Complications of dental surgery.
Abstract: Both retrospective data and clinical experience indicate that complications of dental surgery are occasionally encountered and, to some extent, are inevitable. Many of the reported complications related to dental surgery such as incomplete removal of diseased teeth or removal of the wrong tooth can be avoided with sound preoperative planning and intraoperative technique. Diseased teeth should be properly identified prior to and during surgery. In addition, complete removal of the diseased tooth must be performed. Use of intraoperative radiographic examination to confirm the location of the diseased tooth and to document its removal cannot be overemphasized. Iatrogenic fracture of the maxillary or mandibular alveolar walls or palatine bone can be avoided by proper placement of the dental punch. The chances of developing incisional drainage or secondary sinusitis can be reduced by use of appropriate systemic antibiotics. These factors should guide the surgical approach to dental surgery to reduce the likelihood of developing common complications.
Publication Date: 1998-09-22 PubMed ID: 9742671DOI: 10.1016/s0749-0739(17)30205-5Google Scholar: Lookup
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Summary
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This article examines the potential complications that can occur during dental surgery and explores how preoperative planning and careful intraoperative techniques can help prevent them. It also underscores the significance of proper tool placement, use of radiographs, and appropriate antibiotics in preventing common issues like sinusitis or iatrogenic fractures.
Understanding Dental Surgery Complications
This research study focuses on complications that can potentially occur during dental surgeries which include:
- Incomplete removal of diseased teeth.
- Unintentional removal of the wrong tooth.
- Iatrogenic fractures of the maxillary, mandibular alveolar walls, or palatine bone.
- Incisional drainage or secondary sinusitis following surgery.
Role of Preoperative Planning and Intraoperative Technique
The authors suggest that a substantial number of complications could be avoided with thorough pre-operative planning and meticulous intraoperative techniques, such as:
- Proper identification of diseased teeth prior to and during surgery. Failing to do so could lead to the removal of wrong or healthy teeth.
- Ensuring complete removal of the diseased tooth. If any part of a decayed or infected tooth is left behind, it can perpetuate the infection and lead to other complications.
- Use of intraoperative radiographic examination. This can help confirm the location of diseased tooth and also document its complete removal, ensuring that no remnants are left behind.
Preventing Iatrogenic Fractures and Secondary Sinusitis
The article emphasizes how careful surgical approach could significantly reduce the risk of complications such as:
- Iatrogenic fractures: These are injuries caused to the bones in the maxillary or mandibular alveolar walls or palatine bone due to improper surgical procedures. To avoid these, the dental punch should be accurately placed.
- Incisional drainage or secondary sinusitis: These complications can arise post-surgery as a consequence of infection. To minimize these chances, the research recommends the use of appropriate systemic antibiotics.
In conclusion, the article sends a clear message on the importance of proper surgical approach, preoperative planning, efficient intraoperative techniques and use of appropriate antibiotics to reduce the likelihood of common dental surgery complications.
Cite This Article
APA
Lillich JD.
(1998).
Complications of dental surgery.
Vet Clin North Am Equine Pract, 14(2), 399-410.
https://doi.org/10.1016/s0749-0739(17)30205-5 Publication
Researcher Affiliations
- Department of Clinical Sciences, Kansas State University, College of Veterinary Medicine, Manhattan, USA.
MeSH Terms
- Animals
- Bicuspid / surgery
- Dental Care / adverse effects
- Dental Care / veterinary
- Dental Pulp Diseases / surgery
- Dental Pulp Diseases / veterinary
- Dentistry, Operative
- Endodontics
- Horses / surgery
- Intraoperative Complications / veterinary
- Molar / surgery
- Postoperative Complications / veterinary
- Reoperation / veterinary
- Tooth Extraction / adverse effects
- Tooth Extraction / veterinary
Citations
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