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Molar surgical extraction

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https://www.readbyqxmd.com/read/28713729/piezosurgery-versus-rotatory-osteotomy-in-mandibular-impacted-third-molar-extraction
#1
Bharat Bhati, Pankaj Kukreja, Sanjeev Kumar, Vidhi C Rathi, Kanika Singh, Shipra Bansal
AIM: The aim of this study is to compare piezoelectric surgery versus rotatory osteotomy technique in removal of mandibular impacted third molar. MATERIALS AND METHODS: Sample size of 30 patients 18 males, 12 females with a mean age of 27.43 ± 5.27. Bilateral extractions were required in all patients. All the patients were randomly allocated to two groups in one group, namely control group, surgical extraction of mandibular third molar was done using conventional rotatory osteotomy and in the other group, namely test group, extraction of lower third molar was done using Piezotome...
January 2017: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28711570/anesthetic-management-of-reversible-cerebral-vasoconstriction-syndrome-a-case-report
#2
Hiroshi Hoshijima, Naoki Itoh, Yoshinori Iwase, Hiroshi Nagasaka
Reversible cerebral vasoconstriction syndrome (RCVS) is a group of disorders characterized by prolonged reversible cerebral vasoconstriction, associated with acute-onset, severe, episodic "thunderclap" headaches with or without other neurologic clinical features. We describe the first reported case, to our knowledge, of a patient with RCVS who was managed under general anesthesia in the field of oral and maxillofacial surgery. A 67-year-old woman with a diagnosis of RCVS made 2 months earlier was scheduled to undergo surgical extraction of the mandibular right third molar...
June 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28708643/rare-complication-in-third-maxillary-molar-extraction-dislocation-in-infratemporal-fossa
#3
Andrea Battisti, Paolo Priore, Filippo Giovannetti, Giorgio Barbera, Francesco D'Alessandro, Valentino Valentini
AIM: Removal of impacted third maxillary molar is frequently carried out without difficulties and low rate of intraoperative complications. The rare and particularly challenger to manage it is the third molar dislocation into the infratemporal fossa (IF). In this clinical report, the authors present their solution to manage and resolve this particular complication. METHODS: A 28-year-old woman was referred to the emergency rescue unit of the authors' hospital by her dentistry, after the attempt to extract the left impacted maxillary third molar...
July 13, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28675812/pre-emptive-effect-of-dexamethasone-and-diclofenac-sodium-associated-with-codeine-on-pain-swelling-and-trismus-after-third-molar-surgery-a-split-mouth-randomized-triple-blind-controlled-clinical-trial
#4
Thiago César Lima, Elizabete Bagordakis, Saulo Gabriel Moreira Falci, Cássio Roberto Rocha Dos Santos, Marcos Luciano Pimenta Pinheiro
PURPOSE: We aimed to compare the effect of dexamethasone, 8 mg, and diclofenac sodium, 50 mg, associated with codeine, 50 mg, on the control of pain, swelling, and trismus after extraction of impacted third molars. MATERIALS AND METHODS: Fifteen healthy patients with a mean age of 22.8 years (SD, 12.62 years) received a single oral dose of either drug 1 hour before each surgical procedure (left and right teeth). At 24, 48, and 72 hours after surgery, swelling was determined by use of linear measurements on the face and trismus was determined by maximal mouth opening...
June 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28672139/management-of-surgical-third-lower-molar-extraction-and-postoperative-progress-in-patients-with-factor-vii-deficiency-a-clinical-protocol-and-focus-on-this-rare-pathologic-entity
#5
Pier Carmine Passarelli, Guido Pasquantonio, Antonio D'Addona
PURPOSE: The purpose of the present study was to analyze the management of surgical third molar extraction and postoperative progress in patients with a diagnosis of factor VII deficiency. Close collaboration between the oral-maxillofacial surgeon and hematologist will allow the team to categorize the risk and operate safely, thereby minimizing the incidence and severity of intraoperative and postoperative complications. MATERIALS AND METHODS: The present retrospective study included 7 patients with factor VII deficiency who had undergone third lower molar surgery...
June 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28672135/local-application-of-platelet-rich-fibrin-during-lower-third-molar-extraction-improves-treatment-outcomes
#6
REVIEW
Yun He, Junliang Chen, Yue Huang, Qin Pan, Minhai Nie
PURPOSE: Application of platelet-rich fibrin (PRF) during tooth extraction is able to accelerate wound healing, stimulate osseous and soft tissue regeneration, and reduce unwanted side effects. The aim of this meta-analysis was to investigate the effect of local application of PRF on controlling postoperative signs and symptoms after the extraction of an impacted lower third molar. MATERIALS AND METHODS: A systematic search of PubMed, Web of Science, Embase, and the Cochrane Library was performed to identify all studies published up to October 2016 that investigated the effect of PRF on lower third molar extraction...
June 8, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28665850/displacement-of-a-broken-dental-injection-needle-into-the-perivertebral-space
#7
Bayram Sahin, Senem Yildirimturk, Yigit Sirin, Bora Basaran
Dental injection needle breakage is an uncommon problem in dental practice. Displacement of the broken fragment into anatomical spaces is, on the other hand, a serious complication that occurs most commonly during inferior alveolar nerve blocks as a result of material wear, incorrect application of the anesthesia technique, or sudden movement of the patient during injection. Further complications such as infection, trismus, and nerve paralysis may exacerbate the condition and, if not treated adequately, life-threatening conditions may develop over time as the fragment dislodges deeper in soft tissues...
July 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28651712/piezoelectric-instruments-used-for-odontosection-or-osteotomy-may-result-in-less-trismus-after-surgical-mandibular-third-molar-extraction-than-rotatory-instruments
#8
Romina Brignardello-Petersen
No abstract text is available yet for this article.
July 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/28617402/-retrospective-study-on-treatment-results-of-patients-with-bone-destruction-in-lower-molars-roots-area
#9
V A Semkin, Z M Izmailova, P A Koloticov
The paper presents retrospective study on the efficiency of tooth protecting operations in patients with odontogenic bone destruction in lower molars roots area. The study was based on the analysis of medical records of patients treated in Central Research Institute of Dentistry and Maxillofacial Surgery from 2011 to 2016. Tooth protecting procedures because of bone destruction in lower molars were carried out in 98 patients but only 59 of them were accessible to proper follow-up. Complications were seen in 15...
2017: Stomatologii︠a︡
https://www.readbyqxmd.com/read/28607555/an-observational-cohort-study-on-delayed-onset-infections-after-mandibular-third-molar-extractions
#10
Giulia Brunello, Marleen De Biagi, Giulia Crepaldi, Fernanda Izaura Rodrigues, Stefano Sivolella
OBJECTIVES: The purpose of the present study was to investigate the occurrence and clinical features of delayed-onset infections after mandibular third-molar extractions. METHOD AND MATERIALS: An observational cohort study was conducted on 179 patients undergoing mandibular third-molar extraction between January 2013 and December 2015, for a total of 217 extractions. Data were recorded at the time of extraction (T0), on suture removal seven days later (T1), and 30 days after the extraction, when patients were contacted and asked about their healing process (T2)...
2017: International Journal of Dentistry
https://www.readbyqxmd.com/read/28604375/retained-upper-third-molars-during-le-fort-i-osteotomy-with-downfracture
#11
Marco Friscia, Marzia Petrocelli, Carolina Sbordone, Raffaele Corvino, Fabio Maglitto, Francesco Maria Cassandro, Giorgio Iaconetta, Luigi Califano
AIM: The aim of our study is to demonstrate that the presence of upper wisdom teeth must be evaluated before and during Le Fort I osteotomy because attention must be focused to the disadvantages or facilitations of surgery depending on molar presence. MATERIALS OF STUDY: Our study has analyzed two groups, each one including 20 patients, 10 males and 10 females, with an age between 16-30 years. The first group was treated with le Fort I osteotomy leaving in situ the wisdom upper third molars...
2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/28597117/oral-dexamethasone-decreases-postoperative-pain-swelling-and-trismus-more-than-diclofenac-following-third-molar-removal-a-randomized-controlled-clinical-trial
#12
Carlos Alysson Aragão Lima, Vinícius Tatsumoto Favarini, Alexandre Machado Torres, Rogério Almeida da Silva, Fábio Ricardo Loureiro Sato
PURPOSE: The aim of this study was to compare the anti-inflammatory potential of two pharmacotherapy protocols based on the parameters of pain, trismus, and swelling, after extraction of third molars. METHODS: Thirty patients selected with symmetrical impaction of third molars were submitted to surgical procedures in both sides in different times. For one group, dexamethasone was used for 3 days, and for another group diclofenac sodium was also used for the same period...
June 8, 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28578368/effect-of-pre-operatory-low-level-laser-therapy-on-pain-swelling-and-trismus-associated-with-third-molar-surgery
#13
M Petrini, M Ferrante, P Trentini, G Perfetti, G Spoto
BACKGROUND: The extraction of impacted third molars is commonly associated to pain, edema, trismus, limited jaw opening and movements. The aim of this retrospective study is to verify if pre-surgical low-level laser therapy (LLLT) associated with the extraction of impacted lower third molars could add benefits to the postoperative symptoms respect LLLT performed only after surgery. MATERIAL AND METHODS: Data from 45 patients subjected to a surgical extraction of lower third molars were pooled and divided into three groups...
July 1, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/28576461/osteomyelitis-of-the-jaw-with-pathological-fracture-following-extraction-of-an-impacted-wisdom-tooth-a-case-report
#14
B González-Navarro, C Arranz-Obispo, R Albuquerque, E Jané-Salas, J López-López
Osteomyelitis is an infection and inflammation associated with the bone structures: bone marrow, cortical bone, periosteum, blood vessels and nerves. Although it does not have a frequent presentation, it can sometimes lead to complications such as pathological fractures or even septicemia. We present a clinical case study, to assess the relationship between osteomyelitis of the jaw and pathological fractures, after the extraction of an impacted wisdom tooth. This case highlights a rare complication following the surgical removal of mandibular third molar; a slow evolution of the pathology following an extraction should lead to close monitoring of the patient both clinically and radiographically, albeit osteomyelitis is a rare complication, it should be included as one of the differential diagnosis of persistent post-extraction pain...
May 30, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28570409/microsurgical-decompression-of-inferior-alveolar-nerve-after-endodontic-treatment-complications
#15
Bernardo Bianchi, Andrea Ferri, Andrea Varazzani, Michela Bergonzani, Enrico Sesenna
Iatrogenic injury in oral surgery is the most frequent cause of sensory disturbance in the distribution of the inferior alveolar nerve (IAN) and mental nerve.Inferior alveolar nerve damage can occur during third molar extraction, implant location, orthognathic surgery, preprosthetic surgery, salivary gland surgery, local anesthetic injections or during the resection of benign or malignant tumors.Injuries to the IAN can be caused also by endodontic treatment of mandibular molars and premolars when filling material is forced into the tooth and mandibular canal...
May 31, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28555210/report-of-a-jaw-osteonecrosis-possibly-caused%C3%A2-by-denosumab
#16
Daniel Saad, Patrick Saad
PURPOSE: To report a case of osteonecrosis of the jaw (ONJ) occurring in an implant area possibly related to denosumab, a relatively new antiosteoporotic agent. MATERIALS AND METHODS: Two months following the extraction of both maxillary first molars, a bilateral maxillary sinus floor elevation was performed on a 64-year-old female patient under a biannual 
60 mg denosumab antiosteoporotic treatment. Seven months later, two implants were inserted in a single-stage procedure in each of the grafted sinuses...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28555207/molar-replacement-with-7-mm-wide-diameter-implants-to-place-the-implant-immediately-or-to-wait-4-months-after-socket-preservation-%C3%A2-1-year-after-loading-results-from-a-randomised-controlled-trial
#17
Marco Tallarico, Erta Xhanari, Milena Pisano, Fulvio Gatti, Silvio Mario Meloni
PURPOSE: To test the hypothesis that there is no difference in clinical, radiographic and aesthetic outcomes positioning single post-extractive 7 mm-diameter implants or waiting 4 months after molar extraction and socket preservation procedure. MATERIAL AND METHODS: Patients requiring one implant-supported single restoration to replace a failing tooth in the molar region of both maxilla and mandible were selected. Patients were randomised according to a parallel group design into two arms: implant installation in fresh extraction sockets grafted with cortico-cancellous heterologous bone and porcine derma (group A) or delayed implant installation 4 months after tooth extraction and socket preservation using the same materials (group B)...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28546594/patient-safety-reducing-the-risk-of-wrong-tooth-extraction
#18
P Cullingham, A Saksena, M N Pemberton
Over recent years there has been an increased emphasis on improving patient safety in all branches of medicine, with reducing wrong tooth extraction being a priority in dentistry. The true incidence of wrong tooth extraction is unknown but it is considered an avoidable harm and is a significant source of dental litigation. Interventions to reduce wrong tooth extraction include educational programmes encompassing human factor training, patient assisted identification, the use of checklists, marking of surgical sites and implementation of patient safety guidelines...
May 26, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28538371/comparison-of-the-efficacy-and-safety-of-2-lidocaine-hcl-with-different-epinephrine-concentration-for-local-anesthesia-in-participants-undergoing-surgical-extraction-of-impacted-mandibular-third-molars-a-multicenter-randomized-double-blind-crossover-phase-iv
#19
RANDOMIZED CONTROLLED TRIAL
Myong-Hwan Karm, Fiona Daye Park, Moonkyu Kang, Hyun Jeong Kim, Jeong Wan Kang, Seungoh Kim, Yong-Deok Kim, Cheul-Hong Kim, Kwang-Suk Seo, Kyung-Hwan Kwon, Chul-Hwan Kim, Jung-Woo Lee, Sung-Woon Hong, Mi Hyoung Lim, Seung Kwan Nam, Jae Min Cho
BACKGROUND: The most commonly impacted tooth is the third molar. An impacted third molar can ultimately cause acute pain, infection, tumors, cysts, caries, periodontal disease, and loss of adjacent teeth. Local anesthesia is employed for removing the third molar. This study aimed to evaluate the efficacy and safety of 2% lidocaine with 1:80,000 or 1:200,000 epinephrine for surgical extraction of bilateral impacted mandibular third molars. METHODS: Sixty-five healthy participants underwent surgical extraction of bilateral impacted mandibular third molars in 2 separate visits while under local anesthesia with 2% lidocaine with different epinephrine concentration (1:80,000 or 1:200,000) in a double-blind, randomized, crossover trial...
May 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28525303/low-level-laser-therapy-after-wisdom-teeth-surgery-evaluation-of-immunologic-markers-secretory-immunoglobulin-a-and-lysozyme-levels-and-thermographic-examination-placebo-controlled-study
#20
Tatjana Dostalova, Veronika Kroulikova, Stepan Podzimek, Helena Jelinková
OBJECTIVE: The goal of this investigation is to analyze the effect of therapeutic low-level laser therapy (LLLT) to have a possibility to check pain and inflammation connected with surgical removal of impacted lower third molars in general anesthesia or even phobia [not accompanied by pain or fear of dental treatment, using immunologic markers-secretory immunoglobulin A (sIgA) and lysozyme]. The healing process was also monitored by infrared thermography. BACKGROUND DATA: LLLT can accelerate the proliferation phase of healing and decrease the inflammatory reaction, but the effect is not really clear...
May 16, 2017: Photomedicine and Laser Surgery
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