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Wisdom tooth--complications in extraction.

Amiya Agrawal1, Arvind Yadav2, Siddhartha Chandel3

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Summary
This summary is machine-generated.

Complications from impacted mandibular third molar extractions are common, with alveolar osteitis being the most frequent. Procedures involving both osteotomy and odontotomy increase the risk of adverse outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Research

Background:

  • Impacted mandibular third molars are frequently extracted.
  • Surgical extraction carries a risk of complications.

Purpose of the Study:

  • To analyze the incidence of complications following impacted mandibular third molar extractions.
  • To compare complication rates based on surgical techniques.

Main Methods:

  • Retrospective study of 171 patients (270 impacted mandibular third molars).
  • Classification into two groups: osteotomy only (Group A) and osteotomy with odontotomy (Group B).
  • Evaluation of complication incidence between April 2010 and March 2012.

Main Results:

  • Overall complication rate was 14.81% (40 out of 270).
  • Alveolar osteitis (AO) was the most common complication (11.11%).
  • Other complications included root tip fractures (2.22%), lingual nerve paresthesia (0.74%), and TMJ issues (0.74%).

Conclusions:

  • Surgical extraction of impacted mandibular third molars carries an inherent risk of complications.
  • Procedures involving both osteotomy and odontotomy are associated with a higher risk of complications compared to osteotomy alone.