Iatrogenic Displacement of an Impacted Mandibular Third Molar to the Neighbouring Pharyngeal Space

What is it about?

Extraction of difficult mandibular wisdom is accompanied with some reported unwanted complication sequelae resulted from the use of forcible inaccurate elevator manoeuvre that can lead to fracture of angle, periodontium laceration of neighbouring structures, inferior alveolar nerve injury, surgical emphysema, and haemorrhage.Difficult resistant tooth takes a long time for extraction and causes patient and surgeon fatigue. In these circumstances, the operator may be anxious and use excessive force against the surrounding living tissue, especially the bone

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Why is it important?

Surgical exodontia is recommended to be performed by an oral surgeon specialist and not by a general practitioner. Specialisation in medical fields guarantees patient safety. The practitioner should use referral as a preventive way and in case of any iatrogenic medicinal errors, as the disappearance of the tooth in any adjacent fascial spaces, it is mandatory to inform the patient and refer the case to the maxillofacial surgeon without any delay, who is capable of using the best and highly specific advanced instruments and techniques

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