Skip to main content
Top
Published in: Oral and Maxillofacial Surgery 4/2014

01-12-2014 | Original Article

Accidents and complications associated to third molar surgeries performed by dentistry students

Authors: Marcelo Rodrigues Azenha, Rogerio Bentes Kato, Renan Barros Lima Bueno, Patricio Jose Oliveira Neto, Michel Campos Ribeiro

Published in: Oral and Maxillofacial Surgery | Issue 4/2014

Login to get access

Abstract

Objective

The aim of this work is to demonstrate the accidents and complications rates on third molars surgeries performed by senior dentistry students.

Methods

A retrospective study of 122 patient charts submitted to third molars surgeries was done. Patient age, gender, dental in arch position, and accidents/complications were considered with the charts presenting incomplete dates being excluded from the study. After all, 88 patients (210 surgeries) were included.

Results

The majority of the patients were female (70.4 %), with the average age of 24 years. Mandibular molars represented more than half of the surgical procedures (56.2 %), with teeth at vertical position the most found (60.3 %). The cases of accidents and complications totalized 10.4 % of all performed procedures, being hemorrhage (1.9 %), root fractures (1.9 %), and maxillary tuberosity fracture (1.9 %) the most found. Suture dehiscence (1.4 %), dry socket (1.4 %), oroantral communications (0.9 %), paresthesia (0.9 %), and infection (0.4 %) were also observed.

Conclusions

Surgeons’ inexperience was not considered a determinant factor to modify the rates of accidents and complications at third molars surgeries when compared to previous works developed by experienced surgeons. It is important to highlight the necessity of the students’ knowledge of the most adequate treatments of each of the accidents and complications.
Literature
1.
go back to reference Chiapasco M, De Cicco L, Marrone G (1993) Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 76(4):412–420PubMedCrossRef Chiapasco M, De Cicco L, Marrone G (1993) Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 76(4):412–420PubMedCrossRef
2.
go back to reference Sisk AL, Hammer WB, Shelton DW, Joy ED Jr (1986) Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 44:855–859PubMedCrossRef Sisk AL, Hammer WB, Shelton DW, Joy ED Jr (1986) Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 44:855–859PubMedCrossRef
3.
go back to reference Bouloux GF, Steed MB, Perciaccante VJ (2007) Complications of third molar surgery. Oral Maxillofac Surg Clin N Am 19:117–128CrossRef Bouloux GF, Steed MB, Perciaccante VJ (2007) Complications of third molar surgery. Oral Maxillofac Surg Clin N Am 19:117–128CrossRef
4.
go back to reference Contar CM, de Oliveira P, Kanegusuku K, Berticelli RD, Azevedo-Alanis LR, Machado MA (2009) Complications in third molar removal: a retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal 15(1):74–78CrossRef Contar CM, de Oliveira P, Kanegusuku K, Berticelli RD, Azevedo-Alanis LR, Machado MA (2009) Complications in third molar removal: a retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal 15(1):74–78CrossRef
5.
go back to reference Bui CH, Seldin EB, Dodson TB (2003) Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg 61(12):1379–1389PubMedCrossRef Bui CH, Seldin EB, Dodson TB (2003) Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg 61(12):1379–1389PubMedCrossRef
6.
go back to reference Barros VMR (2005) Anti-sepsia pré-cirúrgica. Texto didático do Departamento de CTBMF, Faculdade de Odontologia de Ribeirão Preto (USP). Disponível em: www.forp.usp.br Barros VMR (2005) Anti-sepsia pré-cirúrgica. Texto didático do Departamento de CTBMF, Faculdade de Odontologia de Ribeirão Preto (USP). Disponível em: www.​forp.​usp.​br
7.
go back to reference Phillips C, White RP Jr, Shugars D, Zhou X (2003) Risk factors associated with prolonged recovery and delayed healing after third molar surgery. J Oral Maxillofac Surg 61(12):1436–1448PubMedCrossRef Phillips C, White RP Jr, Shugars D, Zhou X (2003) Risk factors associated with prolonged recovery and delayed healing after third molar surgery. J Oral Maxillofac Surg 61(12):1436–1448PubMedCrossRef
8.
go back to reference Jerjes W, El-Maaytah M, Swinson B, Upile T, Thompson G, Gittelmon S et al (2006) Inferior alveolar nerve injury and surgical difficulty prediction in third molar surgery: the role of dental panoramic tomography. J Clin Dent 17(5):122–130PubMed Jerjes W, El-Maaytah M, Swinson B, Upile T, Thompson G, Gittelmon S et al (2006) Inferior alveolar nerve injury and surgical difficulty prediction in third molar surgery: the role of dental panoramic tomography. J Clin Dent 17(5):122–130PubMed
9.
go back to reference Blondeau F, Daniel NG (2007) Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc 73(4):325a-e Blondeau F, Daniel NG (2007) Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc 73(4):325a-e
10.
go back to reference Lopes V, Mumenya R, Feinmann C, Harris M (1995) Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction. Br J Oral Maxillofac Surg 33(1):33–35PubMedCrossRef Lopes V, Mumenya R, Feinmann C, Harris M (1995) Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction. Br J Oral Maxillofac Surg 33(1):33–35PubMedCrossRef
11.
go back to reference Cohen ME, Simecek JW (1995) Effects of gender-related factors on the incidence of localized alveolar osteitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79(4):416–422PubMedCrossRef Cohen ME, Simecek JW (1995) Effects of gender-related factors on the incidence of localized alveolar osteitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79(4):416–422PubMedCrossRef
12.
go back to reference Muhonen A, Venta I, Ylipaavalniemi P (1997) Factors predisposing to postoperative complications related to wisdom tooth surgery among university students. J Am Coll Health 46(1):39–42PubMedCrossRef Muhonen A, Venta I, Ylipaavalniemi P (1997) Factors predisposing to postoperative complications related to wisdom tooth surgery among university students. J Am Coll Health 46(1):39–42PubMedCrossRef
13.
go back to reference Haug RH, Perrott DH, Gonzalez ML, Talwar RM (2005) The American Association of Oral and Maxillofacial Surgeons age-related third molar study. J Oral Maxillofac Surg 63:1106–1114PubMedCrossRef Haug RH, Perrott DH, Gonzalez ML, Talwar RM (2005) The American Association of Oral and Maxillofacial Surgeons age-related third molar study. J Oral Maxillofac Surg 63:1106–1114PubMedCrossRef
14.
go back to reference Hermesch CB, Hilton TJ, Biesbrock AR, Baker RA, Cain-Hamlin J, McClanahan SF et al (1998) Perioperative use of 0.12 % chlorhexidine gluconate for the prevention of alveolar osteitis: efficacy and risk factor analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85(4):381–387PubMedCrossRef Hermesch CB, Hilton TJ, Biesbrock AR, Baker RA, Cain-Hamlin J, McClanahan SF et al (1998) Perioperative use of 0.12 % chlorhexidine gluconate for the prevention of alveolar osteitis: efficacy and risk factor analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85(4):381–387PubMedCrossRef
15.
go back to reference Garcia AG, Grana PM, Sampedro FG, Diago MP, Rey JM (2003) Does oral contraceptive use affect the incidence of complications after extraction of a mandibular third molar? Br Dent J 194(8):453–455PubMedCrossRef Garcia AG, Grana PM, Sampedro FG, Diago MP, Rey JM (2003) Does oral contraceptive use affect the incidence of complications after extraction of a mandibular third molar? Br Dent J 194(8):453–455PubMedCrossRef
16.
go back to reference Benediktsdóttir IS, Wenzel A, Petersen JK, Hintze H (2004) Mandibular third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(4):438–446PubMedCrossRef Benediktsdóttir IS, Wenzel A, Petersen JK, Hintze H (2004) Mandibular third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(4):438–446PubMedCrossRef
17.
go back to reference Precious DS, Mercier P, Payette F (1992) Risks and benefits of extraction of impacted third molars: a critical review of the literature. Part 2. J Can Dent Assoc 58(10):845–852PubMed Precious DS, Mercier P, Payette F (1992) Risks and benefits of extraction of impacted third molars: a critical review of the literature. Part 2. J Can Dent Assoc 58(10):845–852PubMed
18.
go back to reference Carvalho ACP, Okamoto T (1987) Cirurgia bucal. Fundamentos experimentais aplicados à clínica. Editora Médica Panamericana, São Paulo Carvalho ACP, Okamoto T (1987) Cirurgia bucal. Fundamentos experimentais aplicados à clínica. Editora Médica Panamericana, São Paulo
19.
go back to reference Cury A, Castro AL, Okamoto T, Sanches MG, Carvalho PSP (1983) Influência do “Alveosan” sobre o processo de reparo perturbado de feridas de extração dental. Estudo histológico em ratos. Rev Odon Unesp 12:29–35 Cury A, Castro AL, Okamoto T, Sanches MG, Carvalho PSP (1983) Influência do “Alveosan” sobre o processo de reparo perturbado de feridas de extração dental. Estudo histológico em ratos. Rev Odon Unesp 12:29–35
20.
go back to reference Arrigoni J, Lambrecht JT (2004) Complications during and after third molar extraction. Schweiz Monatsschr Zahnmed 114(12):1271–1286PubMed Arrigoni J, Lambrecht JT (2004) Complications during and after third molar extraction. Schweiz Monatsschr Zahnmed 114(12):1271–1286PubMed
21.
go back to reference Capuzzi P, Montebugnoli L, Vaccaro MA (1994) Extraction of impacted third molars. A longitudinal prospective study on factors that affect postoperative recovery. Oral Surg Oral Med Oral Pathol 77:341–343PubMedCrossRef Capuzzi P, Montebugnoli L, Vaccaro MA (1994) Extraction of impacted third molars. A longitudinal prospective study on factors that affect postoperative recovery. Oral Surg Oral Med Oral Pathol 77:341–343PubMedCrossRef
Metadata
Title
Accidents and complications associated to third molar surgeries performed by dentistry students
Authors
Marcelo Rodrigues Azenha
Rogerio Bentes Kato
Renan Barros Lima Bueno
Patricio Jose Oliveira Neto
Michel Campos Ribeiro
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 4/2014
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-013-0439-9

Other articles of this Issue 4/2014

Oral and Maxillofacial Surgery 4/2014 Go to the issue