Intra operatively Haemorrhage Fractured root apex Damage to adjacent tooth Damage to adjacent soft tissues Fractured mandible Collapse in the dental chair Post operatively Postoperative instructions ID: 931287
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Slide1
Complications associated with third molar removal
Intra operatively
Haemorrhage
Fractured root apex
Damage to adjacent tooth
Damage to adjacent soft tissues
Fractured mandible
Collapse in the dental chair
Slide2Post operatively
Postoperative instructions
Pharmacology
- Analgesics
Antibiotics
- Steroids
Slide3Following removal of impacted lower third molars
Slide4Slide5Complications associated with third molar removal
Postoperative complications
Pain
Swelling
TrismusBruisingInfection of soft tissues or bone Anaesthesia or paraesthesia (ID,lingual or mylohyoid nerves)
Slide6Slide7Slide8Slide9Slide10Slide11Slide12Impacted maxillary 3rd
Slide13Slide14Slide15Slide16Maxillary antrum
Slide17Slide18Slide19Slide20Slide21Slide22Slide23Slide24Slide25Slide26Slide27Slide28Slide29Slide30Slide31Slide32Complications associated with removal of maxillary third molars
Displacement of root or tooth
Fracture of the tuberosity
Oro-antral communication
Slide33Slide34Slide35Slide36Slide37Slide38Slide39Displaced tooth root
Slide40Checking for displaced foreign body
Intraorally: socket, adjacent tissues
Extraorally: suction tube, clothing, floor
Radiographs
- periapical or OM - chest/ abdominal views
Slide41Slide42Caldwell-Luc procedure
Slide43Slide44Slide45Slide46Slide47Slide48Slide49Buccal advancement flap
Advantages
:
Quick and simple to perform
Suitable for new OAC and chronic OAFMore pliable than palatal mucosa Disadvantages:Only suitable for alveolar ridge defectsCan result in reduction of buccal sulcus depth
Slide50Slide51Slide52Slide53Slide54Slide55Slide56Palatal rotational flap
Slide57Slide58Slide59Slide60Slide61Slide62Slide63Slide64