A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted Teeth
Objective: Impacted teeth are important for plastic surgeons that frequently perform maxillofacial operations because of their tendency to affect dental occlusion, and thus, cephalometric results. Moreover, severe complications are also caused by the tooth and its surgical removal. In this study,...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-09-01
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| Series: | Turkish Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://turkjplastsurg.org/sayilar/77/buyuk/133-1416.pdf |
| _version_ | 1797924321394425856 |
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| author | Nebil Yeşiloğlu Gökhan Temiz Murat Sarıcı Hakan Şirinoğlu Gaye Filinte Ali Cem Akpınar Hakan Demirel Mehmet Bozkurt |
| author_facet | Nebil Yeşiloğlu Gökhan Temiz Murat Sarıcı Hakan Şirinoğlu Gaye Filinte Ali Cem Akpınar Hakan Demirel Mehmet Bozkurt |
| author_sort | Nebil Yeşiloğlu |
| collection | DOAJ |
| description | Objective: Impacted teeth are important for plastic surgeons that frequently perform maxillofacial operations because of their tendency to
affect dental occlusion, and thus, cephalometric results. Moreover, severe complications are also caused by the tooth and its surgical removal.
In this study, retrospective analysis of 242 extracted teeth and 24 extracted roots was performed and an algorithmic approach to different
types and the localizations of impacted teeth was presented. Possible complications and salvage procedures were also discussed.
Material and Methods: A retrospective analysis of 128 patients who underwent impacted teeth removal surgery between 2013 and 2015
was performed. Mean age was 26 years (Range: 18–42 years), and the female to male ratio was 39/89. Sixteen of the patients were operated
under regional nerve block, whereas the remaining were operated under general anesthesia. In 107 patients, the whole tooth was removed,
whereas the residual root of the tooth was removed in 21 patients. In 89 patients, bone interventions like the creation of bone window or
peridental milling to loosen the tooth were needed, whereas only oral mucosal incisions were performed in the remaining patients.
Results: The most common onset symptom was localized pain, and the most common complications were swelling and edema. The most common
extracted tooth was the mandibular 3rd molar. Lower lip hypoesthesia, which was continued up to eight months, was encountered in six
patients who underwent mandibular 3rd molar extraction.
Conclusion: In our opinion, a wide range of possible complications secondary to impacted teeth surgery makes them important for
plastic surgeons who are more experienced than other disciplines, and learning teeth extraction is essential to learn in plastic surgery
specialty training. |
| first_indexed | 2024-04-10T14:59:37Z |
| format | Article |
| id | doaj.art-2a40de4070b644d6853325b241b969bb |
| institution | Directory Open Access Journal |
| issn | 2528-8644 |
| language | English |
| last_indexed | 2024-04-10T14:59:37Z |
| publishDate | 2016-09-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Plastic Surgery |
| spelling | doaj.art-2a40de4070b644d6853325b241b969bb2023-02-15T16:07:06ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442016-09-0124313314110.5152/TurkJPlastSurg.2016.1989A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted TeethNebil Yeşiloğlu0Gökhan Temiz1 Murat Sarıcı2Hakan Şirinoğlu3Gaye Filinte4Ali Cem Akpınar5Hakan Demirel6Mehmet Bozkurt7Clinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, TurkeyObjective: Impacted teeth are important for plastic surgeons that frequently perform maxillofacial operations because of their tendency to affect dental occlusion, and thus, cephalometric results. Moreover, severe complications are also caused by the tooth and its surgical removal. In this study, retrospective analysis of 242 extracted teeth and 24 extracted roots was performed and an algorithmic approach to different types and the localizations of impacted teeth was presented. Possible complications and salvage procedures were also discussed. Material and Methods: A retrospective analysis of 128 patients who underwent impacted teeth removal surgery between 2013 and 2015 was performed. Mean age was 26 years (Range: 18–42 years), and the female to male ratio was 39/89. Sixteen of the patients were operated under regional nerve block, whereas the remaining were operated under general anesthesia. In 107 patients, the whole tooth was removed, whereas the residual root of the tooth was removed in 21 patients. In 89 patients, bone interventions like the creation of bone window or peridental milling to loosen the tooth were needed, whereas only oral mucosal incisions were performed in the remaining patients. Results: The most common onset symptom was localized pain, and the most common complications were swelling and edema. The most common extracted tooth was the mandibular 3rd molar. Lower lip hypoesthesia, which was continued up to eight months, was encountered in six patients who underwent mandibular 3rd molar extraction. Conclusion: In our opinion, a wide range of possible complications secondary to impacted teeth surgery makes them important for plastic surgeons who are more experienced than other disciplines, and learning teeth extraction is essential to learn in plastic surgery specialty training.http://turkjplastsurg.org/sayilar/77/buyuk/133-1416.pdfEctopic toothimpacted teethinferior alveolar nerve |
| spellingShingle | Nebil Yeşiloğlu Gökhan Temiz Murat Sarıcı Hakan Şirinoğlu Gaye Filinte Ali Cem Akpınar Hakan Demirel Mehmet Bozkurt A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted Teeth Turkish Journal of Plastic Surgery Ectopic tooth impacted teeth inferior alveolar nerve |
| title | A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted Teeth |
| title_full | A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted Teeth |
| title_fullStr | A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted Teeth |
| title_full_unstemmed | A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted Teeth |
| title_short | A Diagnostic and Therapeutic Algorithm for Impacted Teeth for Plastic Surgeons: Outcomes of 242 Extracted Teeth |
| title_sort | diagnostic and therapeutic algorithm for impacted teeth for plastic surgeons outcomes of 242 extracted teeth |
| topic | Ectopic tooth impacted teeth inferior alveolar nerve |
| url | http://turkjplastsurg.org/sayilar/77/buyuk/133-1416.pdf |
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