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Complications of exodontia 2

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Complications of exodontia 2

  1. 1. Complications of Exodontia
  2. 2. Complications of exodontia1. Dry socket2. Infection3. Prolonged bleeding4. Swelling5. Displacement of a tooth into maxillary sinus6. Nerve injury7. Pain
  3. 3. 1. Dry socket– It is due to loss ofblood clot andpresence of exposedbone in the socket– Analgesicsineffective– Fetid odor from themouth
  4. 4. Dry socket• Treated by:– Anesthesia– Irrigation– Pack socket with gauze+ Eugenol– Analgesics– Repeat after 24hrs untilsymptom-free, andthen remove packing
  5. 5. Dry socket instructions• No excessive spitting• No vigorous rinsing• No drinking through straw• Avoid tobacco use
  6. 6. 2. Infection• Infection may persistsat the time ofextraction or it mightdevelops afterextraction due to thepresence of perapicalinfection• Treated by antibiotics
  7. 7. 3. Prolonged bleeding• Bleeding– Normal oozing 6-12hours post operative– Maintain pressurewith good packingClot formation
  8. 8. 3. Prolonged bleeding• If bleeding continue a problem might exists• E.g. presence of infected tissue at the site ofextraction, patient on Aspirin, or plateletsdysfunction…• Treatment: clean the socket and applypressure until hemostasis obtained
  9. 9. 3. Prolonged bleeding
  10. 10. 4. SwellingCauses:– Some post operative swelling (edema)can be expected due to trauma ofsurgery– Usually resolves 24-36 hours post op– Swelling after 36 hours may indicateinfection
  11. 11. 5. Displacement of tooth or part oftooth into the maxillary sinusUpper teeth only• In such cases, almost always the tooth or toothfragment must be retrieved• In some cases, the sinus cavity can be irrigatedwith saline and the tooth fragment may bebrought back to the site of the opening throughwhich it entered the sinus, and may beretrievable• At other times, a window must be made into thesinus in the canine fossa for tooth removal
  12. 12. Displacement of a tooth intomaxillary sinus
  13. 13. 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, butdepending on the type of injury the damagecan be prolonged or even permanent
  14. 14. Third molars
  15. 15. 7. Pain• If patient is already on analgesics• Reassure the patient• Make sure no infection, dry socket…
  16. 16. Instructions to patientTell me plzzzzz!!!!!!
  17. 17. ROOTS SHAPES

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