Can histopathological evidence of ankylosis of the tooth be helpful in the prevention of a medicolegal case in case of iatrogenic fracture of the mandible during dental extraction where preoperative radiographs have not been taken?

A fracture of the mandible is a rare complication that can occur during a dental extraction being carried out under local/general anesthesia. It is always advisable to take a pre-operative radiograph of the tooth to be considered for extraction to study the root configuration and make a surgical pla...

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Main Authors: Samir D Khaire (Author), Shameeka S Thopte (Author), Shams U L Nisa (Author), Kavita Wadde (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2023-01-01T00:00:00Z.
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Summary:A fracture of the mandible is a rare complication that can occur during a dental extraction being carried out under local/general anesthesia. It is always advisable to take a pre-operative radiograph of the tooth to be considered for extraction to study the root configuration and make a surgical plan for the case. Most of the dental extractions carried out without taking a preoperative radiograph are completed uneventfully. However, in rare cases, complications can arise owing to local anatomical variations and lead to medicolegal issues and litigation. This article discusses the management of a case of iatrogenic fracture of the mandible during dental extraction, wherein a pre-operative radiograph was not taken; however, following extraction of the tooth and management of the fracture mandible, the histopathology report of the extracted tooth was suggestive of ankylosis of the tooth.
Item Description:0975-7406
10.4103/jpbs.jpbs_201_23