Unusual complications after dental extractions: a narrative review
DOI:
https://doi.org/10.17533/udea.rfo.v34n1a10Keywords:
Tooth extraction, Unerupted tooth, Supernumerary tooth, Oral surgeryAbstract
Dental extraction is one of the most common and most frequent surgical procedures performed by oral and maxillofacial surgeons. This surgical procedure is carried out in a controlled environment that ensures success in most cases. However, unexpected complications with a high risk of causing temporary or permanent disabling injuries may develop. This review focuses on rare complications that can occur when performing dental extractions. In order to fulfill the purpose of this review, a literature search was carried out in different databases; 34 articles reporting rare complications were selected, all were case reports. It was found that the most reported unusual complications after dental extraction were spinal epidural abscess and emphysema. Low mortality associated with these complications was also observed. Similarly, there are currently few publications on unusual complications as a result of tooth extraction. These rare complications should be reported more frequently in order to expand our Knowledge and to establish care protocols
Downloads
References
Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007; 19(1): 117-28. DOI: https://doi.org/10.1016/j.coms.2006.11.013
De Lucas EM, Gutiérrez A, González Mandly A, García-Pire F, de Lucas MTM, Parra JA, et al. Life-threatening pseudoaneurysm of the facial artery after dental extraction: successful treatment with emergent endovascular embolization. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106: 129-32. DOI: https://doi.org/10.1016/j.tripleo.2007.09.031
Badiee P, Alborzi A, Farhoudi F. A case of Candida mediastinitis after dental extraction. J Infect Dev Ctries. 2011; 5(1): 075-8. DOI: https://doi.org/10.3855/jidc.1086
González-García R, Risco-Rojas R, Román-Romero L, Moreno-García C, López-García C. Descending necrotizing mediastinitis following dental extraction. Radiological features and surgical treatment considerations. J Craniomaxillofac Surg. 2011; 39(5): 335-9. DOI: https://doi.org/10.1016/j.jcms.2010.10.001
Nair AP, Mehrotra A, Das KK, Kumar B, Srivastav AK, Sahu RN, et al. Calvarial tuberculosis of the parietal bone: a rare complication after dental extraction. Asian J Neurosurg. 2015; 10(3): 219-21. DOI: https://doi.org/10.4103/1793-5482.161174
Han G, Song C, Lin S, Piao Z. A rare case of nasolacrimal duct partial obstruction following extraction of an impacted maxillary canine. J Oral Maxillofac Surg. 2020; 78(3): 350-6. DOI: https://doi.org/10.1016/j.joms.2019.10.020
Varvara G, Bernardi S, Piattelli M, Cutilli T. Rare and life-threatening complication after an attempted lower third molar extraction: Lemierre syndrome. Ann R Coll Surg Engl. 2019; 101(2): e52–4. DOI: https://doi.org/10.1308/rcsann.2018.0190
Mace T, Kahn A, Dechaufour R, Kun-Darbois JD. An extremely rare case of a displaced third molar into the infratemporal fossa associated with a textiloma. J Stomatol Oral Maxillofac Surg. 2020; 121(6): 746-8. DOI: https://doi.org/10.1016/j.jormas.2020.04.004
Wiggins RL, Thurber D, Abramovitch K, Bouquot J, Vigneswaran N. Myositis ossificans circumscripta of the buccinator muscle: first report of a rare complication of mandibular third molar extraction. J Oral Maxillofac Surg. 2008; 66(9): 1959-63. DOI: https://doi.org/10.1016/j.joms.2008.01.066
Torres AM, Nardis AC, da Silva RA, Savioli C. Myositis ossificans traumatica of the medial pterygoid muscle following a third molar extraction. Int J Oral Maxillofac Surg. 2015; 44(4): 488–90. DOI: https://doi.org/10.1016/j.ijom.2014.11.003
Gonzalez-Navarro B, Arranz-Obispo C, Albuquerque R, Jané-Salas E, López-López J. Osteomyelitis of the jaw (with pathological fracture) following extraction of an impacted wisdom tooth: a case report. J Stomatol Oral Maxillofac Surg. 2017; 118(5): 306–9. DOI: https://doi.org/10.1016/j.jormas.2017.05.003
Schoen R, Suarez-Cunqueiro MM, Metzger MC, Schmelzeisen R. Osteomyelitis of the mandible following third molar surgery: a regrettable consequence in a healthy patient. Quintessence Int. 2009; 40(5): 351-4.
Humber CC, Albilia JB, Rittenberg B. Chronic osteomyelitis following an uncomplicated dental extraction. J Can Dent Assoc. 2011; 77.
Dhiman I, Ohri N, Dhiman U, Gupta N, Pati AR. Subconjunctival haemorrhage following extraction of a tooth. J Adv Med Dent Scie Res. 2017; 5(5): 35-6.
Kumar RA, Moturi K. Subconjunctival ecchymosis after extraction of maxillary molar teeth: a case report. Dent Traumatol. 2010; 26(3): 298–300. DOI: https://doi.org/10.1111/j.1600-9657.2010.00870.x
Thirumurugan K, Babu Munzanoor RR, Arun Prasad G, Sankar K. Maxillary tuberosity fracture and subconjunctival hemorrhage following extraction of maxillary third molar. J Nat Sci Biol Med. 2013; 4(1): 242–5. DOI: https://doi.org/10.4103/0976-9668.107317
Zachariades N, Vairaktaris E, Mezitis M, Rallis G, Kokkinis C, Moschos M. Orbital abscess: visual loss following extraction of a tooth: case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100 (4): e70-3. DOI: https://doi.org/10.1016/J.TRIPLEO.2005.02.062
Stübinger S, Leiggener C, Sader R, Kunz C. Intraorbital abscess: a rare complication after maxillary molar extraction. J Am Dent Assoc 2005; 136(7): 921-5. DOI: https://doi.org/10.14219/jada.archive.2005.0293
Sakkas N, Schoen R, Schmelzeisen R. Orbital abscess after extraction of a maxillary wisdom tooth. Br J Oral Maxillofac Surg. 2007; 45(3): 245-6. DOI: https://doi.org/10.1016/j.bjoms.2005.09.010
Bilbault P, Castelain V, Schenck-Dhif M, Schneider F, Charpiot A. Life-threatening cervical necrotizing fasciitis after a common dental extraction. Am J Emerg Med. 2008; 26(8): 971.e5-7. DOI: https://doi.org/10.1016/j.ajem.2008.01.053
Arruda JA, Figueiredo E, Álvares P, Silva L, Silva L, Caubi A, et al. Cervical necrotizing fasciitis caused by dental extraction. Case Rep Dent. 2016. DOI: https://doi.org/10.1155/2016/1674153
Hechler BL, Blakey GH. Necrotizing soft tissue infection following routine third molar extraction: report of two cases and review of the literature. Int J Oral Maxillofac Surg. 2019; 48: 1525-9. DOI: https://doi.org/10.1016/j.ijom.2019.05.010
Warburton G, Brahim JS. Intraorbital hematoma after removal of upper third molar: a case report. J Oral Maxillofac Surg. 2006; 64(4):700-4. DOI: https://doi.org/10.1016/j.joms.2004.10.014
Goshtasby P, Miremadi R, Warwar R. Retrobulbar hematoma after third molar extraction: case report and review. J Oral Maxillofac Surg. 2010; 68(2): 461-4. DOI: https://doi.org/10.1016/j.joms.2009.07.027
Baba J, Iwai T, Endo H, Aoki N, Tohnai I. Maxillary tuberosity fracture and ophthalmologic complications following removal of maxillary third molar. Oral surg. 2017; 10(1); 43-7. DOI: https://doi.org/10.1111/ors.12214
Suhaym O, Alghamdi O, Pompura J. Retrobulbar hemorrhage following tooth extraction: case report & anatomical correlation. Oral Maxillofac Surg Cases. 2020; 6(1): 100-42. DOI: https://doi.org/10.1016/j.omsc.2020.100142
Larkin EB, Scott SD. Metastatic paraspinal abscess and paraplegia secondary to dental extraction. Br Dent J. 1994; 177: 340-2. DOI: https://doi.org/10.1038/sj.bdj.4808607
Burgess BJ. Epidural abscess after dental extraction. Emerg Med J. 2001; 18: 231. DOI: http://dx.doi.org/10.1136/emj.18.3.231
Dhariwal DK, Patton DW, Gregory MC. Epidural spinal abscess following dental extraction: a rare and potentially fatal complication. Br J Oral Maxillofac Surg. 2003; 41(1): 56-8. DOI: https://doi.org/10.1016/s0266-4356(02)00258-9
Lai J, Tu M, Chen C, Wang F. Spinal epidural abscess in the lumbar spine after dental extraction in a 53-year-old man. Formosan J Musculoskeletal Disorders. 2012; 3(4): 144-7. DOI: https://doi.org/10.1016/j.fjmd.2012.09.007
Heckmann JG, Pauli SU. Epidural abscess after dental extraction. Age Ageing. 2015; 44(5): 901–3. DOI: https://doi.org/10.1093/ageing/afv094
Rhymes R. Postextraction subcutaneous emphysema. Oral Surg Oral Med Oral Pathol. 1964; 17(2): 271-3. DOI: https://doi.org/10.1016/0030-4220(64)90152-5
Horowitz I, Hirshberg A, Freedman A. Pneumomediastinum and subcutaneous emphysema following surgical extraction of mandibular third molars: three case reports. Oral Surg Oral Med Oral Pathol. 1987; 63(1): 25-8. DOI: https://doi.org/10.1016/0030-4220(87)90335-5
Goodnight JW, Sercarz JA, Wang MB. Cervical and mediastinal emphysema secondary to third molar extraction. Head Neck. 1994; 16(3): 287-90. DOI: https://doi.org/10.1002/hed.2880160314
Picard M, Pham Dang N, Mondie JM, Barthelemy I. Cervicothoracic subcutaneous emphysema and pneumomediastinum after third molar extraction. J Oral Maxillofac Surg. 2015; 73(12): 2286.e1- 3. DOI: https://doi.org/10.1016/j.joms.2015.07.030
Tay YBE, Loh WS. Extensive subcutaneous emphysema, pneumomediastinum, and pneumorrhachis following third molar surgery. Int Int J Oral Maxillofac Surg. 2018; 47(12): 1609-12. DOI: https://doi.org/10.1016/j.ijom.2018.04.023
Mishra AK, Fournier PE. The role of Streptococcus intermedius in brain abscess. Eur J Clin Microbiol Infect Dis. 2013; 32: 477– 83. DOI: https://doi.org/10.1007/s10096-012-1782-8
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.