COMPLICATIONS
FOLLOWING
MINOR ORAL
SURGERY
PROCEDURES
www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com
www.indiandentalacademy.com


1)
2)
3)
4)
5)

IMMEDIATE

BLEEDING
# BONE
DISPLACEMENT
ORO-ANTRAL
COMMUNICATION
INJURY TO
ADJACENT
STRUCTURES



1)
2...
BLEEDING






1) TISSUE TEAR
PREVENTION : CAREFUL RETRACTION,
AVOID WRONG FORCE ( CONTROL )
TREATMENT : SUTURING
2) G...
IMMEDIATE COMPLICATION

# BONE

ANGLE, LINGUAL SPLIT- #
CORONOID
CORTICAL PLATE
TUBEROSITY

www.indiandentalacademy.com
www.indiandentalacademy.com
FRACTURE TUBEROSITY

 POST

PONE EXTRACTION– LATER
TRANS EXTRACTION
 SPLINT IT
 REMOVE IT WITH THE TOOTH - SUTURE
IT

w...
www.indiandentalacademy.com
IMMEDIATE COMPLICATION


DISPLACEMENT
SITE

LINGUAL POUCH
PTERYGOMANDIBULAR SPACE
INFRA TEMPORAL
MAXILLARY SINUS- ROOT
…....
www.indiandentalacademy.com
DAMAGE TO ADJACENT
STRUCTURES
 SOFT

TISSUE
 ADJACENT TOOTH

RARE COMPLICATION

www.indiandentalacademy.com
www.indiandentalacademy.com
WRONG

TOOTH EXTRACTION

www.indiandentalacademy.com
 SOFT

TISSUE INJURY

TISSUE TEAR : “MORE RETRACTION
WITH INADEQUATE FLAP”
TISSUE PUNCTURE : “INSTRUMENT
SLIPS”
www.india...
OROANTRAL COMMUNICATION
?





WIDE MAXILLARY SINUS
ROOTS-LARGER,DIVERGENT
RESORPTION OF BONE
IATROGENIC

OAC
OAF

MAX...
www.indiandentalacademy.com
DIAGNOSIS OF OAC
 NASAL

RESONANCE
 NASAL REGURGITATION
 NOSE BLOWING TEST
 RADIOGRAPHS : PNS
GUTTA PERCHA ( INTRA ORA...
MANAGEMENT OF OAC
 PREVENTION

:
CLOSE TO SINUS

- RADIOGRAPH
DIVERGENT ROOTS
•

AVOID EXCESS FORCE
GO TO TRANS
www.india...
IMMEDIATE COMPLICATION
 OROANTRAL

COMMUNICATION

<5mm
Simple Buccal Palatal

Distant Combined

www.indiandentalacademy.c...
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
DELAYED COMPLICATION
 BLEEDING

DO’S
COTTON IN
ICE PACK

&

DON’T’S
NO SMOKING
NO SPITTING
NO STRAW
www.indiandentalacade...
www.indiandentalacademy.com
www.indiandentalacademy.com
•

Drugs:Bleeding

5 A

Alcohol Aspirin Antibiotic Anti cancer Anticoag

 BP

www.indiandentalacademy.com
 ECCHYMOSIS

:

“BLOOD IN SUBCUTANEOUS TISSUE”

www.indiandentalacademy.com
www.indiandentalacademy.com
DELAYED COMPLICATION
•

EDEMA
48- 72 hrs --INCREASES
3 AND 4TH DAY-- SUBSIDE
7TH DAY– RESOLVE

•

BUT INCREASE AFTER 3RD D...
PREVENTION OF EDEMA
 ATRAUMATIC

EXTRACTION

 IRRIGATION
 ICE

PACK- 5 min ,LET OFF FOR 5 min

 COMPRESSION

BANDAGE
w...
www.indiandentalacademy.com
DELAYED COMPLICATION
 TRISMUS

FLAP ELEVATION--- INFLAMMATORY
RESPONSE
BONE REMOVAL---IS WIDE SPREAD TO
INVOLVE SEVERAL
M...
www.indiandentalacademy.com
DELAYED COMPLICATION
 PAIN

“BETTER GIVE ANALGESICS BEFORE THE
ANAESTHETIC EFFECT
SUBSIDES”

www.indiandentalacademy.com
www.indiandentalacademy.com
DELAYED COMPLICATION
 DRY

SOCKET
 SURGICAL TRAUMA : FIBRINOLYSIS,
INFECTION : FIBRINOLYSIS
 After 48 hrs, Pain, Pyrexi...
DELAYED COMPLICATION





LINGUAL NERVE
BUCCAL NERVE
IDN NERVE
MENTAL NERVE
AXONOTEMESIS
NEUROTEMISIS
NEUROPRAXIA



...
THANK YOU

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

www.indiandentalacademy.com
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Complications of minor surgery /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 minor surgery /certified fixed orthodontic courses by Indian dental academy

  1. 1. COMPLICATIONS FOLLOWING MINOR ORAL SURGERY PROCEDURES www.indiandentalacademy.com
  2. 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  3. 3. www.indiandentalacademy.com
  4. 4.  1) 2) 3) 4) 5) IMMEDIATE BLEEDING # BONE DISPLACEMENT ORO-ANTRAL COMMUNICATION INJURY TO ADJACENT STRUCTURES  1) 2) 3) 4) 5) 6) 7) 8) DELAYED BLEEDING HEMATOMA DRY SOCKET TRISMUS NERVE INJURY WOUND DEHISCENCE EDEMA ECCHYMOSIS www.indiandentalacademy.com
  5. 5. BLEEDING     1) TISSUE TEAR PREVENTION : CAREFUL RETRACTION, AVOID WRONG FORCE ( CONTROL ) TREATMENT : SUTURING 2) GRANULATION TISSUE - CURETTE 3) ARTERIAL BLEEDING : CLAMP, LIGATION 4) BONE 3P www.indiandentalacademy.com
  6. 6. IMMEDIATE COMPLICATION # BONE ANGLE, LINGUAL SPLIT- # CORONOID CORTICAL PLATE TUBEROSITY www.indiandentalacademy.com
  7. 7. www.indiandentalacademy.com
  8. 8. FRACTURE TUBEROSITY  POST PONE EXTRACTION– LATER TRANS EXTRACTION  SPLINT IT  REMOVE IT WITH THE TOOTH - SUTURE IT www.indiandentalacademy.com
  9. 9. www.indiandentalacademy.com
  10. 10. IMMEDIATE COMPLICATION  DISPLACEMENT SITE LINGUAL POUCH PTERYGOMANDIBULAR SPACE INFRA TEMPORAL MAXILLARY SINUS- ROOT ….SUCTION TIP,TINCTURE BENZOIN GAUZE, CALDWEL LUC APPROACH www.indiandentalacademy.com
  11. 11. www.indiandentalacademy.com
  12. 12. DAMAGE TO ADJACENT STRUCTURES  SOFT TISSUE  ADJACENT TOOTH RARE COMPLICATION www.indiandentalacademy.com
  13. 13. www.indiandentalacademy.com
  14. 14. WRONG TOOTH EXTRACTION www.indiandentalacademy.com
  15. 15.  SOFT TISSUE INJURY TISSUE TEAR : “MORE RETRACTION WITH INADEQUATE FLAP” TISSUE PUNCTURE : “INSTRUMENT SLIPS” www.indiandentalacademy.com
  16. 16. OROANTRAL COMMUNICATION ?     WIDE MAXILLARY SINUS ROOTS-LARGER,DIVERGENT RESORPTION OF BONE IATROGENIC OAC OAF MAX SINUSITIS www.indiandentalacademy.com
  17. 17. www.indiandentalacademy.com
  18. 18. DIAGNOSIS OF OAC  NASAL RESONANCE  NASAL REGURGITATION  NOSE BLOWING TEST  RADIOGRAPHS : PNS GUTTA PERCHA ( INTRA ORAL X RAY) WILLIAM PROBE ( INTRA ORAL X RAY) www.indiandentalacademy.com
  19. 19. MANAGEMENT OF OAC  PREVENTION : CLOSE TO SINUS - RADIOGRAPH DIVERGENT ROOTS • AVOID EXCESS FORCE GO TO TRANS www.indiandentalacademy.com
  20. 20. IMMEDIATE COMPLICATION  OROANTRAL COMMUNICATION <5mm Simple Buccal Palatal Distant Combined www.indiandentalacademy.com
  21. 21. www.indiandentalacademy.com
  22. 22. www.indiandentalacademy.com
  23. 23. www.indiandentalacademy.com
  24. 24. www.indiandentalacademy.com
  25. 25. www.indiandentalacademy.com
  26. 26. www.indiandentalacademy.com
  27. 27. www.indiandentalacademy.com
  28. 28. DELAYED COMPLICATION  BLEEDING DO’S COTTON IN ICE PACK & DON’T’S NO SMOKING NO SPITTING NO STRAW www.indiandentalacademy.com
  29. 29. www.indiandentalacademy.com
  30. 30. www.indiandentalacademy.com
  31. 31. • Drugs:Bleeding 5 A Alcohol Aspirin Antibiotic Anti cancer Anticoag  BP www.indiandentalacademy.com
  32. 32.  ECCHYMOSIS : “BLOOD IN SUBCUTANEOUS TISSUE” www.indiandentalacademy.com
  33. 33. www.indiandentalacademy.com
  34. 34. DELAYED COMPLICATION • EDEMA 48- 72 hrs --INCREASES 3 AND 4TH DAY-- SUBSIDE 7TH DAY– RESOLVE • BUT INCREASE AFTER 3RD DAY-INFECTION www.indiandentalacademy.com
  35. 35. PREVENTION OF EDEMA  ATRAUMATIC EXTRACTION  IRRIGATION  ICE PACK- 5 min ,LET OFF FOR 5 min  COMPRESSION BANDAGE www.indiandentalacademy.com
  36. 36. www.indiandentalacademy.com
  37. 37. DELAYED COMPLICATION  TRISMUS FLAP ELEVATION--- INFLAMMATORY RESPONSE BONE REMOVAL---IS WIDE SPREAD TO INVOLVE SEVERAL MUSCLES INJECTION--MEDIAL PTERYGOID www.indiandentalacademy.com
  38. 38. www.indiandentalacademy.com
  39. 39. DELAYED COMPLICATION  PAIN “BETTER GIVE ANALGESICS BEFORE THE ANAESTHETIC EFFECT SUBSIDES” www.indiandentalacademy.com
  40. 40. www.indiandentalacademy.com
  41. 41. DELAYED COMPLICATION  DRY SOCKET  SURGICAL TRAUMA : FIBRINOLYSIS, INFECTION : FIBRINOLYSIS  After 48 hrs, Pain, Pyrexia, Empty socket covered with white sluff, Foetid odour  Treatment : Avoid curetting, Irrigation, Zinc Oxide Eugenol pack. www.indiandentalacademy.com
  42. 42. DELAYED COMPLICATION     LINGUAL NERVE BUCCAL NERVE IDN NERVE MENTAL NERVE AXONOTEMESIS NEUROTEMISIS NEUROPRAXIA  RECOVERY 6-8 WEEKS www.indiandentalacademy.com
  43. 43. THANK YOU www.indiandentalacademy.com
  44. 44. www.indiandentalacademy.com
  45. 45. www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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