Complications of Exodontia

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INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
Complications of exodontia
1.
2.
3.
4.
5.
6.
7.

Dry socket
Infection
Prolonged bleeding
Swelling
Displacement of a tooth ...
1. Dry socket
– It is due to loss of
blood clot and
presence of exposed
bone in the socket
– Analgesics
ineffective
– Feti...
Dry socket
• Treated by:
– Anesthesia
– Irrigation
– Pack socket with gauze
+ Eugenol
– Analgesics
– Repeat after 24hrs un...
Dry socket instructions
•
•
•
•

No excessive spitting
No vigorous rinsing
No drinking through straw
Avoid tobacco use

ww...
2. Infection
• Infection may persists
at the time of
extraction or it might
develops after
extraction due to the
presence ...
3. Prolonged bleeding
• Bleeding
– Normal oozing 6-12
hours post operative
– Maintain pressure
with good packing

Clot for...
3. Prolonged bleeding
• If bleeding continue a problem might exists
• E.g. presence of infected tissue at the site of
extr...
3. Prolonged bleeding

www.indiandentalacademy.com
4. Swelling
Causes:
– Some post operative swelling (edema)
can be expected due to trauma of
surgery
– Usually resolves 24-...
5. Displacement of tooth or part of
tooth into the maxillary sinus
Upper teeth only
•
•

•

In such cases, almost always t...
Displacement of a tooth into
maxillary sinus

www.indiandentalacademy.com
6. Nerve injury
• Mainly during extracting third molars
• Two nerves are typically of concern:
– The inferior alveolar ner...
Third molars

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7. Pain
• If patient is already on analgesics
• Reassure the patient
• Make sure no infection, dry socket…

www.indiandent...
Instructions to patient

Tell me plzzzzz!!!!!!

www.indiandentalacademy.com
ROOTS SHAPES

www.indiandentalacademy.com
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com
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Complications of exodontia 2 /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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Complications of exodontia 2 /certified fixed orthodontic courses by Indian dental academy

  1. 1. Complications of Exodontia www.indiandentalacademy.com
  2. 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  3. 3. Complications of exodontia 1. 2. 3. 4. 5. 6. 7. Dry socket Infection Prolonged bleeding Swelling Displacement of a tooth into maxillary sinus Nerve injury Pain www.indiandentalacademy.com
  4. 4. 1. Dry socket – It is due to loss of blood clot and presence of exposed bone in the socket – Analgesics ineffective – Fetid odor from the mouth www.indiandentalacademy.com
  5. 5. Dry socket • Treated by: – Anesthesia – Irrigation – Pack socket with gauze + Eugenol – Analgesics – Repeat after 24hrs until symptom-free, and then remove packing www.indiandentalacademy.com
  6. 6. Dry socket instructions • • • • No excessive spitting No vigorous rinsing No drinking through straw Avoid tobacco use www.indiandentalacademy.com
  7. 7. 2. Infection • Infection may persists at the time of extraction or it might develops after extraction due to the presence of perapical infection • Treated by antibiotics www.indiandentalacademy.com
  8. 8. 3. Prolonged bleeding • Bleeding – Normal oozing 6-12 hours post operative – Maintain pressure with good packing Clot formation www.indiandentalacademy.com
  9. 9. 3. Prolonged bleeding • If bleeding continue a problem might exists • E.g. presence of infected tissue at the site of extraction, patient on Aspirin, or platelets dysfunction… • Treatment: clean the socket and apply pressure until hemostasis obtained www.indiandentalacademy.com
  10. 10. 3. Prolonged bleeding www.indiandentalacademy.com
  11. 11. 4. Swelling Causes: – Some post operative swelling (edema) can be expected due to trauma of surgery – Usually resolves 24-36 hours post op – Swelling after 36 hours may indicate infection www.indiandentalacademy.com
  12. 12. 5. Displacement of tooth or part of tooth into the maxillary sinus Upper teeth only • • • In such cases, almost always the tooth or tooth fragment must be retrieved In some cases, the sinus cavity can be irrigated with saline and the tooth fragment may be brought back to the site of the opening through which it entered the sinus, and may be retrievable At other times, a window must be made into the sinus in the canine fossa for tooth removal www.indiandentalacademy.com
  13. 13. Displacement of a tooth into maxillary sinus www.indiandentalacademy.com
  14. 14. 6. Nerve injury • Mainly during extracting third molars • Two nerves are typically of concern: – The inferior alveolar nerve – The lingual nerve • Such injuries are usually temporary, but depending on the type of injury the damage can be prolonged or even permanent www.indiandentalacademy.com
  15. 15. Third molars www.indiandentalacademy.com
  16. 16. 7. Pain • If patient is already on analgesics • Reassure the patient • Make sure no infection, dry socket… www.indiandentalacademy.com
  17. 17. Instructions to patient Tell me plzzzzz!!!!!! www.indiandentalacademy.com
  18. 18. ROOTS SHAPES www.indiandentalacademy.com
  19. 19. www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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