Intraoperative Accidents Related to Transalveolar Removal of Wisdom Teeth

ABSTRACT

Background: Removal of wisdom teeth is a regularlyperformed dental treatment by non-specialist and specialistdentists. Damage to the inferior alveolar nerve after theremoval of wisdom molars occurred in 0.4 to 8.4% of subjects,lesser than 1% of cases it is permanent. The present studywas conducted with the aim to assess the intraoperativecomplications occurring during third molar removal.Materials and Methods: The residents of the departmentperformed all the dental surgical procedures. Classification ofthe impaction was done according to Pell and Gregory andWinter’s classification. The methods of osteotomy or toothsectioning, duration of surgery and any complications that wasencountered during the surgery like hemorrhage, displacementof teeth, damage to adjacent teeth or injury to soft tissues wasrecorded in a tabulated version.Student t test was used for analysis. Probability value of lessthan 0.05 was regarded as significant.Results: Fracture of tuberosity was seen in 2.3% cases, therewere 1% (n = 3) cases of hemorrhage, there were 0.6% (n = 2)cases each of apex fracture. There were two cases ofmesioangular impaction and 1 case of distoangular impaction.Conclusion: The most commonly associated intraoperativeaccident in the present study was tuberosity fracture