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The Story of a Missing Tooth: A Case Report | OMICS International | Abstract
ISSN: 2161-0711

Journal of Community Medicine & Health Education
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Case Report

The Story of a Missing Tooth: A Case Report

Vishal Mehrotra1*, Sumit Agarwal2, Asheesh Sawhny3, Manish Gupta2 and Kriti Garg4

1Reader, Department of Oral Medicine and Radiology, Rama Dental College Hospital & Research Center, India

2Senior Lecturer, Department of Oral & Maxillofacial Surgery, Rama Dental College Hospital & Research Center, India

3Reader, Department of Conservative Dentistry, Rama Dental College Hospital & Research Center, India

4Senior Lecturer, Department of Oral Medicine and Radiology, Rama Dental College Hospital & Research Center, India

Corresponding Author:
Vishal Mehrotra
MDS, Reader, Department of Oral Medicine and Radiology
Rama Dental Hospital & Research Center
Kanpur-208024, Uttar Pradesh, India
Tel: +91-9956575812

Received Date: February 05, 2014; Accepted Date: April 15, 2014; Published Date: April 22, 2014

Citation: Mehrotra V, Agarwal S, Sawhny A, Gupta M, Garg K (2014) The Story of a Missing Tooth: A Case Report. J Community Med Health Educ 4:282. doi:10.4172/2161-0711.1000282

Copyright: © 2014 Mehrotra V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


The displacement of an impacted third molar, either a root fragment, the crown, or the entire tooth is a complication that rarely occurs during exodontia. Although the complication is well known, reported cases in the dental literature are sparse. We report here an unusual accidental displacement of a mandibular third molar crown into the parapharyngeal space in an adult male patient. As a result if a complication does occur during third molar extraction such in our case, dentists should immediately refer the patient to an oral and maxillofacial surgeon and should not try to remove the displaced root without proper assurance. This is imperative for being able to evaluate the condition of the tooth preoperatively, select adequate instruments and technique, and take good care during extraction and prevent the risk of hemorrhage, neurologic injury, and further displacement of the tooth. Localization with images and proper surgical methods are the keys to retrieving the displaced fragment successfully. In combination with clinical examination, conventional and advanced radiographic techniques were utilized in order to locate the crown for retrieval surgery. This report not only describes the location, but also the surgical removal of an accidentally displaced mandibular third molar displaced in the parapharayngeal space, two weeks after first attempt of extraction.