Summary of Clinical Operation Points and Experience in Prevention and Treatment of Complications in Complex Tooth Extraction Surgery

Abstract

Complex tooth extraction is a common high-risk surgery in oral and maxillofacial surgery, which involves special types of teeth such as impacted wisdom teeth, embedded teeth, and multiple variant teeth. It is often accompanied by complex anatomical structures, limited operating space, and adjacent important nerve and vascular issues, resulting in significantly increased surgical difficulty and risk of complications. This article is based on clinical practice and authoritative guidelines such as the "Guidelines for Oral and Maxillofacial Surgery", combined with real clinical data, relying on the full process management ideas of preoperative precise imaging evaluation, intraoperative minimally invasive operation standards, and postoperative individualized nursing follow-up. It systematically summarizes the core operating points of complex tooth extraction surgery, deeply analyzes the risk factors and targeted prevention and treatment strategies of common complications such as bleeding, infection, nerve injury, and maxillary sinus perforation, and provides practical reference for clinical physicians to standardize surgical procedures, improve operational accuracy, and reduce the incidence of complications, helping to optimize diagnosis and treatment effects, and ensure patients' oral function and quality of life.