Complications during the surgical removal of a wisdom tooth – a case report

Wisdom teeth eruption or malposition may cause many pathological conditions such as recurrent pericoronitis, abscesses, osteomyelitis, radiating spontaneous pains, cysts, and others. The disorders mentioned above are indications for third molar removal. The degree of difficulty of the procedure is connected with the impaction stage of the tooth. Mesioangular and distoangular impactions are the least favourable positions. The surgical procedure may involve many complications such as excessive bleeding, alveolitis, nerve paresis, bone fracture, damage, luxation, or unintentional adjacent tooth removal. A displacement of the whole or of fractured fragments of the tooth to the adjacent fascial spaces, though rarely described in the literature, is a very serious complication. The success of the operation depends not only on the surgeon’s knowledge and experience but also on effective complications management. In this paper the authors present the case of a patient who after the surgical removal of a wisdom tooth was treated for second molar subluxation with ligature immobilization and endodontic treatment