If a small bony fragment is affected the extraction of the tooth and tuberosity continues. However if the tooth is infected or symptomatic at the time of the tuberosity fracture the extraction should be continued by loosening the gingival.
Complications Of Exodontia
This study is based on a thorough literature review.
. Fractures of the maxillary tuberosity occurring during tooth extraction. Routine treatment of the large maxillary tuberosity fractures is to stabilize the mobile parts of bone with one of rigid fixation techniques for 4 to 6 weeks. It is desirable that a correct order be followed in multiple extractions to ensure that the maxillary tuberosity receives maximum support.
1 - and 31. Following adequate healing a surgical extraction procedure may be attempted. After performing the dissection of the soft tissues immediate removal of the small fractures including the tooth.
On rare occasions such a complication can result in torrential haemorrhage due to the. We present a case of life-threatening haemorrhage complicating a tuberosity fracture during simple extraction of a maxillary. However very few cases have been reported and discussed in the literature.
Should be fixed by transosseous wiring or bone Plating. The maxillary tuberosity can fracture during extraction of a molar tooth. Should be replaced and retained by primary suturing of soft tissues.
Removal of maxillary third molar is associated with a lower rate of complication compared to the mandible and maxillary tuberosity fracture or ophthalmologic complications after removal of maxillary third molar are very rare. Large fractures of the maxillary tuberosity should be viewed as a grave complication. May result in fracture of the maxillary tuberosity.
The major therapeutic goal of management is to salvage the fractured bone in place and to provide the best possible environment for healing. On rare occasions such a complication can result in torrential haemorrhage due to the close proximity of significant vessels to the area. The aim of this paper is to show the surgical therapeutic approach to the treatment of the maxillary tuberosity fracture occurred during extraction of the maxillary second molar.
Maxillary Fractures diagnostic imaging Maxillary Fractures etiology Maxillary Fractures surgery Postoperative Complications Radiography. Fractures of the maxillary tuberosity is of great concern as the maxillary tuberosity is vital towards the stability of maxillary dentures. Bulbous roots or reurved roots that embrace the inter-radicular bone may be the cause of this complication.
4 however due to. Maxillary tuberosity fracture is a potential complication of routine exodontia of posterior maxillary teeth. A tuberosity fracture can prevent or delay the timely delivery of the most appropriate treatment option for a maxillary molar.
Oral Surg Oral Med Oral Pathol. Maxillary tuberosity fracture is a potential complication of routine exodontia of posterior maxillary teeth. 3 the ideal therapeutic goal of management of maxillary tuberosity fracture is to salvage the fractured bone and to fix it in place and provide the best environment for healing.
DIAGNOSIS From a study of specimens of fractured tuberosities Fis. Factors of maxillary tuberosity fractures during the extraction of upper molars discuss the procedures that need to be taken when small or large fractured fragments of the tuberosity are evident during surgery and suggest appropriate recommendations. Upon discovering that a maxillary tuberosity has.
The fracture of the tuberosity is normally associated with traumatic extraction of maxillary molars particularly the wisdom tooth. We report maxillary tuberosity fracture and ophthalmologic complications following removal of maxillary third molar. Another possible cause is invasion of the tuherosity by the antrum which is common when an isolated maxil-lan molar is present Attempts to twist or manipulate the tooth and frac-.
This is a relatively common complication but should not prevent treatment in general practice provided the clinician has adequately risk assessed planned and obtained informed consent. It becomes apparent that the size of the fragment varies immensely ami that tlie Vifl. Large fractures of the maxillary tuberosity should be viewed as severe complications.
Fracture of a large portion of the bone in the maxillary tuberosity area is a situation of special concern. A correct preoperative. The maxillary tuberosity is especially important for the stability of maxillary denture.
Maxillary tuberosity fractures during molar teeth extraction commonly occur in dental practice. Maxillary tuberosity is especially important for the stability of maxillary dentures 8. In a modified blind surgical technique the tooth is removed without the fractured bone.
This is often accompanied by tears of the gum. Upon discovering that a maxillary tuberosity has fractured the dentist must first halt the procedure before inadvertent laceration of the adjoining soft tissue occurs and then determine the extent of the fracture by palpating the mobile fragment. Should be replaced and allowed to heal by secondary intention.
In case of extraction of maxillary molars if maxil- lary tuberosity also fractures the fractured bone. However a conservative approach is advised if the bony fragment is large. The fracture of a large portion of bone in the maxillary tuberosity area is a situation of special concern.
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