A Pragmatic Approach to the Management of Inadvertent Displacement of Wisdom Tooth into the Submandibular Space: Assessment of Risks, Literature Review, and Management Algorithm.

Introduction: Displacement of mandibular third molars into submandibular space is relatively rare with only sparse literature available on its incidence and management. Several anatomic patient-related and operator factors predispose to the displacement of tooth/root fragments into the submandibular space. In this article, the literature pertaining to the displacement of the tooth into submandibular region during surgical removal is discussed along with a case report and an algorithm for its management is formulated to help plan the surgical procedure.

Aim: To discuss the management algorithm and review the literature pertaining to the displacement of the mandibular third molar tooth/root fragment into the submandibular space.

Conclusion: While performing surgical removal of an impacted third molar, one should thoroughly evaluate the difficulty index. The use of appropriate technique, proper instrumentation, and the application of sound surgical principles can help manage cases of displaced lower molars/root fragments into the submandibular space.