Iatrogenic Corrections

Unfortunately, complications in the field of dentistry continue to occur. Many are due to treatments that were not performed by properly trained specialists.

Any oral and/or maxillofacial surgical procedure should be performed by a maxillofacial surgeon, who has hospital and surgical training to manage complications that may arise during and after a procedure.

Below are some case examples:

Oro-antral communication after a dental extraction, with drainage of dental material into the maxillary sinus. This can cause liquids to pass from the mouth into the nose.

In some patients, surgical closure is required to prevent liquids from passing into the nose, reduce the risk of sinus infection, and promote proper healing.

Closure was performed using a flap technique and supportive material, achieving an adequate seal and favorable recovery.

Clinical case with surgical closure and follow-up, with favorable evolution.

The above cases show various complications caused by malpractice. It is vital that patients work with true specialists. The appropriate specialist to perform oral and maxillofacial surgical procedures is the maxillofacial surgeon.

Some causes of complications seen in clinical practice:

1. Severe sublingual hematoma and airway obstruction during an attempted dental implant placement due to vascular injury.
2. Prolonged third molar extraction attempt with mandibular dislocation and bleeding.
3. Broken anesthetic needle within the soft tissue of the jaw.
4. Posterior maxillary necrosis after orthognathic surgery due to compromised blood supply.
5. Osteomyelitis (bone infection) after dental extraction.

Clinical case in which an attempted extraction without an appropriate surgical approach resulted in an infectious complication and bony involvement. These cases require evaluation, infection control, and surgical management depending on damage and clinical evolution.

Some facial fractures require imaging diagnosis and specialized reconstruction techniques to restore function and aesthetics. Delayed or incomplete management can lead to sequelae.

Clinical case of a complication caused by hypochlorite infiltration, with soft tissue swelling and potential maxillary sinus involvement. It requires evaluation and specialized management.

Complication associated with dental procedures when materials or irrigants enter the maxillary sinus. Management may include removal of the foreign material, controlling inflammation, and preventing infection.