Objective
To describe the incidence and clinical features of delayed-onset wound infections
after lower third molar extractions in an outpatient clinic.
Study design
Retrospective forward study of 958 lower third molar extractions in the Oral Surgery
and Implantology Department of the School of Dentistry of the University of Barcelona
(Spain).
Results
Fourteen delayed-onset wound infections were recorded after suture removal (1.5% of
the extractions). These infections usually developed 3-5 weeks after extraction. Half
of the cases presented a radiolucency around the crown of the third molar. In most
cases, ostectomy (13/14) and tooth sectioning (11/14) had been made.
Conclusions
Delayed infections were a rare postoperative complication of lower third molars extractions.
Nevertheless, patients should be warned that infection can still occur several weeks
after the surgical procedure.
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References
- Age as a factor in the complication rate after removal of unerupted/impacted third molars at the time of mandibular sagittal split osteotomy.J Oral Maxillofac Surg. 2002; 60: 654-659
- Lingual nerve damage after third lower molar surgical extraction.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 90: 567-573
- Inferior alveolar nerve damage after lower third molar surgical extraction: a prospective study of 1117 surgical extractions.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 92: 377-383
- Age of patients and morbidity associated with mandibular third molar surgery.J Am Dent Assoc. 1980; 101: 240-245
- A prospective study of complications related to mandibular third molar surgery.J Oral Maxillofac Surg. 1985; 43: 767-769
- Complications after mandibular third molar surgery: a statistical analysis of 500 consecutive procedures in private practice.JADA. 1985; 111: 277-279
- Factors predisposing to postoperative complications related to wisdom tooth surgery among university students.J Am Coll Health. 1997; 46: 39-42
- Prophylactic antibiotics for third molar surgery: a supportive opinion.J Oral Maxillofac Surg. 1995; 53: 53-60
- Complications apres extraction de dents de sagesse. Etude retrospective de 1213 cas.Rev Stomatol Chir Maxillofac. 2002; 103: 269-274
- Predictor evaluation of postoperative morbidity after surgical removal of mandibular third molars.Acta Odontol Scand. 1994; 52: 162-169
- Removing third molars: a review for the general practitioner.JADA. 1992; 123: 77-86
- Development of the permanent teeth.J Dent Child. 1960; 27: 254-260
- Impacted mandibular third molar.American Medical Book, St Louis1926
- Impacted mandibular third molars: classification and modified techniques for removal.Dent Digest. 1933; 39: 330-338
- Late onset of mandibular and lingual dysesthesia secondary to postextraction infection.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1984; 58: 269-271
- Alveolar osteitis after surgical removal of impacted mandibular third molars.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1992; 43: 393-397
- Complications requiring hospitalization after third-molar surgery.Acta Odontol Scand. 1996; 54: 24-28
- Complications following removal of impacted third molars: the role of the experience of the surgeon.J Oral Maxillofac Surg. 1986; 44: 855-859
- Recovery after third molar surgery: clinical and health-related quality of life outcomes.J Oral Maxillofac Surg. 2003; 61: 535-544
- The value of routine antibiotic prophylaxis in mandibular third molar surgery: acute-phase protein levels as indicators of infection.J Oral Sci. 2001; 43: 117-122
Article info
Publication history
Published online: September 07, 2004
Accepted:
June 2,
2004
Received in revised form:
March 3,
2004
Received:
December 29,
2003
Barcelona, SpainUNIVERSITY OF BARCELONA AND TEKNON MEDICAL CENTERIdentification
Copyright
© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.