Mandibular third molar displaced in the sublingual space: clinical management and medicolegal considerations.
J Biol Regul Homeost Agents
; 30(2): 609-13, 2016.
Article
in En
| MEDLINE
| ID: mdl-27358157
ABSTRACT
This paper describes the management of a failed mandibular third molar extraction, resulting in tooth displacement in the sublingual space, the discussion of the diagnosis, surgery and medico-legal considerations. A 28-year-old male patient underwent an unsuccessful attempt of the 4.8 tooth extraction. The clinician lost visual contact after luxation and the patient was not recalled for post-operative follow-up. After 24 hours, a severe trismus started. Ortopantomography and cone beam computer tomography revealed the displacement in the sublingual space. The tooth was removed under general anaesthesia with intraoral approach. The follow-up was uneventful and the paraesthetic area on the tongue did not enlarge after the retrieval. The displaced mandibular third molar is a rare but potentially serious complication of extraction. This event should be avoided with correct diagnosis and surgical technique. Cone beam computed tomography was useful to determine the three-dimensional position of the displaced tooth.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tooth Extraction
/
Foreign Bodies
/
Molar, Third
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
J Biol Regul Homeost Agents
Journal subject:
BIOLOGIA
/
BIOQUIMICA
Year:
2016
Document type:
Article
Affiliation country:
Italy