Late removal of an upper third molar displaced into the infratemporal space using an intermaxillary fixation screw: a case report
DOI:
https://doi.org/10.33448/rsd-v9i11.9457Keywords:
Third Molar; Oral Surgery; Tooth extraction.Abstract
Teeth displacement during extractions even tough rare are extremely unwanted, especially for infra temporal space. This accident generally necessitate additional treatment for their resolution, being either immediate or late. Several authors discribed surgical techniques for removal displaced teeth into the infratemporal space, varying according to the degree of displacement, being that in some of this cases, is necessary the utilization of complementary tools. This case describes the technique utilized for late removal of tooth 18 (upper right third molar) dislocated into the lower portion of the infratemporal space (confirmed by the Cone Bean Computer tomography Scan), exam was performed after the patient reported pain in the operated region and during mandibular movement too, with an interincisal opening maximum of 20 millimeters. The procedure was realized under local anesthesia by a conservative intraoral approach and aid of intermaxillary fixation screw to facilitate extraction. The patient recovered well, without complications, with remission of pain and restoration of mouth opening.
References
Agarwal, P., Kumar, S., Jain, K., Kiran, K. (2019). Inverted Maxillary Third Molar Impactions. Annals of Maxillofacial Surgery, 9(2): 484–488. doi: 10.4103/ams.ams_152_17.
Anand, K., Srivastava, R. K., Saxena, A., Khanna, R., Ali, I. (2016). Removal of Infected Maxillary Third Molar from the Infra-temporal Fossa by Caldwell Luc Procedure - Rare Case Report with Literature Review. Journal of Clinical & Diagnostic Research , 10(12): ZD01–ZD03. doi: 10.7860/JCDR/2016/17362.8961
Battisti, A., Priore, P., Giovannetti, F., Barbera, G., D’Alessandro, F., Valentini, V. (2017). Rare Complication in Third Maxillary Molar Extraction: Dislocation in Infratemporal Fossa. The Journal of Craniofacial Surgery, 28: 1784-1785. doi: 10.1097/SCS.0000000000003628
Dawson, K., MacMillan, A., Wiesenfeld, D. (1993). Removal of a maxillary third molar from the infratemporal fossa by a temporal approach and the aid of image-intensifying cineradiography. Journal Oral and Maxillofacial Surgery, 51:1395–1397. doi: 10.1016/s0278-2391(10)80149-1
Gulbrandsen, S. R., Jackson, I. T., Turlington, E. G. (1987). Recovery of a maxillary third molar from the infratemporal space via a hemicoronal approach. Journal Oral and Maxillofacial Surgery, 45:279–282. doi: 10.1016/0278-2391(87)90130-3
Lutz, J. C., Cazzato, R. L., Roux, M. C. L., Fabien, B. (2019). Retrieving a displaced third molar from the infratemporal fossa: case report of a minimally invasive procedure. BMC Oral Health, 19: 149. doi: 10.1186/s12903-019-0852-z
Nardo, D. D., Mazzucchi, G., Lollobrigida, M., Passariello, C., Guarnieri, C. P. R., Galli, M., Biase, A. D., Testarelli, L. (2019). Immediate or delayed retrieval of the displaced third molar: A review. Journal of Clinical and Experimental Dentistry, 11(1): e55–e61. doi: 10.4317/jced.55379
Oberman, M., Horowitz, I., Ramon, Y. (1986). Accidental displacement of impacted maxillary third molars. International Journal of Oral and Maxillofacial Surgery, 15:756-758. doi: 10.1016/s0300-9785(86)80118-1
Orr, I. I. D. L. (1999). A technique for recovery of a third molar from the infratemporal fossa: case report. Journal of Oral and Maxillofacial Surgery, 57: 1459 – 1461. doi: 10.1016/s0278-2391(99)90733-4
Patel, M., Down, K. Accidental displacement of impacted maxillary third molars (1994). Brazilian Dental Journal, 177:57–59. doi: 10.1038/sj.bdj.4808507
Polo, T. O. B., Momesso, G. A. C., De Lima, V. N., Faverani, L. P., Souza, F. A., Garcia-Junior, A. I. R. (2017). Inappropriate Management After Accidental Displacement of Upper Third Molar to the Infratemporal Fossa May Disrupt Its Subsequent Removal. The Journal of Craniofacial Surgery, 28 (3): 298-299. doi: 10.1097/SCS.0000000000003553
Roshanghias, K., Peisker, A., Zieron, J. O. (2016). Maxillary tooth displacement in the infratemporal fossa. Dental Research Journal, 13(4): 373-375. doi: 10.4103/1735-3327.187881
Sencimen, M., Gulses, A., Secer, S., Zerener, T., Ozarslantuk, S. (2017). Delayed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature. Oral and Maxillofacial Surgery, 21(1):1-6. doi: 10.1007/s10006-016-0593-y
Sverzut, C. E., Trivelellato, A. E., Sverzut, A. T., et al (2009). Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa via Intraoral Approach Under Local Anesthesia: Report of case. Journal of Oral and Maxillofacial Surgery, 67:1316-1320. doi: 10.1016/j.joms.2008.09.018
Yücesoy, T., Ocak, H., Er, N., Alkan, A. (2018). Removal of a supernumerary tooth displaced into the infratemporal fossa during extraction. European Oral Research, 52(1): 50–54. doi: 10.26650/eor.2018.31977
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Eduardo Dallazen; Vinícius Almeida Carvalho; Eduardo Hochuli-Vieira; Cristian Statkievcz; Cecília Luiz Pereira-Stabile; Glaykon Alex Vitti Stabile; Hedelson Odenir Iecher Borges
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
