Category Archives: Prevention and Manage of Surgical Complications

Luxation of Adjacent Teeth

Luxation of Adjacent Teeth Inappropriate use of the extraction instruments may luxate the adjacent tooth. This is prevented by [udicious use of force with elevators and orceps. If the tooth to been extracted is’ crowded and has overlapping adjacent teeth, such as is commonly seen in the mandibular incisor region, intn, narrow forceps such as the no, 2H6 forceps, may be useful for the extraction (Fig. 11-

Fracture of Adjacent Restoration

Fracture of Adjacent Restoration The most common injury to adjacent teeth is the inadvertent fracture of either a restoration or a severely carious tooth while the surgeon’ is attempting to luxate the tooth to be removed with an elevator (Fig. 11-5). If a large restoration exists, the surgeon should warn the patient preoperatively about the possibility of fracturing it during the extraction. Prevention

Tooth lost into Oropharynx

Tooth lost into Oropharynx Occasionally, the crown of a tooth or an entire tooth might be lost down the oropharynx. If this occurs, the patient should be turned toward the dentist, into a mouth-down position, as much as possible. The suction device can then be used to help remove the teeth. The patient should be encouraged to cough and spit the tooth’ out onto the floor. In spite of these efforts, the

Root Displacement.

Root Displacement. The tooth root that is most commonly displaced into unfavorable anatomic spaces is the maxillary molar root, which is forced into the maxillary sinus. If a root of a maxillary molar is being removed, with a straight elevator being used with excess apical pressure ~s a wedge in the periodontal ligament space, the tooth root can be displaced into the maxillary sinus. If this occurs, the surgeo


COMPLICATIONS WITH THE TOOTH BEING EXTRACTED  Root Fracture The most common complication associated with the tooth being extracted is fracture of its roots. Long, ed, divergent roots that lie in dense bone are most likely to be fractured. The main method of preventing FIG. 11-2 Small straight elevator can be used as shoehorn to luxatebroken root. When straight elevator is used in this position, handmust be s

Stretch or Abrasion Injury

Stretch or Abrasion Injury  Abrasions or burns of the lips and corners ,of the mouth are usually the result of the rotating shank of the bur rubbing on the soft issue (Fig. 11~3). When the surgeon is focused on the cutting end of the bur, the assistant should be aware of the location of the shank of the bur in relation to the cheeks and lips. If such an abrasion does develop, the dentist should advise the pa

Tearing Mucosal Flap

Tearing Mucosal Flap The most common soft tissue injury is the tearing pf the mucosal flap during surgical extraction of a tooth. This is usually-the result of an inadequately sized envelope flap, which is retracted beyond the tissue’s ability to stretch (Fig. 11-1). This results in a tearing, usually at one end of the incision.  Prevention of this complication is twofold: (1) create adequately sized fl


SOFT TISSUE INJURIES Injuries to the soft tissue of the oral cavity are almost always the result of the surgeon’s lack of adequate attention to the delicate nature of the mucosa and the use of excessive and uncontrolled force. The surgeon must continue to pay careful attention to the soft tissue while working primarily on the bone and tooth structure (Box 11-1).  


PREVENTION OF COMPLICATIONS It is axiomatic that the best and easiest way to manage a complication is to prevent it from happening. Prevention of surgical complications is best accompllshed by a thor-hpreoperative assessment and comprehensive treatment plan. Only when these are routinely performed can fie surgeon expect to have minimal complications. It is I portant to realize that even with such planning, com

Prevention and Manage of Surgical Complications

CHAPTER OUTLINE PREVENTION OF COMPLICATIONS SOFT TISSUE INJURIES Tearing Mucosal Flap Puncture Wound of Soft Tissue Stretch or Abrasion Injury COMPLICATIONS WITH THE TOOTH BEING EXTRACTED Root Fracture Root Displacement Tooth Lost into Oropharynx INJURIES TO ADJACENT TEEni Fracture of Adjacent Restoration Luxation of Adjacent Teeth Extraction of Wrong Teeth INJURIES TO OSSEOUS STRUCTURES Fracture of Alveolar Proce