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Third molar extraction treatment

Burak Gumustas, Soner Sismanoglu
Objectives: The specific objective of this in vitro study was to determine whether the current flowable resin composites can establish an effective seal in repairing noncarious amalgam margin defects. Material and Methods: A total of 30 freshly extracted caries-free human third molars were used for this investigation. Class I preparations with a standardized 160-μ marginal defect were made by condensing amalgam against a Mylar strip. Accelerated aging and corrosion protocols were then applied to simulate oral conditions...
November 2018: Journal of Conservative Dentistry: JCD
Amrik Singh Gill, Hana Morrissey, Ayesha Rahman
Background and objectives: The use of antibiotic prophylaxis in extraction and implant dentistry is still controversial, with varying opinions regarding their necessity. The overuse of antibiotics has led to widespread antimicrobial resistance and the emergence of multi drug resistant strains of bacteria. The main aim of this work was to determine whether there is a genuine need for antibiotic prophylaxis in two common dental procedures; dental implants and tooth extractions. Methods: Electronic searches were conducted across databases such as Cochrane Register of Controlled Trials, the UK National Health Service, Centre for reviews, Science Direct, PubMed and the British Dental Journal to identify clinical trials of either dental implants or tooth extractions, whereby the independent variable was systemic prophylactic antibiotics used as part of treatment in order to prevent postoperative complications such as implant failure or infection...
December 1, 2018: Medicina
A G Dellovo, L M A Souza, J S de Oliveira, K S Amorim, F C Groppo
Anxiety is common and still represents a barrier to appropriate professional care for patients requiring dental treatment. The aim of this study was to compare the effects of auriculotherapy and midazolam for the control of anxiety in patients submitted to third molar extractions. This was a randomized, double-blind, controlled, crossover clinical trial. Thirty healthy volunteers requiring bilateral third molar extraction received midazolam 15mg (oral) and sham auriculotherapy during one session, and a placebo tablet (oral) and auriculotherapy during the other; the sessions were randomized...
November 12, 2018: International Journal of Oral and Maxillofacial Surgery
Fabio-Abreu Alves, Marianna-Sampaio Serpa, Wilson Delgado-Azañero, Oslei-Paes de Almeida
Background: Coronectomy involves the section of the tooth crown leaving the roots in the socket. Possibility of inferior alveolar nerve injury and mandibular fracture are the main indications for this approach. Herein, we describe a case series of coronectomy to highlight its indication in normal and oncological patients. Material and Methods: A total of 9 patients were submitted to coronectomy, 6 of them were oncological. Three patients were evaluated before head and neck radiotherapy (HNRT), 2 after HNRT and 1 before bone marrow transplantation...
October 2018: Journal of Clinical and Experimental Dentistry
A Coello-Gómez, S Navarro-Suárez, J-M Diosdado-Cano, F Azcárate-Velazquez, P Bargiela-Pérez, M-A Serrera-Figallo, D Torres-Lagares, J-L Gutiérrez-Pérez
BACKGROUND: The main objective of the present study is to evaluate the effects and possible benefits with regard to the postoperative period of lower third molar extractions, comparing the intraalveolar application of a bioadhesive gel of 0.2% chlorhexidine (CHX) to the use of a mouthwash with a super-oxidized solution, (SOS) Dermacyn® Wound Care (Oculus Innovative Sciences lnc., California, USA). MATERIAL AND METHODS: A randomized double-blind study was carried out in 20 patients with a split-mouth design, with a total of 40 extractions of symmetrically impacted bilateral lower third molars...
November 1, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
Gaetano Isola, Marco Matarese, Luca Ramaglia, Vincenzo Iorio-Siciliano, Giancarlo Cordasco, Giovanni Matarese
OBJECTIVES: This study investigated and compared the effectiveness of a phytotherapeutic drug composed of herbal extracts on postsurgical discomfort after mandibular third molar surgery. MATERIALS AND METHODS: Eighty-two patients requiring the surgical removal of a mandibular third molar were randomly assigned to receive placebo (group 1), ibuprofen (group 2), and a phytotherapeutic drug (composed of baicalin, 190 mg; bromelain, 50 mg; escin, 30 mg) (group 3)...
October 11, 2018: Clinical Oral Investigations
Riccardo Guazzo, Egle Perissinotto, Sergio Mazzoleni, Sara Ricci, David Peñarrocha-Oltra, Stefano Sivolella
OBJECTIVE: The study aimed to assess the effect of topical applications of an amino acid and sodium hyaluronate gel after mandibular third molar extraction. METHOD AND MATERIALS: 136 patients requiring mandibular third molar extraction were enrolled. An amino acid and sodium hyaluronate gel was applied to the sockets of patients in the test group immediately following the extraction. The sockets of controls were simply flushed with a sterile saline solution. Patients' outcomes and postoperative complications were assessed 7 and 14 days after surgery...
2018: Quintessence International
Carlos Alberto Tenis, Manoela Domingues Martins, Marcela Leticia Leal Gonçalves, Daniela de Fátima Teixeira da Silva, João Júlio da Cunha Filho, Marco Antonio Trevizani Martins, Raquel Agnelli Mesquita-Ferrari, Sandra Kalil Bussadori, Kristianne Porta Santos Fernandes
BACKGROUND: In dentistry, one of the most common surgical procedures is the removal of retained third molars. This surgery generates great morbidity to the participants for causing pain, edema, and trismus due to surgical trauma. The objective of the present study is to evaluate the efficacy of photobiomodulation with light emitting diode (LED) in the control of pain, facial edema, trismus, and quality of life resulting from the extraction of retained lower third molars. METHODS: A randomized, double-blind, placebo-controlled clinical trial involving 38 adult participants, who meet the criteria of eligibility and agree to participate in the study...
September 2018: Medicine (Baltimore)
Mayara Terenzi, Tayná Gomes Botan, Guilherme José Pimentel Lopes de Oliveira, Daniela Leal Zandim-Barcelos, José Eduardo Cezar Sampaio
PURPOSE: To evaluate the efficacy of Clinpro XT in reducing dentin permeability and the stability of this effect after different acid challenges. MATERIALS AND METHODS: Sixty-five roots of extracted human third molars were used. From each tooth, one dentin specimen was prepared and connected to a fluid filtration system to measure the dentin permeability after each of the following steps: sample preparation; treatment with 37% phosphoric acid; application of Clinpro XT; three acid challenges...
2018: Oral Health & Preventive Dentistry
Giuseppe Lizio, Lorenzo Ferraioli, Matteo Melini, Claudio Marchetti
BACKGROUND: Clinicians sometimes use decompression for secondary, low-risk cyst enucleation. The authors explored whether the decompression of dentigerous cysts associated with third molars is a reliable, long-term, definitive treatment option. METHODS: The authors monitored 25 mandibular cysts associated with impacted third molars in adults after surgical decompression without the extraction of the related tooth for a mean (standard deviation) time of 37 (15) months (range, 12-71 months)...
August 30, 2018: Journal of the American Dental Association
R K Menon, D Gopinath, K Y Li, Y Y Leung, M G Botelho
The objectives of this systematic review were to investigate the efficacy of amoxicillin/amoxicillin-clavulanic acid for reducing the risk of postoperative infection after third molar surgery and to evaluate the adverse outcomes in these patients, as well as in healthy volunteers. A systematic search of four databases was performed on May 26, 2017. Eleven studies qualified for the qualitative analysis and eight were found suitable for meta-analysis. The results suggest that both amoxicillin-clavulanic acid and amoxicillin significantly reduce the risk of infection after third molar extraction (overall relative risk (RR) 0...
August 22, 2018: International Journal of Oral and Maxillofacial Surgery
Y Wang, C Chen, H L Zang, Y H Liang
AIM: To evaluate the recovery effect of proanthocyanidin (PA) on microtensile bond strength (μTBS) to sodium hypochlorite (NaOCl)-treated dentine. METHODOLOGY: Fifty-five freshly extracted third molars with intact dental crowns, no caries or restorations were sectioned to expose a sound middle layer of dentine and were randomly divided into 11 groups. In the blank control group, dentine surfaces were immersed in deionized water for 20 min. In the negative control group, dental surfaces were immersed in 5...
August 25, 2018: International Endodontic Journal
Tung Nguyen, Eui Seon Baek, Soonshin Hwang, Kyung-Ho Kim, Chooryung J Chung
This report illustrates the successful nonsurgical and nonprosthetic camouflage treatment of a skeletal Class II open bite malocclusion combined with missing mandibular first molars bilaterally. In the mandible, the second and third molars were uprighted and protracted, substituting for the missing first molars. In the maxilla, anterior bodily retraction and full-arch intrusion were achieved following premolar and second molar extraction, which also induced autorotation of the mandible. The treatment outcome and prognosis were confirmed with three-dimensional superimposition techniques, along with long-term stability...
August 20, 2018: Angle Orthodontist
Fabiana Brito Da Cunha, Beatriz Helena Rodrigues E Silva, Brennda Lucy Freitas De Paula, Cristiane de Melo Alencar, Fernanda Ferreira de Albuquerque Jassé, Cecy Martins Silva
Context: Remineralizing agents have been recommended to restore the integrity of bleached enamel. Aims: The aim of this study was to evaluate the effect of fluoride at high concentration (5000 ppm) applied to bleached enamel. Materials and Methods: A total of 30 specimens obtained from newly extracted third molars were divided into two groups ( n = 15) as follows: control group and fluoride group. Specimens of both groups received bleaching treatment with 35% hydrogen peroxide, were then submitted to the Vickers hardness number/colorimetric test (VHN/CT) ( n = 5) and Ra ( n = 10) tests, and stored in artificial saliva...
July 2018: Journal of Conservative Dentistry: JCD
Salian Kiran Kumar Krishanappa, Prashanti Eachempati, Sumanth Kumbargere Nagraj, Naresh Yedthare Shetty, Soe Moe, Himanshi Aggarwal, Rebecca J Mathew
BACKGROUND: An oro-antral communication is an unnatural opening between the oral cavity and maxillary sinus. When it fails to close spontaneously, it remains patent and is epithelialized to develop into an oro-antral fistula. Various surgical and non-surgical techniques have been used for treating the condition. Surgical procedures include flaps, grafts and other techniques like re-implantation of third molars. Non-surgical techniques include allogenic materials and xenografts. This is an update of a review first published in May 2016...
August 16, 2018: Cochrane Database of Systematic Reviews
Carlo Fornaini, Elisabetta Merigo, Federica Poli, Jean-Paul Rocca, Stefano Selleri, Giuseppe Lagori, Annamaria Cucinotta
Background and Aim: An important surgical goal is to provide a first intention wound healing without trauma produced by sutures and for this aim in the past several methods have been tested. The aim of this ex vivo preliminary study was to demonstrate the capacity of a 1070 nm pulsed fiber laser to treat the dental fractures by enamel and dentine melting with the apposition of hydroxyapatite nanoparticles as filler. Methods: Out of thirty freshly-extracted human third molars, decay-free, twenty-four cylinders of 5 mm thickness were obtained to perform the test...
June 30, 2018: Laser Therapy
R Valencia, R Espinosa, N Borovoy, S Pérez, I Ceja, M Saadia
PURPOSE: The goal of this in vitro study was to identify whether occlusal enamel deproteinization is effective in the removal of organic material in order to obtain quality etching patterns using phosphoric acid (H3 PO4 ) and sodium hypochlorite (NaOCl) compared to phosphoric acid alone. STUDY DESIGN: Nine extracted third permanent molars were polished with pumice and water. Every pit and fissure was evaluated as a unit, resulting in 40 individual units and then these were divided into five treatment groups...
2018: Journal of Clinical Pediatric Dentistry
Reann Cornell, Jae Hyun Park
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Influence of orthodontic premolar extraction therapy on the eruption of the third molars: A systematic review of the literature. Brezulier D, Fau V, Sorel O. J Am Dent Assoc 2017;148(12):903-12. SOURCE OF FUNDING: Information not available.
September 2018: Journal of Evidence-based Dental Practice
Soner Karaali, Ufuk Emekli
Myositis ossificans (MO) is a rare non-neoplastic disorder characterized by heterotopic ossification in soft tissues, mainly muscles. MO traumatica is characterized by ossification of the soft tissues after acute or repetitive trauma, burns, or surgical intervention. Muscular or soft tissue trauma is usually present as the underlying etiology. MO traumatica usually involves the extremity muscles. The number of reported cases involving the masticatory muscles is extremely low. The most common clinical sign of this condition is progressive limitation of mouth opening...
July 10, 2018: Journal of Oral and Maxillofacial Surgery
Do-Hoon Kim, Sang-Jin Sung
A 20-year-old woman had a severe anterior skeletal open bite and a moderate skeletal Class III relationship with a prognathic mandible and a straight profile. She declined surgery. However, molar intrusion in a Class III patient with a straight profile can cause forward mandibular rotation and deterioration of the profile to a concave pattern. We used digital facial profile prediction software to determine whether the orthodontic compensation treatment would be acceptable to the patient. The final treatment plan consisted of extraction of the third molars, maxillary molar intrusion, and total distalization of the mandibular dentition with multiple microscrew implants...
August 2018: American Journal of Orthodontics and Dentofacial Orthopedics
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