scholarly journals Osteomyelitis of the Mandible Caused by Late Fracture following Third Molar Extraction

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Shinsuke Yamamoto ◽  
Naoki Taniike ◽  
Daisuke Yamashita ◽  
Toshihiko Takenobu

The common postoperative complications of the extraction of third molars are frequently reported; however, reports about osteomyelitis of the mandible caused by late fracture following third molar extraction are rare. Here, we report a case of osteomyelitis of the mandible caused by late fracture following third molar extraction. A 38-year-old Japanese man was referred to the surgery department with chief complaints of dull pain and swelling in the right masseteric region and paresthesia of his lower lip and mental region in March 2018. A family dentist removed his lower third molar in the right side in January 2018. When the patient was chewing an innards stew 23 days after the procedure, he heard a cracking sound from the right mandible. Thus, we diagnosed the patient as having osteomyelitis of the mandible caused by late fracture following third molar extraction and performed sequestrectomy and curettage under general anesthesia in April 2018. In conclusion, it is necessary to recognize the possibility that late fracture following third molar extraction can cause osteomyelitis. Furthermore, once osteomyelitis of the mandible caused by late fracture occurred, early and appropriate treatment is necessary because the osteomyelitis may progress rapidly and in some cases may result in pathological fracture.


Author(s):  
Nyer Firdose

Post-operative pain and swelling is one of the common complications following mandibular third molar surgery leading to very disturbing days immediately following third molar extraction. On considering the impact of such post-operative sequelae on the patient’s quality of life, it is necessary to exercise preventive measures to minimize the occurrence of such complications / untoward events. Although many retractors are already in application for retraction of tissues during the third molar extraction, this manuscript describes an innovative multifunctional concept “Nyer Zet-ractor” designed for retraction and isolation without limiting the accessibility to the surgical area in mandibular third molar surgery. The “Nyer Zet-ractor” described in this manuscript is an innovative device which provides the advantages like clear access, continuous visibility and excellent isolation of the surgical site unlike conventional retractors with minimal retractive forces thereby reducing post-operative pain and swelling. Nyer Zet-ractor implements a multifunctional concept of retraction making it an efficient, easy to use, and exerts a known and finite amount of force, thereby avoiding tissue damage.







2018 ◽  
Vol 17 (2) ◽  
pp. 11
Author(s):  
Krishna Gopal Bhuju ◽  
Sujita Shrestha ◽  
Riwaj Karki ◽  
Sameer Aryal

<p><strong>Aim</strong>: To study the effect of age, gender, side and impaction types on surgical difficulty during mandibular third molar extraction through the data collected over a period of one year by single maxillofacial surgeon. All the extractions were performed under the same environment and conditions.</p><p><strong>Methods</strong>: Descriptive clinical study of 401 patients was carried out between the ages of 16 to 45years. Age, gender, impaction side and impaction types (according to the winter classification) were recorded on proforma. Duration of surgery for each patient was recorded after starting incision to the completion of suture which was divided into less than 10 minutes (mild), 11 to 20 minutes (moderate) and above 21 minutes (severe). Pearson’s Chi-square test was used for data analysis and significance level was less than or equal to 0.05.</p><p><strong>Results</strong>: Among 401 participants, 225 (56.1%) were male and 176 (43.9%) were female. Mean age was 31.5 years and mean operation time was 17.59 minutes. After statistical analysis there was a significant correlation among gender and side of impaction where <em>p </em>value is 0.043 0.048 respectively.</p><p><strong>Conclusion</strong>: There is a statistically significant correlation between gender and side of impaction with duration of surgery which is considered as the objective measure of surgical difficulty whereas age and impaction types didn’t show any significant correlation. </p>





2019 ◽  
Vol 118 (9) ◽  
pp. 1317-1324 ◽  
Author(s):  
Hsin-Yung Chen ◽  
Hsiang Yang ◽  
Huang-Ju Chi ◽  
Hsin-Ming Chen


2015 ◽  
Vol 73 (12) ◽  
pp. 2286.e1-2286.e3 ◽  
Author(s):  
Maxime Picard ◽  
Nathalie Pham Dang ◽  
Jean Michel Mondie ◽  
Isabelle Barthelemy


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