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Submandibular displacement of a mandibular third molar root during extraction: a case report
Kivanc Kamburoglu1, Sebnem Kursun, Bengi Oztas
1Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ankara University, Ankara, Turkey.
Cases Journal
|February 12, 2010
Summary
A displaced mandibular third molar root caused submandibular pain and swelling after a failed extraction. Surgical removal under general anesthesia resolved the complication, ensuring an uneventful recovery.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Radiology
Background:
- A 46-year-old female presented with right submandibular pain, swelling, and limited mouth opening.
- Symptoms began one week after an unsuccessful impacted mandibular third molar extraction under local anesthesia.
Purpose of the Study:
- To report a case of a displaced mandibular third molar root causing post-operative complications.
- To highlight the diagnostic utility of advanced imaging in managing such cases.
Main Methods:
- Clinical examination revealed tenderness in the floor of the mouth.
- Radiographic evaluation included panoramic, periapical, and computed tomography (CT) scans.
- CT scans identified a high-density area in the submandibular region consistent with a displaced root.
Main Results:
- A radiopaque mass, resembling a tooth root, was detected in the submandibular region.
- Surgical exploration under general anesthesia successfully located and removed the displaced root.
- The patient experienced an uneventful postoperative recovery.
Conclusions:
- Displacement of tooth roots during extraction can lead to significant complications.
- Computed tomography is crucial for accurate localization of displaced root fragments.
- Prompt surgical intervention ensures favorable patient outcomes.
