Khaire Samir D, Thopte Shameeka S, Nisa Shams Ul, Wadde Kavita
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Mumbai, Maharashtra, India.
Department of Oral Medicine and Radiology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 2):S1108-S1110. doi: 10.4103/jpbs.jpbs_201_23. Epub 2023 Jul 11.
A fracture of the mandible is a rare complication that can occur during a dental extraction being carried out under local/general anesthesia. It is always advisable to take a pre-operative radiograph of the tooth to be considered for extraction to study the root configuration and make a surgical plan for the case. Most of the dental extractions carried out without taking a preoperative radiograph are completed uneventfully. However, in rare cases, complications can arise owing to local anatomical variations and lead to medicolegal issues and litigation. This article discusses the management of a case of iatrogenic fracture of the mandible during dental extraction, wherein a pre-operative radiograph was not taken; however, following extraction of the tooth and management of the fracture mandible, the histopathology report of the extracted tooth was suggestive of ankylosis of the tooth.
下颌骨骨折是一种罕见的并发症，可发生在局部/全身麻醉下进行拔牙过程中。对于拟拔除的牙齿，术前拍摄X光片以研究牙根形态并制定手术方案总是明智的。大多数未进行术前X光片拍摄就进行的拔牙手术都顺利完成。然而，在极少数情况下，由于局部解剖变异可能会出现并发症，并导致医疗法律问题和诉讼。本文讨论了一例拔牙过程中发生的医源性下颌骨骨折的处理情况，该病例未进行术前X光片拍摄；然而，拔牙及下颌骨骨折处理后，拔除牙齿的组织病理学报告提示牙齿存在粘连。
