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Wisdom teeth

F Costantinides, M Biasotto, M Maglione, R Di Lenarda
The choice of the anaesthetic modality is one of the primary steps during planning of third molar surgery. The aim of the present study was to compare the risk of developing neurological injures of the inferior alveolar nerve (IAN) and lingual nerve (LN) in patients treated for wisdom teeth removal under general anaesthesia (GA) with a group treated under local anaesthesia (LA). _Material and Methods: This is an observational retrospective, unicentric study; between September 2013 and September 2014, 534 patients underwent third molar surgery, 194 (36,3%) under GA and 340 (63,7%) under LA by the same oral surgeon...
October 1, 2016: Medicina Oral, Patología Oral y Cirugía Bucal
Berna Gokkaya, Betul Kargul
OBJECTIVE: The aim of this study was to assess the prevalence and pattern of congenital missing teeth in the permanent dentition (excluding wisdom teeth), among Turkish children in a 4-year period (2009-2012). METHODS: The study group comprised 1658 children (873 girls, 785 boys). The children were examined in Department of Pediatric Dentistry, Dental School of Marmara University. A chi square test was used to determine the difference in the prevalence of hypodontia between genders...
March 2016: Acta Stomatologica Croatica
V Toedtling, P Coulthard, G Thackray
Objectives The objectives of the prospective study were to establish the prevalence of distal caries (DC) in the mandibular second molar and to assess the outcomes of these diseased teeth in our population. Further aims were to identify associated risk factors and to design a protocol for prevention.Methods Clinical and radiographic data from 210 consecutive patients were ascertained over a three-month period. The sample population included all patients who had been referred to a hospital oral surgery department for a lower wisdom tooth assessment...
September 23, 2016: British Dental Journal
Jin Zhang, Jake Chen
The regeneration of damaged bone tissues to a pre-disease state has been a major goal for both clinicians and researchers worldwide. However, critical-sized bone defects which are unable to heal completely are a major clinical concern because effective, evidence-based regenerative therapy is still missing. Bone tissue engineering, aiming at providing novel and effective materials to promote bone regeneration, has been considered as a promising alternative to the traditional use of autografts, allografts and xenografts based on the fact that engineered bone tissue has limitless supply and has no disease transmission...
September 21, 2016: Current Stem Cell Research & Therapy
Kai-Hendrik Bormann, Kristina Weber, Heike Kloppenburg, Armin Koch, Peter Meiser, Nils-Claudius Gellrich
Reduction in postoperative edema and inflammatory reactions is the key to the posttraumatic regeneration process. Use of bromelain is well established in this indication, but there is some controversy with regard to the optimal dosing of this drug. The aim of our study was therefore to investigate the efficacy of dosage-dependent therapy with bromelain in patients after wisdom teeth extraction by comparing the registered dosage 1000 FIP (Fédération Internationale Pharmaceutique) against higher dosages of 3000 FIP and 4500 FIP...
September 6, 2016: Phytotherapy Research: PTR
Hossein Ghaeminia, John Perry, Marloes E L Nienhuijs, Verena Toedtling, Marcia Tummers, Theo J M Hoppenreijs, Wil J M Van der Sanden, Theodorus G Mettes
BACKGROUND: Prophylactic removal of asymptomatic disease-free impacted wisdom teeth is surgical removal of wisdom teeth in the absence of symptoms and with no evidence of local disease. Impacted wisdom teeth may be associated with pathological changes, such as pericoronitis, root resorption, gum and alveolar bone disease (periodontitis), caries and the development of cysts and tumours. When surgical removal is carried out in older people, the risk of postoperative complications, pain and discomfort is increased...
2016: Cochrane Database of Systematic Reviews
Qiang Zhu, Gang Tian, Zhen Tang, Jianyong Gao, Yinghui Tan
INTRODUCTION: Adrenomedullin (ADM) is highly expressed in dental tissues at the critical developmental time points during tooth development. However, its role in pulp repair and pulp injury is still unknown. The study aimed to investigate the mechanisms by which ADM affects the proliferation and apoptosis of human dental pulp stem cells (DPSCs). METHODS: Fifty-four freshly extracted wisdom teeth were obtained from 27 patients with caries and 27 without. Enzyme-linked immunosorbent assay and immunohistochemistry were used to examine the expression levels of ADM in caries and normal pulp tissues...
September 2016: Journal of Endodontics
Maryam Rezia Rad, Moein Khojaste, Mehrnoosh Hasan Shahriari, Saeed Asgary, Arash Khojasteh
OBJECTIVES: Growth factors play a significant role in cell proliferation and differentiation during different stages of the bone repair. However, several limitations have been brought researchers attention to an osteoinductive small molecule including Purmorphamine. In this study, we aimed to evaluate the effect of Purmorphamine on adhesion, proliferation and differentiation of human dental pulp stem cells (hDPSCs) seaded on beta-tricalcium phosphate (β-TCP) granules. METHODS: hDPSCs were established from extracted wisdom teeth of healthy volenteers...
August 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
Erol Cansiz, Sabri Cemil Isler, B Alper Gultekin
Mandibular third molars are the most common impacted teeth. Mandibular first and second molars do not share the same frequency of occurrence. In rare cases the occlusal surfaces of impacted molars are united by the same follicular space and the roots pointing in opposite direction; these are called kissing molars. In some cases, a supernumerary fourth molar can be seen as unerupted and, in this case, such a supernumerary, deeply impacted fourth molar is seen neighboring kissing molars. The extraction of deeply impacted wisdom molars from the mandible may necessitate excessive bone removal and it causes complications such as damage to the inferior alveolar nerve and iatrogenic fractures of the mandible...
2016: Case Reports in Dentistry
Volkan Kaplan, Cennet Neslihan Eroğlu
PURPOSE: The aim of the present study was to compare the effects of daily single-dose use of flurbiprofen, diclofenac sodium, and tenoxicam on pain, swelling, and trismus that occur after surgical extraction of impacted wisdom teeth using local anesthesia. MATERIALS AND METHODS: The present study included 3 groups with 30 patients in each group. Those volunteering to participate in this double-blind randomized study (n = 90) were selected from a patient population with an indication for extraction of impacted wisdom teeth...
October 2016: Journal of Oral and Maxillofacial Surgery
O Yitschaky, M Segev-Neuhof, A Laviv
The debate regarding prophylactic extraction of mandibular third molar (Wisdom teeth) is not new. There is wide agreement among clinicians and researchers that an extraction in young age is easier and safer, but it may result in overtreatment, which means an unnecessary extraction of teeth that might have been functional and healthy. In order to avoid such overtreatment the clinician is obliged to be able to predict accurately the chances of third molar eruption, years before they are due to erupt. Additionally, the clinician has to estimate the chances for future pathology or infection that will force the patient to extract the tooth in years to come...
January 2016: Journal of the Israel Dental Association
Nobuhito Kamekura, Yukie Nitta, Shigeru Takuma, Toshiaki Fujisawa
We report the successful management of general anesthesia for a patient with Pelizaeus-Merzbacher disease (PMD). PMD is one of a group of progressive, degenerative disorders of the cerebral white matter. The typical clinical manifestations of PMD include psychomotor retardation, nystagmus, abnormal muscle tone, seizures, and cognitive impairment. General anesthesia for a patient with PMD may be difficult mainly because of seizures and airway complications related to poor pharyngeal muscle control. In addition, the possibility of exacerbation of spasticity should be considered...
2016: Anesthesia Progress
Nabil Khzam, Adam Fell, Anthony Fisher, Paul Kim, Usman A Khan, Mahmoud M Bakr
Periodontal disease is a chronic inflammation of the tooth supporting structures. It leads to bone and attachment loss which is irreversible. Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M). We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar. We showed that oral hygiene measures, surgical access, mixture of autogenous and synthetic bone graft, and guided tissue regeneration (GTR) were enough to control the problem...
2016: Case Reports in Dentistry
Aysenur Nergiz Tanidir, Mustafa Sancar Atac, Ezgi Karacelebi
Dental fear is the fourth most common fear among the population. Well-informed patients seemed to be less anxious, and have the least anxiety before a planned procedure. Our aim was to find out the ideal way of information required by the patient before extraction of an impacted wisdom tooth. A total of 129 patients listed for extraction of impacted teeth were randomly allocated into three groups: control group (n=42); video dubbed by the surgeon (n=43); and silent video (n=44). Their sociodemographic variables and baseline anxiety scores were comparable, and each group was assessed for anxiety: (1) three days preoperatively, (2) after they had watched a video, (3) immediately preoperatively and (4) postoperatively...
July 2016: British Journal of Oral & Maxillofacial Surgery
Uta Gönner
UNLABELLED: Date of birth: 8 May 2000; sex: female. A. PRETREATMENT RECORDS: 9 years 9months; 4/2010. DIAGNOSIS: Angle Class I. II with ectopic 13, 23; mesial tipping of the roots of 12-22 and space opening at 12-22. Lack of space in 13 and 23 areas. Early loss of 53-63 due to undermining resorption and mesial migration of deciduous molars and first molars. Lower anterior crowding. Deep bite. TREATMENT PLAN: Distalization of the upper molars and premolars...
June 2016: International Orthodontics
A Caillot, A Veyssière, A Chatellier, D Diep, A Ambroise, H Bénateau
INTRODUCTION: There is no recommendation concerning wisdom teeth (WT) extraction in mandibular orthognathic surgery. We carried out an investigation among the members of the French Society of Stomatology and Oro-maxillofacial Surgery (SFSCMFCO), in order to evaluate the practices and habits of maxillofacial surgeons in this field. MATERIALS AND METHODS: We emailed the 424 members of the SFSCMFCO with a questionnaire. RESULTS: We obtained 143 feedbacks that could be exploited...
June 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
Clayton M Davis, Curtis E Gregoire, Thomas W Steeves, Amanda Demsey
PURPOSE: The purpose of this retrospective study was to determine the prevalence of surgical site infection (SSI) after orthognathic surgery at the Department of Oral and Maxillofacial Surgery of Capital Health and Dalhousie University (Halifax, NS, Canada). PATIENTS AND METHODS: A retrospective chart review of all patients undergoing orthognathic surgery from October 2005 through April 2013 was performed. The outcome variable was SSI. The primary predictor variable was the antibiotic used for prophylaxis...
June 2016: Journal of Oral and Maxillofacial Surgery
Isil Buyukhatipoglu, A Semih Ozsevik, Asli Secilmis, Aslihan Usumez
The aim of this study was to compare the effect of Er:YAG laser irradiation and adhesive systems on the microtensile bond strength (μTBS) of flowable resin to dentin. The flat dentin surfaces of 30 wisdom molar teeth were randomly divided into 3 groups (n=10): no laser etching (control), laser etching using QSP and MSP modes. After the application of the flowable and the composite resin, and 5,000 thermal aging, the μTBS results were analyzed with two-way analysis of variance and Tukey's honest standard of difference (HSD) tests...
2016: Dental Materials Journal
Roman K Rahimi-Nedjat, Keyvan Sagheb, Collin Jacobs, Christian Walter
BACKGROUND/AIM: Fractures of the mandible, especially the mandibular angle, are one of the most frequent types of injuries of the facial skeleton. In many cases, a retained third molar can be found in the line of the fracture. However, it remains unclear whether a relationship between third molars and mandibular angle fractures exists. MATERIALS AND METHODS: Patients with isolated or combined fractures of the lower jaw between January 2001 and December 2007 were analyzed retrospectively...
October 2016: Dental Traumatology: Official Publication of International Association for Dental Traumatology
Edwin Seet, Chen Mei Liaw, Sylvia Tay, Chang Su
INTRODUCTION: Pain after wisdom teeth surgery can be moderate in severity and is compounded by preoperative anxiety in young patients. We studied the effect of melatonin premedication on postoperative pain and preoperative anxiety in patients undergoing wisdom teeth extractions. METHODS: This randomised controlled trial recruited 76 patients at Khoo Teck Puat Hospital who were American Society of Anesthesiologists physical status I and II, aged 21 to 65 and scheduled to undergo elective extraction of all four wisdom teeth under general anaesthesia...
December 2015: Singapore Medical Journal
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