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Complications of Exodontia

www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
Complications of exodontia
1.
2.
3.
4.
5.
6.
7.

Dry socket
Infection
Prolonged bleeding
Swelling
Displacement of a tooth into maxillary sinus
Nerve injury
Pain
www.indiandentalacademy.com
1. Dry socket
– It is due to loss of
blood clot and
presence of exposed
bone in the socket
– Analgesics
ineffective
– Fetid odor from the
mouth
www.indiandentalacademy.com
Dry socket
• Treated by:
– Anesthesia
– Irrigation
– Pack socket with gauze
+ Eugenol
– Analgesics
– Repeat after 24hrs until
symptom-free, and
then remove packing
www.indiandentalacademy.com
Dry socket instructions
•
•
•
•

No excessive spitting
No vigorous rinsing
No drinking through straw
Avoid tobacco use

www.indiandentalacademy.com
2. Infection
• Infection may persists
at the time of
extraction or it might
develops after
extraction due to the
presence of perapical
infection
• Treated by antibiotics
www.indiandentalacademy.com
3. Prolonged bleeding
• Bleeding
– Normal oozing 6-12
hours post operative
– Maintain pressure
with good packing

Clot formation
www.indiandentalacademy.com
3. Prolonged bleeding
• If bleeding continue a problem might exists
• E.g. presence of infected tissue at the site of
extraction, patient on Aspirin, or platelets
dysfunction…
• Treatment: clean the socket and apply
pressure until hemostasis obtained

www.indiandentalacademy.com
3. Prolonged bleeding

www.indiandentalacademy.com
4. Swelling
Causes:
– Some post operative swelling (edema)
can be expected due to trauma of
surgery
– Usually resolves 24-36 hours post op
– Swelling after 36 hours may indicate
infection
www.indiandentalacademy.com
5. Displacement of tooth or part of
tooth into the maxillary sinus
Upper teeth only
•
•

•

In such cases, almost always the tooth or tooth
fragment must be retrieved
In some cases, the sinus cavity can be irrigated
with saline and the tooth fragment may be
brought back to the site of the opening through
which it entered the sinus, and may be
retrievable
At other times, a window must be made into the
sinus in the canine fossa for tooth removal
www.indiandentalacademy.com
Displacement of a tooth into
maxillary sinus

www.indiandentalacademy.com
6. Nerve injury
• Mainly during extracting third molars
• Two nerves are typically of concern:
– The inferior alveolar nerve
– The lingual nerve
• Such injuries are usually temporary, but
depending on the type of injury the damage
can be prolonged or even permanent
www.indiandentalacademy.com
Third molars

www.indiandentalacademy.com
7. Pain
• If patient is already on analgesics
• Reassure the patient
• Make sure no infection, dry socket…

www.indiandentalacademy.com
Instructions to patient

Tell me plzzzzz!!!!!!

www.indiandentalacademy.com
ROOTS SHAPES

www.indiandentalacademy.com
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com

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Complications of exodontia 2 /certified fixed orthodontic courses by Indian dental academy

  • 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  • 3. Complications of exodontia 1. 2. 3. 4. 5. 6. 7. Dry socket Infection Prolonged bleeding Swelling Displacement of a tooth into maxillary sinus Nerve injury Pain www.indiandentalacademy.com
  • 4. 1. Dry socket – It is due to loss of blood clot and presence of exposed bone in the socket – Analgesics ineffective – Fetid odor from the mouth www.indiandentalacademy.com
  • 5. Dry socket • Treated by: – Anesthesia – Irrigation – Pack socket with gauze + Eugenol – Analgesics – Repeat after 24hrs until symptom-free, and then remove packing www.indiandentalacademy.com
  • 6. Dry socket instructions • • • • No excessive spitting No vigorous rinsing No drinking through straw Avoid tobacco use www.indiandentalacademy.com
  • 7. 2. Infection • Infection may persists at the time of extraction or it might develops after extraction due to the presence of perapical infection • Treated by antibiotics www.indiandentalacademy.com
  • 8. 3. Prolonged bleeding • Bleeding – Normal oozing 6-12 hours post operative – Maintain pressure with good packing Clot formation www.indiandentalacademy.com
  • 9. 3. Prolonged bleeding • If bleeding continue a problem might exists • E.g. presence of infected tissue at the site of extraction, patient on Aspirin, or platelets dysfunction… • Treatment: clean the socket and apply pressure until hemostasis obtained www.indiandentalacademy.com
  • 11. 4. Swelling Causes: – Some post operative swelling (edema) can be expected due to trauma of surgery – Usually resolves 24-36 hours post op – Swelling after 36 hours may indicate infection www.indiandentalacademy.com
  • 12. 5. Displacement of tooth or part of tooth into the maxillary sinus Upper teeth only • • • In such cases, almost always the tooth or tooth fragment must be retrieved In some cases, the sinus cavity can be irrigated with saline and the tooth fragment may be brought back to the site of the opening through which it entered the sinus, and may be retrievable At other times, a window must be made into the sinus in the canine fossa for tooth removal www.indiandentalacademy.com
  • 13. Displacement of a tooth into maxillary sinus www.indiandentalacademy.com
  • 14. 6. Nerve injury • Mainly during extracting third molars • Two nerves are typically of concern: – The inferior alveolar nerve – The lingual nerve • Such injuries are usually temporary, but depending on the type of injury the damage can be prolonged or even permanent www.indiandentalacademy.com
  • 16. 7. Pain • If patient is already on analgesics • Reassure the patient • Make sure no infection, dry socket… www.indiandentalacademy.com
  • 17. Instructions to patient Tell me plzzzzz!!!!!! www.indiandentalacademy.com
  • 19. www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com