Displacement of Maxillary Third Molar into the Infratemporal Fossa- A Rare Entity.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 1
Abstract
Impacted maxillary third molar extraction is a common surgical procedure performed by maxillofacial surgeons. Any surgical intervention has the risk of untoward incidents and the same is true for exodontias as well.1 These complications frequently include fracture of the tuberosity, tooth root fracture, perforation of the maxillary sinus, prolapse of the buccal fat pad, and displacement of the roots or tooth into the maxillary sinus, all of which may be easily managed but displacement of tooth in Infra Temporal Fossa (ITF) is rarely encountered. For a displaced tooth in the infratemporal fossa, various surgical approaches are suggested for its retrieval. Some authors recommends hospitalization and immediate removal of tooth or tooth fragments under general anesthesia whereas other prefer later intervention.2 There are various factors associated with the displacement of maxillary third molars into the infratemporal fossa such as lack of the basic principles of surgical technique, poor knowledge of anatomy, inadequate flap reflection and decreased visibility during surgical extraction, improper extraction technique, third molar crown above the level of the adjacent molar root apices, and limited bone distal to the third molar.3 Here, we present a case of retrieval of displaced maxillary third molar from infratemporal fossa.
Authors and Affiliations
Dr. Abhinav Srivastava
Keywords
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