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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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www.indiandentalacademy.com Leader in continuing dental education

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Complications of minor surgery/ dental implant courses by Indian dental academy