Development of complications of tooth extraction surgery: analysis, causes and prevalence
DOI:
https://doi.org/10.32782/2786-7684/2024-2-8Keywords:
tooth extraction operation, maxillofacial area, complication, inflammatory process, phlegmone, osteoregenerationAbstract
Introduction. The aim of the study. The purpose of the study was to analyze post-extraction complications and their causes. Research materials and methods: The study was conducted on the basis of the surgical department of the UC “Poltava Regional Center of Stomatology – Dental Clinical Polyclinic” of the Poltava Regional Council. An analysis of outpatient cards of patients for the year 2023 was carried out. The results. During the analysis of outpatient cards, it was established that 20540 patients, aged from 18 to 82 years, applied for tooth extraction. The vast majority of teeth were removed due to complications of carious origin (74.5%), localized periodontal disease (19.8%), orthodontic indications (4.2%), other (1.5%). The presence of acute purulent alveolitis (227 patients, 1,1 %) was most often noted, the treatment of which was carried out on an outpatient basis and lasted an average of 3.8±1.4 days. It should be noted that not all complications required only outpatient treatment. In 2023, 23 patients who underwent tooth extraction were hospitalized in the department of maxillofacial surgery of UC “Poltava Regional Clinical Hospital named after M.V. Sklifosovsky” of the Poltava Regional Council. Conclusion. The use of atraumatic tooth extraction techniques reduces the risk of developing complications, especially of an inflammatory nature. Patients who seek dental care on time have a lower percentage of complications, and the use of self-medication by patients contributes to the development of complications, both early and late, which in turn has a negative effect on the further dental rehabilitation of such patients.
References
Chumak YuV, Loban HA, Ananyeva MM, Faustova MO, Havrylyev VM. Etiolohichni chynnyky ta metody likuvannya infektsiyno-zapalʹnykh uskladnenʹ ekstraktsiyi zuba (ohlyad literatury) [Etiological factors and methods of treatment of infectious and inflammatory complications of tooth extraction (literature review)]. Vistnyk problem biolohiyi i medytsyny. 2021;3(161):89–95. [in Ukrainian].
Lokes KP, Karasiunok A Ye, Smaglyuk LV, Voloshyna LI, Voronkova HV, Rezvina KYu. Operatsiya vydalennya zuba, yak skladova ortodontychnoho likuvannya [Tooth extraction operation as a component of orthodontical treatment]. Ukrainian Dental Almanac, 2024;2:32-35. [in Ukrainian].
Lokes KP, Chumak YuV, Loban HA, Faustova MO, Rezvina KYu, Havrylyev VM. Zahoyennya lunky vydalenoho zuba za umov rozvynennya hostroho hniynoho alʹveolitu zalezhno vid mistsevoho likuvannya [Healing of the socket of the extracted tooth under the conditions of the development of acute purulent alveolitis depending on local treatment]. Intermedical journal. 2024;1:129-133. [in Ukrainian].
Lokes KP, Avetikov HD, Ivanytska OS, Steblovskyi DV, Skikevych MG, Ivanytskyi IO, Avetikov DS. Analysis of methods of prevention of intra-and postoperative complications during tooth extraction. World of Medicine and Biology. 2024;2(88):231-236.
Garola F, Gilligan G, Panico R, Leonardi N, Piemonte E. Clinical management of alveolar osteitis. A systematic review. Med Oral Patol Oral Cir Bucal. 2021;26(6):e691-e702.
Daly BJ, Sharif MO, Jones K, Worthington HV, Beattie A. Local interventions for the management of alveolar osteitis (dry socket). Cochrane Database Syst Rev. 2022;9(9):CD006968.
Mamoun J. Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques. J Korean Assoc Oral Maxillofac Surg. 2018;44(2):52-58.
Kolesnichenko MO, Savchenko DV, Savchenko VV, Ivanyuk OS, Zhivotovskyi IV, Lokes KP. Changes in the biochemical indicators of mandibula bone tissue after removal of molars and augmentation of the alveolar process. World of Medicine and Biology. 2023;1(168):412–417.
Faustova M, Nazarchuk O, Loban’ G, Avetikov D, Ananieva M, Chumak Yu, Havryliev V. Microbiological aspects concerning the etiology of acute odontogenic inflammatory diseases in the soft tissues of the head and neck region. Open Access Macedonian Journal of Medical Sciences. 2022;10:636–640.
Tarakji B, Saleh LA, Umair A, Azzeghaiby SN, Hanouneh S. Systemic review of dry socket: aetiology, treatment, and prevention. J Clin Diagn Res. 2015;9(4):10-13.
