COMPLICATIONS FOLLOWING MINOR ORAL SURGERY PROCEDURES www.indiandentalacademy.com
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1) 2) 3) 4) 5)
IMMEDIATE
BLEEDING # BONE DISPLACEMENT ORO-ANTRAL COMMUNICATION INJURY TO ADJACENT STRUCTURES
1) 2) 3) 4) 5) 6) 7) 8)
DELAYED
BLEEDING HEMATOMA DRY SOCKET TRISMUS NERVE INJURY WOUND DEHISCENCE EDEMA ECCHYMOSIS
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BLEEDING
1) TISSUE TEAR PREVENTION : CAREFUL RETRACTION, AVOID WRONG FORCE ( CONTROL ) TREATMENT : SUTURING 2) GRANULATION TISSUE - CURETTE 3) ARTERIAL BLEEDING : CLAMP, LIGATION 4) BONE 3P www.indiandentalacademy.com
IMMEDIATE COMPLICATION
# BONE
ANGLE, LINGUAL SPLIT- # CORONOID CORTICAL PLATE TUBEROSITY
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FRACTURE TUBEROSITY
POST PONE EXTRACTION– LATER TRANS EXTRACTION SPLINT IT REMOVE IT WITH THE TOOTH - SUTURE IT
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IMMEDIATE COMPLICATION
DISPLACEMENT SITE
LINGUAL POUCH PTERYGOMANDIBULAR SPACE INFRA TEMPORAL MAXILLARY SINUS- ROOT ….SUCTION TIP,TINCTURE BENZOIN GAUZE, CALDWEL LUC APPROACH www.indiandentalacademy.com
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DAMAGE TO ADJACENT STRUCTURES
SOFT TISSUE ADJACENT TOOTH
RARE COMPLICATION
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WRONG
TOOTH EXTRACTION
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SOFT TISSUE INJURY TISSUE TEAR : “MORE RETRACTION WITH INADEQUATE FLAP” TISSUE PUNCTURE : “INSTRUMENT SLIPS” www.indiandentalacademy.com
OROANTRAL COMMUNICATION ?
WIDE MAXILLARY SINUS ROOTS-LARGER,DIVERGENT RESORPTION OF BONE IATROGENIC
OAC OAF
MAX SINUSITIS www.indiandentalacademy.com
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DIAGNOSIS OF OAC
NASAL RESONANCE NASAL REGURGITATION NOSE BLOWING TEST RADIOGRAPHS : PNS GUTTA PERCHA ( INTRA ORAL X RAY) WILLIAM PROBE ( INTRA ORAL X RAY)
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MANAGEMENT OF OAC
PREVENTION : CLOSE TO SINUS - RADIOGRAPH DIVERGENT ROOTS
•
AVOID EXCESS FORCE GO TO TRANS www.indiandentalacademy.com
IMMEDIATE COMPLICATION
OROANTRAL COMMUNICATION
<5mm Simple Buccal Palatal
Distant Combined
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DELAYED COMPLICATION
BLEEDING DO’S COTTON IN ICE PACK
&
DON’T’S NO SMOKING NO SPITTING NO STRAW www.indiandentalacademy.com
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•
Drugs:Bleeding
5 A
Alcohol Aspirin Antibiotic Anti cancer Anticoag
BP
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ECCHYMOSIS : “BLOOD IN SUBCUTANEOUS TISSUE”
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DELAYED COMPLICATION •
EDEMA 48- 72 hrs --INCREASES 3 AND 4TH DAY-- SUBSIDE 7TH DAY– RESOLVE
•
BUT INCREASE AFTER 3RD DAY-INFECTION www.indiandentalacademy.com
PREVENTION OF EDEMA
ATRAUMATIC EXTRACTION
IRRIGATION
ICE PACK- 5 min ,LET OFF FOR 5 min
COMPRESSION BANDAGE www.indiandentalacademy.com
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DELAYED COMPLICATION
TRISMUS FLAP ELEVATION--- INFLAMMATORY RESPONSE BONE REMOVAL---IS WIDE SPREAD TO INVOLVE SEVERAL MUSCLES INJECTION--MEDIAL PTERYGOID www.indiandentalacademy.com
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DELAYED COMPLICATION
PAIN “BETTER GIVE ANALGESICS BEFORE THE ANAESTHETIC EFFECT SUBSIDES”
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DELAYED COMPLICATION
DRY SOCKET SURGICAL TRAUMA : FIBRINOLYSIS, INFECTION : FIBRINOLYSIS After 48 hrs, Pain, Pyrexia, Empty socket covered with white sluff, Foetid odour Treatment : Avoid curetting, Irrigation, Zinc Oxide Eugenol pack. www.indiandentalacademy.com
DELAYED COMPLICATION
LINGUAL NERVE BUCCAL NERVE IDN NERVE MENTAL NERVE AXONOTEMESIS NEUROTEMISIS NEUROPRAXIA
RECOVERY 6-8 WEEKS www.indiandentalacademy.com
THANK YOU
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