Wisdom tooth dislocation into perimandibular soft tissues in a child: a clinical case

Relevance. The dislocation of wisdom teeth into soft tissues following extraction is a relatively rare but clinically significant complication. Optimal management requires treatment in a specialized maxillofacial surgical unit. This article presents a clinical case of successful management of a child with a third molar dislocated into the surrounding tissues.

Case description. The article details the medical history of a 13-year-old patient who presented with a diagnosis of "foreign body (tooth 1.8) in the maxillary region." The authors conducted a thorough review of the patient’s medical history and complaints, performed clinical examinations, and utilized additional diagnostic methods, including cone-beam computed tomography (CBCT) of the maxillofacial area, to establish a definitive diagnosis and determine the appropriate treatment strategy. The dislocated wisdom tooth was surgically removed in a specialized pediatric maxillofacial surgery unit. The postoperative course was uneventful, and the patient was discharged in satisfactory condition.

Conclusion. Patients undergoing surgical removal of third molars should be informed about potential complications. In the event of complications, prompt professional intervention is essential. Cases involving intraoral access complications require immediate referral to a maxillofacial surgery unit.

1. Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007;19(1):117-28, vii doi: 10.1016/j.coms.2006.11.013

2. Vucic S, Dhamo B, Jaddoe VWV, Wolvius EB, Ongkosuwito EM. Dental development and craniofacial morphology in school-age children. Am J Orthod Dentofacial Orthop. 2019;156(2):229-237.e4 doi: 10.1016/j.ajodo.2018.09.014

3. Reia VCB, de Toledo Telles-Araujo G, Peralta-Mamani M, Biancardi MR, Rubira CMF, Rubira-Bullen IRF. Diagnostic accuracy of CBCT compared to panoramic radiography in predicting IAN exposure: a systematic review and meta-analysis. Clin Oral Investig. 2021;25(8):4721-4733. doi: 10.1007/s00784-021-03942-4

4. Di Nardo D, Mazzucchi G, Lollobrigida M, Passariello C, Guarnieri R, Galli M, De Biase A, Testarelli L. Immediate or delayed retrieval of the displaced third molar: A review. J Clin Exp Dent. 2019;11(1):e55-e61. doi: 10.4317/jced.55379