Russell Vickers E
Clinical Stem Cells Pty Ltd,
PO Box 6471, Alexandria, NSW 2015
Australia
Case Report
Iatrogenic Resorption of a Mandibular Condyle Following 3rd Molar Wisdom Tooth Surgery
Author(s): Russell Vickers ERussell Vickers E
Unilateral osteoarthritis of the mandibular condyle is typically associated with trauma to the temporomandibular joint from sports activities, falls and criminal assaults. In this unusual case the complete destruction of the condyle occurred after a long difficult extraction of a 3rd molar wisdom tooth in a young adult. Downward and lateral pressure from a dental forceps extraction that was applied anterior to the angle of the mandible, combined with the masseter muscle acting as the fulcrum resulted in rapid and complete resorption of the condyle. Clinical signs showed a marked deviation of the maxillary-mandibular incisal midline and formation of an open bite malocclusion on the unaffected side. There was a restricted oral opening, difficulty in chewing food and the patient was psychologically depressed. Acute pain management was achieved with a soft diet, heat applications and non-.. View More»
