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Volume 4 Issue 2 (March - April, 2016)

Case Reports

DELAYED REMOVAL OF DISPLACED MAXILLARY THIRD MOLAR FROM THE INFRA-TEMPORAL FOSSA BY INTRA ORAL APPROACH
Paramjit Kajla, Jeevan Lata, Bharpur Sharan Sharma, Kamini Verma

Impacted maxillary third molar removal is a simple and easy procedure for an Oral and Maxillofacial Surgeon. Nevertheless, the possible associated complications with removal of maxillary 3rd molar include infection, facial swelling, trismus, wound dehiscence, root fracture or even oroantral fistula. Iatrogenic displacement into the infratemporal fossa is frequently mentioned but rarely reported. The incorrect extraction technique, distopalatal angulated tooth, decreased visibility or less bone distal to the third molar are some of the factors responsible for it. The exact anatomic location of the displaced tooth is not easy to determine clinically so various radiographs like OPG , CBCT, especially 2D/3D CT are suggested to know the exact location. Recommended treatment includes immediate surgical removal if possible or initial observation and secondary removal, depending upon the patient’s chief complaint. Sometimes, the displaced tooth may spontaneously migrate inferiorly and become accessible intraorally. Herein, a 45 year old female patient reported to our department with chief complaint of pain and swelling in the right maxillary third molar region. History, clinical examination and x-ray examination confirmed the presence of displaced right upper third molar in the infratemporal fossa. Thorough history of patient revealed accidental slippage of the tooth during extraction by a private dental practitioner six months back. The tooth was recovered successfully under LA.
Key words: Tooth displacement, infra-temporal space, complications of exodontia, maxillary tuberosity

 
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