Removal of Maxillary Third Molar Displaced to the Infratemporal Space: Case Report
DOI:
https://doi.org/10.21270/archi.v11i4.5285Keywords:
Molar, Third, Tooth Avulsion, Intraoperative ComplicationsAbstract
Introduction: Third molars removal surgery can be related to several complications. The displacement of upper third molars to the infratemporal space is a rare complication in oral surgery, and due to the characteristics of this space, management deserves attention. Objective: This study aims to report a clinical case of a third molar displaced to the infratemporal space and its removal in an outpatient setting. Case Report: A 15-year-old male patient was referred to the service at the Federal University of Uberlandia under the complaint of displacement of element 18 to the maxillary sinus. After thorough clinical and radiographic investigation, it was found that the tooth was located in the infratemporal space. As a treatment, we opted for immediate removal under local anesthesia. The patient evolved with good healing and without complications. Final considerations: The correct diagnosis of tooth displacement is essential for treatment. Noted that the tooth was moved to the infratemporal space, manipulation should be done in the most atraumatic way possible, and imaging exams are essential for the correct diagnosis and location of the displaced element.
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References
Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007;19(1): 117-28.
Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg. 2003;61(12):1379-89.
Sisk AL, Hammer WB, Shelton DW, Joy ED Jr. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg. 1986;44(11): 855-59.
Nogueira EFC, Almeida RAC, Catunda IS, Vasconcelos BCDE, Leite Segundo AV. Impacted maxillary third molar displaced to the infratemporal space: a critical review and case report. Gen Dent. 2019;67(1):16-20.
Mace T, Kahn A, Dechaufour P, Kün-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):746-48
Gomez-Oliveira G, Arribas-Garcia I, Alvarez-Flores M, Gregoire-Ferriol J, Martinez-Gimeno C. Delayed removal of a maxillary third molar from theinfratemporal fossa. Med Oral Patol Oral Cirugia Bucal. 2010:e509–11
Lutz JC, Cazzato RL, Le Roux MK, Bornert F. Retrieving a displaced third molar from the infratemporal fossa: case report of a minimally invasive procedure. BMC Oral Health. 2019;19(1):149.
Brauer HU. Unusual complications associated with third molar surgery: a systematic review. Quintessence Int. 2009;40(7):565-72.
Di Nardo D, Mazzucchi G, Lollobrigida M, Passariello C, Guarnieri R, Galli M, De Biase A, Testarelli L. Immediate or delayed retrieval of the displaced third molar: A review. J Clin Exp Dent. 2019;11(1):e55-e61.
Patel M, Down K. Accidental displacement of impacted maxillary third molars. Br Dent J. 1994;177(2):57-9.
Allen DZ, Sethia R, Hamersley E, Elmaraghy CA. Presentation of an iatrogenically displaced third molar into the maxillary sinus in a 14-year-old patient successfully removed with an endoscopic approach: a case report and a review of the literature. J Surg Case Rep. 2020; 2020(10):rjaa290.
Krause CF, Pruzzo CE, Fonseca AX. Manejo quirúrgico de la fístula oroantral. Rev Otorrinolaringo Cir Cabeza Cuello.1999;59(2):101-7.
Sverzut CE, Trivellato AT, Sverzut AT, deMatos FP, Kato RB. Re¬moval of a maxillary third molar accidentally displaced into the infra¬temporal fossa via intraoral approach under local anesthesia: report of a case. J Oral Maxillofac. 2009;67:1316-20.
Ozer N, Uçem F, Saruhanoğlu A, Yilmaz S, Tanyeri H. Removal of a Maxillary Third Molar Displaced into Pterygopalatine Fossa via Intraoral Approach. Case Rep Dent. 2013;2013:392148.
Winkler T, von Wowern N, Odont L, Bittmann S. Retrieval of an upper third molar from the infratemporal space. J Oral Surg. 1977;35:130-32.
Pustina-Krasniqi T, Xhajanka E, Ajeti N, Bicaj T, Dula L, Lila Z. The relationship between tooth color, skin and eye color. Eur Oral Res. 2018;52(1):50-5.
Dawson K, MacMillan A, WiesenfeldD. Removal of a maxillary third molar from the infratemporal fossa by a temporal approach and the aid of image-intensifying cineradiography. J Oral Maxillofac Surg.1993;51(1):1395-97
Polo TOB, Momesso GAC, de Lima VN, Faverani LP, Souza FA, Garcia-Junior IR. Inappropriate Management After Accidental Displacement of Upper Third Molar to the Infratemporal Fossa May Disrupt Its Subsequent Removal. J Craniofac Surg. 2017;28(3):298-99.
Selvi F, Cakarer S, Keskin C, Ozyuvaci H. Delayed removal of a maxillary third molar accidentally displaced into the infratemporal fossa. J Craniofac Surg. 2011;22:1391-93.
Sencimen M, Gülses A, Secer S, Zerener T, Özarslantürk S. Dela¬yed retrieval of a displaced maxillary third molar from infratemporal space via trans-sinusoidal approach: a case report and the review of the literature. Oral Maxillofac Surg. 2017;21:1-6.
Cho JY, Kim HM, Ryu JY. Cavernous sinus thrombosis progression from trismus. J Korean Assoc Oral Maxillofac Surg. 2015;41(1):43-7.
Sverzut CE, Trivellato AE, Sverzut AT, de Matos FP, Kato RB. Removal of a maxillary third molar accidentally displaced into the infratemporal fossa via intraoral approach under local anesthesia: report of a case. J Oral Maxillofac Surg. 2009;67(1):1316-20.
Abreu NMR, Seixas DR, Suassunam TM, Aguiar AP, Sampaio FC, JWNR. Terceiro molar superior deslocado para fossa infratemporal: Relato de caso Revista de Iniciação Científica em Odontologia 2019;17(2):83-91.
