Abstract

A few cases of accidental displacement of molars into adjacent anatomical spaces, such as the infratemporal fossa, the pterygomandibular space, the maxillary sinus, or the lateral pharyngeal space, during surgical interventions have been reported. This report describes the displacement of a maxillary third molar into the buccal space and discusses the anatomical implications. Post-operative complications can be observed during surgical extraction of third molars, such as uncountable bleeding, tooth root fracture, fracture of the tuberosity or the buccal bone, perforation of the sinus membrane, and prolapse of the buccal fat pad .1 Few cases of accidental teeth displacement in direction of bordering anatomical areas such as the maxillary sinus 2, infra-temporal fossa3,4,5, pterygoid-mandibular space ,lateral pharyngeal space , and the buccal space 6,7 have rarely been reported. The buccal space is a deep fascial space that lies adjacent to the maxillary alveolar ridge and is enclosed by the buccinator muscle, the masseter muscle, the zygomaticus major and minor muscles, the superficial layer of the deep cervical fascia, the external and internal pterygoid muscles, and the mandible8. According to the literature, accidental displacement of a tooth into adjacent anatomical spaces such as the maxillary sinus, the infratemporal fossa, the lateral pharyngeal space, or the pterygomandibular space has rarely been reported

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