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https://www.readbyqxmd.com/read/29223633/effectiveness-of-irrigation-with-chlorhexidine-after-removal-of-mandibular-third-molars-a-randomised-controlled-trial
#1
H Cho, M C David, A J Lynham, E Hsu
To evaluate the effect of postoperative irrigation with chlorhexidine on inflammatory complications after the extraction of lower third molars under local anaesthesia, we recruited 100 patients to participate in a controlled, single-blind, randomised clinical trial. They were assigned to one of two groups: the intervention group (postoperative irrigation of the surgical site with chlorhexidine for seven days) or the control group (postoperative chlorhexidine mouth rinse for seven days). The primary outcome variables were pain, swelling, trismus, infection, and alveolar osteitis...
December 6, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29184630/effect-of-flap-design-and-duration-of-surgery-on-acute-postoperative-symptoms-and-signs-after-extraction-of-lower-third-molars-a-randomized-prospective-study
#2
Nicola Mobilio, Renata Vecchiatini, Michele Vasquez, Giorgio Calura, Santo Catapano
Background. Different surgical variables are assumed to play a role in postoperative course after lower third molar extraction. The aim of study was to assess whether flap design and duration of surgery can influence acute postoperative symptoms and signs after lower third molar extraction. Methods. Twenty-five patients scheduled for lower third molar extraction were included in this study and randomly assigned to two groups in terms of flap design: group A (envelope flap) and group B (triangular flap). Swelling and trismus were assessed before and after surgery on days 0, 2 and 7...
2017: Journal of Dental Research, Dental Clinics, Dental Prospects
https://www.readbyqxmd.com/read/29181025/detection-of-bone-defects-using-cbct-exam-in-an-italian-population
#3
Gianluca Gambarini, Gabriele Miccoli, Gianfranco Gaimari, Deborah Pompei, Andrea Pilloni, Lucila Piasecki, Dina Al-Sudani, Dario Di Nardo, Luca Testarelli
Background: The aim of this study was to evaluate the in vivo incidence and the location of fenestrations in a young Italian population by using CBCT. Materials and Methods: Fifty patients who had previously performed CBCT for planning third molar extraction or orthodontic therapy were selected for the study. No previous dental treatment had been performed on these patients. Overall, 1,395 teeth were evaluated. Root fenestrations were identified according to the definition of Davies and the American Association of Endodontists...
2017: International Journal of Dentistry
https://www.readbyqxmd.com/read/29171914/risk-of-inferior-alveolar-nerve-injury-with-coronectomy-versus-surgical-extraction-of-mandibular-third-molars-a-comparison-of-two-techniques-and-review-of-the-literature
#4
REVIEW
Awais S Ali, Jon A Benton, Julian M Yates
BACKGROUND: The removal of mandibular third molar teeth is one of the most common oral surgical procedures. In a significant number of patients it carries a degree of associated morbidity, including damage to the inferior alveolar nerve (IAN). For this reason, practitioners desire the most up-to-date guidance on the most appropriate technique, informed by the best available evidence that will produce the lowest incidence of iatrogenic complications. OBJECTIVE: Perform a systematic review comparing the effect of coronectomy versus complete surgical extraction of mandibular third molar teeth on the risk of IAN injury and other complications in adults...
November 24, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/29164184/interpretations-of-complications-following-third-molar-extraction
#5
Devorah Schwartz-Arad, Anat Lipovsky, Michal Pardo, Oren Adut, Eran Dolev
OBJECTIVE: Surgical removal of third molars is often associated with complications. The aim of the present study was to analyze the incidence of complications following extraction of third molars relative to the risk factors. METHOD AND MATERIALS: This retrospective study included 463 patients who had mandibular third molar extraction (performed by a single surgeon, DSA) in the years 2001 to 2011. In total, 665 mandibular third molars were extracted. The average patient's age was 29 ± 11...
November 21, 2017: Quintessence International
https://www.readbyqxmd.com/read/29146720/role-of-mr-neurography-for-the-diagnosis-of-peripheral-trigeminal-nerve-injuries-in-patients-with-prior-molar-tooth-extraction
#6
R Dessouky, Y Xi, J Zuniga, A Chhabra
BACKGROUND AND PURPOSE: Clinical neurosensory testing is an imperfect reference standard to evaluate molar tooth extraction related peripheral trigeminal neuropathy. The purpose was to evaluate the diagnostic accuracy of MR neurography in this domain and correlation with neurosensory testing and surgery. MATERIALS AND METHODS: In this retrospective study, nerve caliber, T2 signal intensity ratio, and contrast-to-noise ratios were recorded by 2 observers using MR neurography for bilateral branches of the peripheral trigeminal nerve, the inferior alveolar and lingual nerves...
November 16, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/29126539/sublingual-dexamethasone-may-result-in-a-small-decrease-in-pain-after-impacted-mandibular-third-molar-surgical-extraction
#7
Romina Brignardello-Petersen
No abstract text is available yet for this article.
November 3, 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29089549/mesiolingual-root-rotation-for-horizontal-mandibular-third-molar-extraction-position-classification-and-surgical-simulation
#8
Zhou-Xi Ye, Chi Yang
Extracting horizontal mandibular 3rd molars face considerable difficulty due to the large bone and adjacent tooth resistances. This study aims at evaluating the effectiveness of a novel method-mesiolingual root rotation to extract wisdom teeth of this type. In this study, 73 horizontal teeth extracted using piezosurgery were reviewed and classified based on impaction depth: position I, II, III refers to the highest portion of the crown on a level with upper 1/3, middle 1/3, lower 1/3 of the 2rd molar's root...
October 31, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29075419/bimaxillary-simultaneous-immediate-loading-of-full-arch-restorations-a-case-series
#9
REVIEW
Iñaki Cercadillo-Ibarguren, Alba Sánchez-Torres, Rui Figueiredo, Eduard Valmaseda-Castellón
AIM: To describe a bimaxillary simultaneous immediate loading protocol with full-arch implant-supported fixed prostheses. MATERIAL AND METHODS: A prospective case series of 8 patients who required full-arch rehabilitation was conducted. The main inclusion criteria were patients with teeth that required extraction. At least 1 molar per arch was temporarily employed to stabilize the surgical template and the provisional prosthesis during intraoral relining. RESULTS: Two upper implants failed in 1 patient...
September 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29072245/impact-of-oral-antibiotics-on-health-related-quality-of-life-after-mandibular-third-molar-surgery-an-observational-study
#10
R O Braimah, K C Ndukwe, J F Owotade, S B Aregbesola
AIM: To compare the impact of antibiotics on health-related quality of life (QoL) outcomes following third molar surgery. MATERIALS AND METHODS: The study population consisted of 135 subjects that required surgical extraction of mandibular third molar under local anesthesia and met the inclusion criteria. The subjects were randomized into three study groups of 45 subjects each: Group A - extended amoxicillin/clavulanic acid (GlaxoSmithKline Beecham England), 1 gram pre-operatively and then 625 mg BD for 5 days Group B - prophylactic amoxicillin/clavulanic acid (GlaxoSmithKline Beecham England) 1 gram pre-operatively only, and Group C - prophylactic levofloxacin 1 gram pre-operatively only...
September 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29067544/rare-case-report-of-an-aggressive-follicular-lymphoid-hyperplasia-in-maxilla
#11
João Adolfo Costa Hanemann, Marina Lara de Carli, Ernesto Rabello Dendena, Carlos Eduardo Gomes do Couto Filho, Suzana Catanhede Orsini Machado de Sousa, Alessandro Antônio Costa Pereira, Fernanda Salgueiredo Giudice, Felipe Fornias Sperandio
Follicular lymphoid hyperplasia is a very rare though benign reactive process of an unknown pathogenesis that may resemble a follicular lymphoma, clinically and histologically. Oral reactive follicular hyperplasia (RFH) has been described on the hard or soft palate and at the base of the tongue. We describe here the first case of RFH presenting as an aggressive tumor on the right posterior side of the maxilla in a 24-year-old male patient. The lesion had a clinical evolution of 18 months and was noticed after the surgical extraction of the right third molar, although we cannot assume a cause-effect relation with that surgical event whatsoever...
December 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29055570/surgical-and-social-implications-of-extraction-of-mandibular-third-molars-as-a-separate-procedure-before-bilateral-sagittal-split-osteotomy
#12
L Morton, I Downie
In some units, lower wisdom teeth are extracted in a separate procedure before bilateral sagittal split osteotomy (BSSO), whereas in others they are removed at the time of the osteotomy. We identified 57 patients who had BSSO at Salisbury Hospital between October 2013 and September 2015, 40 of whom had their wisdom teeth extracted at the same time. The remaining 17 did not have wisdom teeth. Patients who have these teeth extracted as a separate procedure require at least one day off work, which can result in a loss of earnings...
November 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29054564/extraction-of-mandibular-third-molars-proposal-of-a-new-scale-of-difficulty
#13
G Sammartino, R Gasparro, G Marenzi, O Trosino, M Mariniello, F Riccitiello
We evaluated the accuracy of a new scale of surgical difficulty for the extraction of impacted mandibular third molars, which includes consideration of previously underestimated variables. Two hundred patients with impacted third molars were enrolled, and a preoperative clinical and radiographic assessment of difficulty was made by an oral surgeon using the new index. Five oral surgeons with similar degrees of experience then evaluated the surgical difficulty during operation. The kappa test and weighted kappa were used to evaluate the level of agreement between the preoperative and postoperative evaluations...
October 17, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29053661/evaluation-of-kharma-scale-as-a-predictor-of-lower-third-molar-extraction-difficulty
#14
A-A Al-Samman
BACKGROUND: The Evaluation of the degree of lower third molar (L3M) extraction difficulty is extremely important for both clinicians and patients. This study aimed to evaluate the validity of a new index (Kharma scale) as a preoperative predictor index of the difficulty of surgical removal of impacted L3M. MATERIAL AND METHODS: Extraction difficulty of a series of 49-impacted L3M was predicted preoperatively by Kharma scale, and postoperative difficulty was assessed with a modified Parant scale...
November 1, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/29043245/intentional-partial-odontectomy-a-long-term-follow-up-study
#15
Hyun-Suk Kim, Pil-Young Yun, Young-Kyun Kim
BACKGROUND: The surgical extraction of the third molar is the most frequently encountered procedure in oral and maxillofacial surgery and is related with a variety of complications. This study examined the efficacy of intentional partial odontectomy (IPO) in the third molars which have no periapical lesions and are located near important anatomical structures such as inferior alveolar nerve. METHODS: Seven patients (four males, three females, 39.1 ± 11.6 years), who received IPO to reduce the risk of inferior alveolar nerve injury (IANI), were followed long-term...
December 2017: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29038632/evaluation-of-post-surgical-bacteremia-with-use-of-povidone-iodine-and-chlorhexidine-during-mandibular-third-molar-surgery
#16
Anil Managutti, Sunita A Managutti, Jigar Patel, Nagaraj Y Puthanakar
BACKGROUND: Microorganisms may invade the blood stream by oral routes through surgical procedures like extractions, fractured teeth and periodontal pockets. The incidence of bacteremia is 70-80 % following tooth extraction, sub gingival scaling and intra ligament injection. AIMS AND OBJECTIVES: Aim of study was to evaluate and compare the efficacy of two topical antimicrobial agents for the prevention of post-surgical bacteremia during mandibular third molar surgery...
December 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28987483/efficacy-of-adjuvant-laser-therapy-in-reducing-postsurgical-complications-after-the-removal-of-impacted-mandibular-third-molars-a-systematic-review-update-and-meta-analysis
#17
Jamie Dawdy, Jillian Halladay, Alonso Carrasco-Labra, Ignacio Araya, Nicolas Yanine, Romina Brignardello-Petersen
BACKGROUND: The authors updated a previously published systematic review to assess the effects of low-level laser therapy (LLLT) on reducing complications after the removal of impacted mandibular third molars. TYPES OF STUDIES REVIEWED: The authors searched for randomized clinical trials in which the investigators evaluated the efficacy of LLLT compared with that of placebo or no treatment. Two reviewers independently screened studies, extracted data, and assessed risk of bias...
October 4, 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/28974709/a-novel-method-in-the-removal-of-impacted-mandibular-third-molar-buccal-drainage
#18
Ting Hu, Ji Zhang, Jing Zhi Ma, Le Nan Shao, Yi Fei Gu, Dian Qi Li, Liang Jiang, Yun Qiang Yang
Food impaction after impacted mandibular third molar extraction is a serious problem that should not be ignored. Incomplete suturing of the distal incision in the conventional method is the main cause of food impaction and delayed wound healing. The present study introduces a novel suture and drainage technology that requires hermetic suturing of the distal incision and rubber drainage for buccal drainage. 76 patients with horizontally/mesially impacted third molars (bilateral) were enrolled in this prospective study...
October 3, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28944355/wide-diameter-immediate-post-extractive-implants-vs-delayed-placement-of-normal-diameter-implants-in-preserved-sockets-in-the-molar-region-1-year-post-loading-outcome-of-a-randomised-controlled-trial
#19
Vittorio Checchi, Pietro Felice, Giovanni Zucchelli, Carlo Barausse, Maurizio Piattelli, Roberto Pistilli, Giovanni Grandi, Marco Esposito
PURPOSE: To compare the effectiveness of 6.0 to 8.0 mm-wide diameter implants, placed immediately after tooth extraction, with conventional 4.0 or 5.0 mm diameter implants placed in a preserved socket after a 4-month period of healing in the molar region. MATERIALS AND METHODS: Just after extraction of one or two molar teeth, and with no vertical loss of the buccal bone in relation to the palatal wall, 100 patients requiring immediate post-extractive implants were randomly allocated to immediate placement of one or two 6...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28932056/erupted-odontome-associated-with-a-primary-molar-a-unique-clinical-presentation-4-year-follow-up
#20
Shaik Hasanuddin, E Rajendra Reddy
Erupted odontomas occur very rarely in both the primary and permanent dentitions. The present case report discusses an unusual erupted odontome associated with a primary first mandibular molar. A 7-year-old female patient with an erupted odontome in the oral cavity was reported. The surgical extraction of odontome was performed under local anesthesia to allow eruption of underlying premolar tooth. After 4 years of follow-up, the first premolar had erupted with an unusual occlusal morphology, similar to that of a primary first molar...
May 2017: Journal of Oral and Maxillofacial Pathology: JOMFP
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