Oral surgery; a text-book on general surgery and medicine as applied to dentistry . n several cases of typical Hutchinson teeth that werecertainly in no way connected with a syphilitic taint of anykind. Complications of Extraction.—Occasionally there resultsfrom extraction of teeth certain major conditions requiringextraordinary measures for their management and control. During extraction of teeth many accidents occur requir- COMPLICATIONS OF EXTRACTION 107 ing the services of a surgeon. Fracture of the mandibleor a considerable portion of the maxilla may occur, requir-ing replacement or wirin
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . n several cases of typical Hutchinson teeth that werecertainly in no way connected with a syphilitic taint of anykind. Complications of Extraction.—Occasionally there resultsfrom extraction of teeth certain major conditions requiringextraordinary measures for their management and control. During extraction of teeth many accidents occur requir- COMPLICATIONS OF EXTRACTION 107 ing the services of a surgeon. Fracture of the mandibleor a considerable portion of the maxilla may occur, requir-ing replacement or wiring. Slipping forceps or excavatormay perforate important structures and injure an arteryor nerve, resulting in dangerous complications. Dislocationof one or both sides of the mandible may occur. Probablythe most disastrous complication of extraction is to havethe extracted tooth, or more likely a root, slip from theforceps, drop into the pharynx and be carried along withthe inspired air into the air passages. Such a disasterrequires prompt tracheotomy or death may follow within. Fig. 10.—Atkopht Marks on Teeth. (Dr. Black.) a few hours. When a tooth or root is swallowed it neednot cause alarm, since it usually passes through the ali-mentary canal without difficulty. Other complications, suchas injury to the nerve, lip or tongue, by the forceps or anirregular tooth, perforation of the antrum by a tooths be-ing pushed forward by the forceps, or forcing a root intoan abscess cavity, are not infrequent. Such complicationsmay be followed by severe and lasting changes unless prop-erly treated. Under the head of antral disease, extractions have beengiven as a cause, and in the chapter on fractures it islearned that extractions may destroy the continuity of themandible. Hemorrhage following extractions, esx)eciallyof molars, is sometimes alarming. In one case reported,exsanguination and syncope was the hemostatic thatstopped the flow of blood and saved the patient. In bleeders extra
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
