Akademik Veri Yönetim Sistemi
açbid, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.169-170
Objective: There is no consensus in the literature or established management approach for
displacement of the foreign objects such as closing screws into the infratemporal fossa. Surgical
and conservative approach eshave been reported; the surgeon is expected to select the most
appropriate strategy for each case. Recommended management steps include immediate
surgical removal if possible, initial watchful waiting and delayed removal, or observation alone.
Complications associated with the presence of the closing screw in the infratemporal fossa
include infection, pain, limitation of mandibular movement, and psychological discomfort.
Case: A 47-year-old female patient was referred to our clinic with complaints of pain in the
right maxillary posterior region. Clinical and radiographic examination was performed after
anamnesis. In the anamnesis, it was learned that the patient had dental implant treatment
in an external center 24 days ago. In the CBCT image, it was seen that the closing screws of
the dental implant placed on the right maxillary second molar tooth were displaced into the
infratemporal fossa. Due to the patient’s pain, it was decided to surgically remove the closing
screws. The displaced closing screws were surgically removed with an intraoral approach under
local anesthesia.
Conclusion: The literature shows that surgical management options for foreign material
displaced into the infratemporal fossa are varied, including local or general anesthesia, intraoral access with Caldwell-Luc technique or resection of the coronoid process, combined
or exclusively extraoral access or the Gillies approach. Among these techniques, intraoral
approach gives positive results in terms of patient’s treatment and comfort.