scholarly journals Sub-Conjunctival Haemorrhage Following Maxillary Third Molar Extraction - A Rarity

2021 ◽  
Vol 10 (26) ◽  
pp. 1954-1956
Author(s):  
Karthik Ragupathy ◽  
Geetha Rajendran ◽  
Sanjay Pasupathy ◽  
Ganesh Ramakrishnan ◽  
Kiruthika Shriranjani

Third molar extraction remains one of the most common surgical procedures performed in dentistry either by intra-alveolar or trans alveolar methods; yet such a common surgical procedure sometimes results in relatively rare complications. The incidence of complications can be reduced by proper preoperative planning, knowledge of the surgical anatomy, good surgical technique and recognition of complications. Sub conjunctival haemorrhage after maxillary third molar extraction is one such complication, which till now not more than three cases of similar findings have been reported in the literature. The purpose of this article is to present a rare case of sub conjunctival haemorrhage after maxillary right third molar extraction in a 56-year-old female reported at The Department of Oral and Maxillofacial Surgery, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.

2020 ◽  
Vol 11 (3) ◽  
pp. 4479-4486
Author(s):  
Janani Kandamani ◽  
Divya Sanjeevi Ramakrishnan ◽  
Sudarssan Subramaniam Gouthaman ◽  
Santhosh Kumar M P

Third molar extraction is one of the most commonly performed minor surgical procedure in any dental practice worldwide, often accompanied by various postoperative sequelae such as swelling pain and trismus which intern affects the quality of life of a patient. Over the past few decades, different methods have been proposed in the literature and were clinically evaluated to reduce the postoperative discomfort after mandibular third molar impaction and out of which corticosteroids, have shown promising results. Dexamethasone (administered either orally, submucosally, IV or IM), methylprednisolone acetate and methylprednisolone sodium succinate (IV or IM or submucosal) are most commonly preferred corticosteroids in oral and maxillofacial surgery. The main objective is to systematically review the comparison of the effectiveness of submucosal administration of dexamethasone with methylprednisolone following mandibular third molar impaction in reducing the postoperative sequelae, and its discomfort and searches were performed in the PubMed, Medline, Scopus, and Cochrane Library databases. Two articles were most relevant, and the results of the comparison of the selected articles were analysed. From this deliberate audit, it is very well may be inferred that submucosal injection of dexamethasone plays a promising role in reducing the postoperative sequelae which includes swelling, pain and trismus and its discomfort following mandibular third molar impaction when compared with that of methylprednisolone.


2014 ◽  
Vol 5 (1) ◽  
pp. 28-32
Author(s):  
Mukul Padhye ◽  
Vaibhav Shah ◽  
Vruturaj Shevale ◽  
Suraj Pawar ◽  
Rujuta Ajit Desai ◽  
...  

ABSTRACT Introduction Palatal injection, in spite of many modernized injection techniques, remains a painful experience for the patient. The aim of this study was to demonstrate if maxillary third molars could be extracted using only buccal infiltration of 2% lignocaine hydrochloride (HCl) with adrenaline 1:80,000 without the need for supplemental palatal injection. Materials and methods Three hundred patients were selected randomly and divided into two groups of 150 each. In the experimental group, 2 ml of 2% lignocaine hydrochloride with 1:80000 adrenaline was injected into the buccal vestibule of the tooth to be extracted. Extraction was performed after a waiting period of 7 minutes postinjection. Equal number of 150 patients were used as control and were subjected to the same protocol, with additional palatal injection. Pain experienced during extraction of both groups were recorded using visual analog scale and faces pain scale. Mann-Whitney test was used to analyze pain between both the groups. Results Statistical analysis of the two groups, experimental and control groups do not defer with respect to visual analog and faces pain score. Conclusion Palatal injection for extraction of maxillary third molar is not mandatory. How to cite this article Pawar S, Desai RA, Padhye M, Shevale V, Khosa R, Keswani E, Thakker S, Shah V. Palatal Injection: A Myth or a Reality in Maxillary Third Molar Extraction. World J Dent 2014;5(1):28-32.


2011 ◽  
Vol 3 (1) ◽  
pp. 21-27
Author(s):  
Channaveer Pattanshetti ◽  
Rajendra Desai

Abstract Background and objective This study was conducted to quantify the anxiety associated with third molar extraction in dental students. And to compare the anxiety levels between males and females, among impacted and non-impacted groups. Methods The study included 100 dental students who reported to Department of Oral and Maxillofacial Surgery, College of Dental Sciences, requiring mandibular third molar removal. Only those patients who met the inclusion and exclusion criteria were selected. The anxiety levels were evaluated based on the scores of the Corah's Dental Anxiety Scale. Results Results showed scores among female patients was higher than males; however the difference between male and female patients was statistically not significant. Among impacted and non-impacted groups score was higher among the impacted group, but the difference between impacted and non-impacted groups was statistically not significant too. Conclusion To conclude, maxillofacial surgeons should consider patients who visit dental offices for third molar impaction surgery as most prone to anxiety which could either result from conditioning or learned responses from their peers. Noteworthy, prior awareness of the patient's psychologic makeup and susceptibility to anxiety may be of value, thus enabling appropriate therapy and improved recovery postoperatively.


2018 ◽  
Vol 1 (1) ◽  
pp. 17-20
Author(s):  
Sergio Olate ◽  
Juan Alister ◽  
David Thomas ◽  
Ricardo Alveal ◽  
Alejandro Unibazo

The aim of this research was to find the influence of lower third molar position in surgical time required for extraction of this molar. A prospective study was designed in patients at the Division of Oral and Maxillofacial Surgery at Universidad de La Frontera. Patients with ASA I and II and without oral diseases as aggressive periodontitis and oral infections were included. The third molar position was established in relation to Pedersen scale, Winter scale and Pell and Gregory scale, considering surgical time between the start of surgery and finalization of the procedure; data analyses was carried out with t test with statisticaldifferences when p<0.05. Surgical time of 12±9 minutes was registered, and this was statistically associated to dental position and difficulty observed. It is therefore concluded that the position of the molar has an influence on surgical time.


Author(s):  
Karan V. Panchal ◽  
Navin S. Shah ◽  
Pratik Agrawal ◽  
Parshwa N. Shah

Background: Surgical extraction of mandibular third molar is one of the most commonly performed procedure in oral and maxillofacial surgery. Its removal causes swelling, trismus, and moderate to severe pain which can be treated with various NSAID’s drugs, which have numerous side effects and gastric disturbances. In order to bypass such disturbances, Tramadol may be considered as an alternative for such patients. The aim of the study was to evaluate analgesic efficacy of submucosal tramadol and its implication over swelling and mouth opening after mandibular third molar surgery.Methods: This is a prospective study where in after post-surgical extraction of mandibular third molar, efficacy of submucosal injection of tramadol is evaluated in terms of pain and its implication over swelling and mouth opening.Results: The present study suggested there was statistically significant VAS score for pain after submucosally injecting tramadol post-surgical extraction of mandibular third molar in the following visits- 4hourly, 8hourly and 24hourly. In respect to swelling, statistically significant values was noted during 24hr and 72 h our post extraction. Also in case of mouth opening, statistically significant values were found 24 hourly.Conclusions: The present pilot study concluded that submucosal tramadol post mandibular third molar extraction has been effective in reducing pain, limiting post-extraction swelling and less impacting mouth opening by inducing less complications thereby bypassing gastric disturbances.


2018 ◽  
Vol 17 ◽  
pp. e18224
Author(s):  
Yeon Jung Kim ◽  
Ana Maria Barg da Silva ◽  
Mirko Dennys Ayala Perez ◽  
Heloisa F. Marão ◽  
Debora Pallos

The most commonly performed surgical procedure in Oral and Maxillofacial Surgery practices are the removal of impacted third molars. Extensive training, skill and experience allow this procedure to be performed in an atraumatic approach. The aim of this study was to drawing attention to the importance of the correct management of the complications cases of foreign body inside maxillary sinus after surgical removal of maxillary third molars. This is an unusual clinical case of a dental surgical bur accidentally displacement into the maxillary sinus during an upper third molar extraction surgery. After removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical examination to achieve a correct diagnosis and an appropriate treatment plan, which is essential for a favorable prognosis.


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Nedim Özer ◽  
Fulya Üçem ◽  
Alp Saruhanoğlu ◽  
Serdar Yilmaz ◽  
Hakkı Tanyeri

The removal of impacted maxillary third molars is one of the most common procedures performed in oral and maxillofacial surgery units with low rates of complications and morbidity. A few cases of accidental displacement of third molars into adjacent anatomical spaces, such as the infratemporal fossa, the pterygomandibular space, the maxillary sinus, buccal space, or the lateral pharyngeal space, during surgical interventions have been reported. In this paper, a case of a maxillary third molar accidentally displaced into the pterygopalatine fossa is presented, and the removal of the tooth via intraoral approach is described.


2017 ◽  
Vol 26 (6) ◽  
pp. 832-840 ◽  
Author(s):  
Miguel Noronha Oliveira ◽  
Levy Hermes Rau ◽  
Aline Marodin ◽  
Márcio Corrêa ◽  
Letícia Ruhland Corrêa ◽  
...  

2019 ◽  
Vol 76 ◽  
pp. 1
Author(s):  
Olavo Barbosa de Oliveira Neto ◽  
Yasmin Lima Nascimento ◽  
Fernando José Camello de Lima ◽  
Célio Fernando De Sousa Rodrigues ◽  
Felippe Bevilacqua Prado ◽  
...  

Objetivo: O objetivo do presente estudo foi relatar a ocorrência de um forame retromolar duplo durante a exodontia de um terceiro molar inferior. Relato de Caso: Um paciente de 20 anos do sexo masculino foi encaminhado à clínica odontológica da Universidade Federal de Alagoas para realizar extração dos terceiros molares do lado esquerdo, por motivos ortodônticos. Um forame retromolar duplo foi identificado perioperativamente durante o descolamento muco-periosteal na região do trígono retromolar, distalmente ao terceiro molar inferior esquerdo, onde houve hemorragia moderada, a qual foi controlada utilizando compressão local com gaze embebida em solução de anestésico local com vasoconstritor. A ocorrência dessa variação da normalidade foi registrada por fotografias. Antes da realização do procedimento, a radiografia panorâmica do paciente sugeria a presença dessa estrutura anatômica. Conclusões: O conhecimento acerca da ocorrência de um forame retromolar duplo apresenta importância clínica para exodontia de terceiros molares inferiores e pode auxiliar o dentista na prevenção e no manejo de acidentes e complicações durante esse procedimento cirúrgico


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