Complications of Dental Extractions
Complications of Dental Extractions
Objectives
By the end of these revision notes, you should:
Classifying complications of dental extractions
Complications related to extractions are commonly classified as below:
Complications can also be classified based on the following:
- Location – local or distant
- Severity – minor or major
- Type – general complication or specific to that tooth
For exam questions, it is useful to use one or more of the above methods to classify complications in order to provide structure in your answer.
Pre-Operative Complications of Dental Extractions
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1) Difficulty in achieving anaesthesia
2) Poor co-operation
3) Medical condition/Medication associated complications
4) Difficulties in access
Intra-Operative Complications of Dental Extractions
1) Failure to complete extraction
2) Fracture of tooth
3) Damage to adjacent teeth
4) Loss of tooth or roots
5) Oroantral Communication (OAC)
6) Soft tissue trauma
7) Damage to nerves
8) Fracture of alveolus or mandible
9) Dislocation of temporomandibular joint (TMJ)
10) Broken Instruments
Post-Operative Complications of Dental Extractions
1) Haemorrhage
2) Pain
3) Swelling
4) Dry Socket
5) Infection
6) Osteoradionecrosis (ORN)
7) Medication-related Osteonecrosis of the jaw (MRONJ)
8) Trismus
9) Surgical emphysema
Clinical Scenarios of Complications
Example 1
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Example 2
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Summary
References