26/54


27/54

Heat therapy, i.e., hot compresses areplaced extraorally for approximately 20min every hour until symptoms subside

Gentle massage of thetemporomandibular joint area

Administration of analgesics, antiinflammatory and muscle relaxantmedication


28/54

Physiotherapy lasting 35 minevery 34 h, which includes

movements of opening and closingthe mouth, as well as lateralmovements, aimed at increasing the

extent of mouth opening


29/54

Administration of sedatives

[bromazepam (Lexotanil): 1.5

3 mg,twice daily], for management ofstress, which worsens while trismus

persists, leading to an increase ofmuscle spasmin the areament oftrismus


30/54

This is a quite frequent postoperativecomplication due to prolonged

capillary hemorrhage ,when thecorrect measures for control ofbleeding are not taken (ligation of

small vessels, etc.).


31/54


32/54

Depending on the operation, thehematoma may be submucosal,

subperiosteal, intramuscular orfascial.


33/54

It is the result of extravasation offluid by the traumatized tissues

because of destruction or obstructionof lymph vessels, resulting in thecessation of drainage of lymph,

which accumulates in the tissues.


34/54

Swelling reaches a maximum within4872 h after the surgical procedure

and begins to subside on the third orfourth day postoperatively.


35/54

Clinically, the edema ischaracterized by smooth, pale,

and taut skin


36/54


37/54


38/54


39/54

This is a common complication, whichoccurs immediately after the anestheticwears off.

It occurs mainly at the postextractionwound of mandibular posterior teeth,

although maxillary posterior teeth mayalso be involved


40/54

The uneven bone edges injure thesoft tissues of the postextraction

socket, resulting in severe pain andinflammation at the extraction site


41/54

The alveolus is filled with a bloodclot that becomes organized for

postextraction healing, but not fordevelopment of epithelium that willcover the wound.


42/54


43/54


44/54


45/54


46/54


47/54

The use of infected instruments anddisposable materialsduring thesurgical procedure.

A septic substrate over which the

surgical procedure is performed


48/54

Defective bone substrate secondaryto diseases of the skeletal system(osteopetrosis), and radiotherapy ofthe jaw and facial area.


49/54

Systemic diseases which lead toincreased susceptibility to infection (e.g.,leukemia, agranulocytosis), as well as

those diseases whose therapy causesimmunosuppression.


50/54


51/54

ANY

?


52/54


53/54


54/54

Complication of Exodontia

Documents

Transcript of Complication of Exodontia