Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Complications of impacted third molar extraction: retrospective study

매복지치 발치 시 발생한 합병증 양상에 대한 후향적 연구

  • Hwang, Jung-Kook (Department of Oral and Maxillofacial surgery, College of Dentistry, Dankook University) ;
  • Kim, Kyung-Wook (Department of Oral and Maxillofacial surgery, College of Dentistry, Dankook University)
  • 황정국 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 김경욱 (단국대학교 치과대학 구강악안면외과학교실)
  • Received : 2009.12.30
  • Accepted : 2010.03.22
  • Published : 2010.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Introduction: Surgical extraction of third molar is one of the most frequently performed procedures in oral and maxillofacial surgery unit as the impacted wisdom teeth could cause various complications. Even though, however, extraction of the impacted wisdom teeth is an obligation for the reason of possible complication even for general practitioners, it has been avoided. Various factors concerning surgical extraction of impacted third molar are considered: general condition of patients, relationship with relative anatomies, aspects of impaction, surgeon's skill. Materials and Methods: The consideration and crossing analysis of these factors with 2,463 patients who visit Dankook University dental hospital to extract those impacted third molar. Results: 1. Gender doesn't affect. 2. Medical problems have more complications. 3. There are more complications in high difficulty index (DI) impacted teeth. 4. When inferior alveolar canal overlap mandibular third molar, complication rate is 26.92%. 5. The most common complication was swelling and pain. 6. There is no statistical difference between the incidence of complication and surgeon's experience. Conclusion: In regard to these results, it seems that clinical or radiological examination can predict potential complications of wisdom teeth, and it is helpful to bear in mind the fact.

Keywords

References

  1. Baykul T, Saglam AA, Aydin U, Bas¸ak K. Incidence of cystic changes in radiographically normal impacted lower third molar follicles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:542-5. https://doi.org/10.1016/j.tripleo.2004.08.010
  2. Markiewicz MR, Brady MF, Ding EL, Dodson TB. Corticosteroids reduce postoperative morbidity after third molar surgery: a systematic review and meta-analysis. J Oral Maxillofac Surg 2008;66:1881-94. https://doi.org/10.1016/j.joms.2008.04.022
  3. Medeiros N, Gaffre′e G. Accidental displacement of inferior third molar into the lateral pharyngeal space: case report. J Oral Maxillofac Surg 2008;66:578-80. https://doi.org/10.1016/j.joms.2005.10.042
  4. Sverzut CE, Trivellato AE, Sverzut AT, de Matos FP, Kato RB. Removal of a maxillary third molar accidentally displaced into the infratemporal fossa via intraoral approach under local anesthesia: report of a case. J Oral Maxillofac Surg 2009;67:1316-20. https://doi.org/10.1016/j.joms.2008.09.018
  5. Calhoun NR. Dry socket and other postoperative complications. Dent Clin North Am 1971;15:337-48.
  6. Muhonen A, Vent¨a I, Ylipaavalniemi P. Factors predisposing to postoperative complications related to wisdom tooth surgery among university students. J Am Coll Health 1997;46:39-42. https://doi.org/10.1080/07448489709595585
  7. Osborn TP, Frederickson G Jr, Small IA, Torgerson TS. A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg 1985;43:767-9. https://doi.org/10.1016/0278-2391(85)90331-3
  8. Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction J Oral Maxillofac Surg 2003;61:1379-89. https://doi.org/10.1016/j.joms.2003.04.001
  9. Berge TI, B􀝚e OE. Predictor evaluation of postoperative morbidity after surgical removal of mandibular third molars. Acta Odontol Scand 1994;52:162-9. https://doi.org/10.3109/00016359409027591
  10. Capuzzi P, Montebugnoli L, Vaccaro MA. Extraction of impacted third molars A longitudinal prospective study on factors that affect postoperative recovery. Oral Surg Oral Med Oral Pathol 1994;77:341-3. https://doi.org/10.1016/0030-4220(94)90194-5
  11. Dodson TB. HIV status and risk of post-extraction complications. J Dent Res 1997;76:1644-52. https://doi.org/10.1177/00220345970760100501
  12. Sisk AL, Hammer WB, Shelton DW, Joy ED Jr. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 1986;44:855-9. https://doi.org/10.1016/0278-2391(86)90221-1
  13. Bataineh AB. Sensory nerve impairment following mandibular third molar surgey. J Oral Maxillofac Surg 2001;59:1012-7. https://doi.org/10.1053/joms.2001.25827
  14. Chiapasco M, de Cicco L, Marrone G. Slide effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 1993;76:412-20. https://doi.org/10.1016/0030-4220(93)90005-O
  15. Renton T, Smeeton N, McGurk M. Factors predictive of difficulty of mandibular third molar surgery. Br Dent J 2001;190:607-10.
  16. Monaco G, Staffolani C, Gatto MR, Checchi L. Antibiotics therapy in impacted third molar surgery. Eur J Oral Sci 1999;107:437- 41. https://doi.org/10.1046/j.0909-8836.1999.eos107604.x
  17. Brann CR, Brickley MR, Shepherd JP. Factors influencing nerve damage during lower third molar surgery. Br Dent J 1999;186: 514-6.
  18. Edwards DJ, Horton J, Shepherd JP, Brickley MR. Impact of third molar removal on demands for postoperative care and job disruption: does anaesthetic choice make a difference? Ann R Coll Surg Engl 1999;81:119-23.
  19. Winter GB. Principles of exodontias as applied to the impacted mandibular third molar: a complete treatise on the operative technique with clinical diagnosis and radiographic interpretations, St Louis, MO: American Medical Book Co; 1926.
  20. Pell GJ, Gregory BT. Impacted mandibular third molars: classification and modified technique for removal. Dent Dig 1993;39: 330-8.
  21. Rood JP, Shehab BA. The radiological prediction of inferior alveolar nerve injury during third molar surgery. Br J Oral Maxillofac Surg 1990;28:20-5. https://doi.org/10.1016/0266-4356(90)90005-6
  22. Herpy AK. Goupil MT. A monitoring and evaluation study of third molar surgery complications at a major medical center. Mil Med 1991;156:10-2.
  23. Chye EP, Young IG, Osborne GA, Rudkin GE. Outcomes after same-day oral surgery: a review of 1,180 cases at a major teaching hospital. J Oral Maxillofac Surg 1993;51:846-9. https://doi.org/10.1016/S0278-2391(10)80100-4
  24. Kipp DP, Goldstein BH, Weiss WW Jr. Dysesthesia after mandibular third molar surgery: a retrospective study and analysis of 1,377 surgical procedures. J Am Dent Assoc 1980;100: 185-92.
  25. de Boer MP, Raghoebar GM, Stegenga B, Schoen PJ, Boering G. Complications after mandibular third molar extraction. Quintessence Int 1995;26:779-84.
  26. Black CG. Sensory impairment following lower third molar surgery: a prospective study in New Zealand. N Z Dent J 1997; 93:68-71.
  27. Goldberg MH, Nemarich AN, Marco WP 2nd. Complications after mandibular third molar surgery: a statistical analysis of 500 consecutive procedures in private practice. J Am Dent Assoc 1985;111:277-9.
  28. Alling CC 3rd. Dysesthesia of the lingual and inferior alveolar nerves following third molar surgery. J Oral Maxillofac Surg 1986;44:454-7. https://doi.org/10.1016/S0278-2391(86)80010-6
  29. Mason DA. Lingual nerve damage following lower third molar surgery. Int J Oral Maxillofac Surg 1988;17:290-4. https://doi.org/10.1016/S0901-5027(88)80005-5
  30. Smith AC, Barry SE, Chiong AY, Hadzakis D, Kha SL, Mok SC, et al. Inferior alveolar nerve damage following removal of mandibular third molar teeth. A prospective study using panoramic radiography. Aust Dent J 1997;42:149-52. https://doi.org/10.1111/j.1834-7819.1997.tb00111.x
  31. Blackburn CW, Bramley PA. Lingual nerve damage associated with removal of lower third molars. Br Dent J 1989;167:103-7. https://doi.org/10.1038/sj.bdj.4806922
  32. Korean association of oral and maxillofacial surgeons. Textbook of oral & maxillofacial surgery. 2nd ed. Seoul: Medical & dental publishing; 2005.

Cited by

  1. Do the positions of the impacted third molars affect the preoperative anxiety levels and probable postoperative pain levels of the patients? vol.18, pp.1, 2010, https://doi.org/10.23950/jcmk/9650