Читать книгу Management of Complications in Oral and Maxillofacial Surgery - Группа авторов - Страница 72

Bony sequestra and lingual plate exposure are potential complications of low significance, but require thorough and prompt attention. Small bony sequestra will likely spontaneously extrude through the soft tissues and usually cause only temporary discomfort. Reassuring the patient or parent that there is no remaining tooth in the area, the usual concern at presentation, and removing the loose bone is all that is required. The injury to the soft tissues is resolved within few days and the patient is instructed to avoid trauma from chewing in the area until this occurs. Exposure of the lingual plate or a portion of the mylohyoid ridge is common since the overlying mucosa in this area is exceedingly thin. The common complaints will be pain upon swallowing and sharp bone detected in the area. Application of topical anesthetic to allow for a bone file or fine rongeurs to gently smooth or remove any sharp bone is all that is required. The patient is instructed to avoid further injury to the area with certain foods such as popcorn or potato chips and is reassured that the area will spontaneously heal. Oral hygiene and rinses with chlorhexidine will facilitate coverage of the area.