Complications of Dental Extractions

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:

Pre-operative

Complications identified prior to the procedure
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Intra-operative

Complications that occur during the procedure
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Post-operative

Complications that occur following the procedure
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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

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2) Poor co-operation

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3) Medical condition/Medication associated complications

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4) Difficulties in access

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Intra-Operative Complications of Dental Extractions

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1) Failure to complete extraction

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2) Fracture of tooth

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3) Damage to adjacent teeth

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4) Loss of tooth or roots

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5) Oroantral Communication (OAC)

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6) Soft tissue trauma

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7) Damage to nerves

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8) Fracture of alveolus or mandible

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9) Dislocation of temporomandibular joint (TMJ)

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10) Broken Instruments

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Post-Operative Complications of Dental Extractions

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1) Haemorrhage

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2) Pain

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3) Swelling

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4) Dry Socket

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5) Infection

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6) Osteoradionecrosis (ORN)

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7) Medication-related Osteonecrosis of the jaw (MRONJ)

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8) Trismus

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9) Surgical emphysema

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Clinical Scenarios of Complications

Example 1

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Example 2

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Summary

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References