Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 9 , Pages 1700-1706 , September 2007

Severe Third Molar Complications Including Death—Lessons from 100 Cases Requiring Hospitalization

  • Martin Kunkel, MD, DMD

      Affiliations

    • Senior Consultant, Department of Oral and Maxillofacial Surgery, University of Mainz, Mainz, Germany.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Kunkel: Johannes Gutenberg-Universität Augustusplatz 2, 55131 Mainz, Germany
  • ,
  • Wilfried Kleis, MD, DMD

      Affiliations

    • Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, University of Mainz, Mainz, Germany.
  • ,
  • Thomas Morbach, MD, DMD

      Affiliations

    • Maxillofacial Surgeon, Department of Oral and Maxillofacial Surgery, University of Mainz, Mainz, Germany.
  • ,
  • Wilfried Wagner, MD, DMD

      Affiliations

    • Department Head, Department of Oral and Maxillofacial Surgery, University of Mainz, Mainz, Germany.

References 

  1. Bartling R, Freemann K, Kraut RA. The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg. 1999;57:1408
  2. Eliav E, Gracely RH. Sensory changes in the territory of the inferior alveolar nerves following lower third molar extraction. Pain. 1998;77:191
  3. Gülicher D, Gerlach KL. Inzidenz, Risikofaktoren und Verlauf von Sensibilitätsstörungen nach operativer Weisheitszahnentfernung. Mund Kiefer Gesichts Chir. 2000;4:99
  4. Renton T, McGurk M. Evaluation of factors predictive of lingual nerve injury in third molar surgery. Br J Oral Maxillofac Surg. 2001;39:423
  5. Smith AC, Barry SE, Chiong AY, et al. Inferior alveolar nerve damage following removal of mandibular third molar teeth (A prospective study using panoramic radiography). Aust Dent J. 1997;42:149
  6. Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C. 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
  7. Winter M, Kochhan G, Platte J, et al. Zur Häufigkeit von Verletzungen des Nervus alveolaris inferior infolge enossaler Implantation im Unterkieferseitenzahnbereich. Z Zahnärztl Implantol. 1995;11:79
  8. McGrath C, Comfort MB, Lo ECM, et al. Changes in life quality following third molar surgery - the immediate postoperative period. Br Dent J. 2003;194:265
  9. Ruta DA, Bissias E, Ogston S, et al. Assessing health outcomes after extraction of third molars: The postoperative symptom severity (PoSSe) scale. Br J Oral Maxillofac Surg. 2000;38:480
  10. White RP, Shugars DA, Shafer DM, et al. Recovery after third molar surgery: Clinical and health-related quality of life outcomes. J Oral Maxillofac Surg. 2003;61:535
  11. Moghadam HG, Caminiti MF. Life-threatening hemorrhage after extraction of third molars: Case report and management protocol. J Can Den Assoc. 2002;68:670
  12. Kunkel M, Reichert TE. Halsphlegmone und Thoraxempyem nach Weisheitszahnentfernung. Zahnärztliche Mitteilungen. 2003;93:352
  13. Ramchandini PL, Sabesan T, Peters WJN. Subdural empyema and herpes zoster syndrome (Hunt syndrome) complicating removal of third molars. Br J Oral Maxillofac Surg. 2004;42:55
  14. Yoshii T, Hamamoto Y, Muraoka S, et al. Incidence of deep fascial space infection after surgical removal of the mandibular third molars. J Infect Chemother. 2001;7:55
  15. Flynn TR, Shanti RM, Hayes C. Severe odontgenic infections, part 2: Prospective outcomes study. J Oral Maxillofac Surg. 2006;64:1104
  16. Flynn TR, Shanti RM, Levi MH, et al. Severe odontogenic infections, part 1: Prospective Report. J Oral Maxillofac Surg. 2006;64:1093
  17. Berge TI. Complications requiring hospitalization after third-molar surgery. Acta Odontol Scand. 1996;54:24
  18. Berge TI. Incidence of infections requiring hospitalization associated with partially erupted third molars. Acta Odontol Scand. 1996;54:309
  19. Hugoson A, Kugelberg CF. The prevalence of third molars in a Swedish population. Community Dent Health. 1988;5:121
  20. Kunkel M, Morbach T, Kleis W, et al. Third molar complications requiring hospitalisation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:300
  21. FPG. Fallpauschalengesetz. Bundesgesetzblatt I Nr. 27, 2002
  22. Bundesministerium für Gesundheit und Soziales. Bekanntmachung eines Beschlusses des gemeinsamen Bundesausschusses gemäβ §91 Abs. 6 des Fünften Buches Sozialgesetzgebung (SGB V) über eine Neufassung der Richtlinie für eine ausreichende, zweckmäβige und wirtschaftliche vertragszahnärztliche Versorgung mit Zahnersatz und Zahnkronen: B-Anz. Nr. 54, Bundesministerium für Gesundheit und Soziales, 2005, p 4094
  23. Worrall SF, Riden K, Haskell R, et al. UK National Third Molar project: The initial report. Br J Oral Maxillofac Surg. 1998;36:14

PII: S0278-2391(07)00482-X

doi: 10.1016/j.joms.2007.04.014

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 9 , Pages 1700-1706 , September 2007