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Impacted third molar

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https://www.readbyqxmd.com/read/29135272/-protecting-the-inferior-alveolar-nerve-coronectomy-of-lower-third-molars-review
#1
József Szalma, Edina Lempel
Coronectomy of lower impacted wisdom teeth is the partial removal of third molars, aiming to avoid inferior alveolar nerve injuries. The coronectomy procedure has several crucial points, such as the pulpal, periapical preoperative conditions of the tooth, the way of crown sectioning and decoronation, the wound closure and the length of patients' follow up. In addition it is important to identify and manage possible intraoperative or postoperative complications correctly. According to the literature, the complication rate of coronectomy is usually lower, than that of total teeth removal, furthermore considering inferior alveolar nerve injuries, coronectomy is significantly the safer procedure...
November 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/29133965/evaluation-of-adjunctive-effect-of-low-level-laser-therapy-on-pain-swelling-and-trismus-after-surgical-removal-of-impacted-lower-third-molar-a-double-blind-randomized-clinical-trial
#2
Farrokh Farhadi, Hosein Eslami, Alireza Majidi, Vahid Fakhrzadeh, Milad Ghanizadeh, Sahar KhademNeghad
Background and Aim: Wisdom teeth remains impacted in the jaw due to several reasons and surgery of impacted wisdom teeth is one of the most common surgeries in dental clinics. Pain, swelling and trismus are the common complications after this surgery which affect quality of life. In articles, various methods are introduced to control immediate inflammatory-response associated with third-molar surgery. The aim of this study is to evaluate the adjunctive effect of low-level laser Therapy on pain, swelling and trismus after surgical removal of impacted lower third molar...
September 30, 2017: Laser Therapy
https://www.readbyqxmd.com/read/29126539/sublingual-dexamethasone-may-result-in-a-small-decrease-in-pain-after-impacted-mandibular-third-molar-surgical-extraction
#3
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/29104396/treatment-of-maxillary-impacted-canine-using-ballista-spring-and-orthodontic-wire-traction
#4
Pradeep Raghav, Kanika Singh, C Munish Reddy, Divya Joshi, Shalu Jain
In orthodontic practice, impaction of maxillary permanent canines is a frequently encountered clinical problem. After the third molar, the canine is the most frequently impacted tooth. For functional occlusion, bringing the impacted canine into occlusion is important to achieve final esthetic in orthodontic practice. This article illustrates a distinct case in which the three permanent canines maintained their unerupted status till the age of 18 years. The three impacted canines were surgically exposed, attachment bonded, traction given with ballista spring for vertical and labial movement, and ideally positioned with fixed orthodontic mechanotherapy...
July 2017: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/29089549/mesiolingual-root-rotation-for-horizontal-mandibular-third-molar-extraction-position-classification-and-surgical-simulation
#5
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/29080607/different-flap-designs-have-no-impact-on-periodontal-outcomes-on-second-molars-after-impacted-third-molar-extraction
#6
Yong Hur, Yumi Ogata
No abstract text is available yet for this article.
November 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29072245/impact-of-oral-antibiotics-on-health-related-quality-of-life-after-mandibular-third-molar-surgery-an-observational-study
#7
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/29054564/extraction-of-mandibular-third-molars-proposal-of-a-new-scale-of-difficulty
#8
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
#9
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/29053655/assessment-of-pre-and-postoperative-anxiety-in-patients-undergoing-ambulatory-oral-surgery-in-primary-care
#10
E Reyes-Gilabert, L-G Luque-Romero, G Bejarano-Avila, A Garcia-Palma, A Rollon-Mayordomo, P Infante-Cossio
BACKGROUND: To analyze the pre- and postoperative anxiety level in patients undergoing ambulatory oral surgery (AOS) in a primary healthcare center (PHC). MATERIAL AND METHODS: Prospective and descriptive clinical study on 45 patients who underwent AOS procedures in the dental clinic of a public PHC of Spain between April and September 2015. Anxiety analysis was carried out with pre- and postoperative anxiety-state (STAI-S), anxiety-trait (STAI-T) and dental anxiety (MDAS) questionnaires...
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
#11
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/29038638/a-self-retaining-lingual-flap-guarding-device-during-surgical-removal-of-impacted-mandibular-third-molar
#12
Yuvaraj Vaithilingam, T S Balaji, Nithin Jude Joseph, Varsha Murthy, Suresh Kumar
INTRODUCTION: Lingual nerve damage is one of the common complications following mandibular third molar surgery. On considering the impact of lingual nerve damage on the patient's quality of life, it is necessary to exercise caution to minimize its occurrence. MATERIAL AND METHODS: Although many lingual retractors are available, in this article we describe an indigenously designed lingual retractor for use in mandibular third molar surgery. CONCLUSION: The indigenous lingual retractor described in this article provides advantages like clear access and excellent retention unlike conventional retractors...
December 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29038632/evaluation-of-post-surgical-bacteremia-with-use-of-povidone-iodine-and-chlorhexidine-during-mandibular-third-molar-surgery
#13
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/28989897/three-dimensional-analysis-of-impacted-maxillary-third-molars-a-cone-beam-computed-tomographic-study-of-the-position-and-depth-of-impaction
#14
Priscila Ferreira de Andrade, Jesca Neftali Nogueira Silva, Bruno Salles Sotto-Maior, Cleide Gisele Ribeiro, Karina Lopes Devito, Neuza Maria Souza Picorelli Assis
PURPOSE: The classification of impacted maxillary third molars (IMTMs) facilitates interdisciplinary communication and helps estimate the degree of surgical difficulty. Thus, this study aimed to develop a 3-dimensional classification of the position and depth of impaction of IMTMs and to estimate their prevalence with respect to gender and age. MATERIALS AND METHODS: This cross-sectional retrospective study analyzed images in sagittal and coronal cone-beam computed tomography (CBCT) sections of 300 maxillary third molars...
September 2017: Imaging Science in Dentistry
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
#15
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/28982352/how-effective-is-collagen-resorbable-membrane-placement-after-partially-impacted-mandibular-third-molar-surgery-on-postoperative-morbidity-a-prospective-randomized-comparative-study
#16
Adnan Kilinc, Mert Ataol
BACKGROUND: Collagen membranes have some benefits include promoting wound healing through isolation, clot stabilization, wound stability, and hemostasis, enhancing primary wound coverage through its chemotactic ability to attract fibroblasts, and augmenting flap thickness by providing a collagenous scaffold. The purpose of this study was to compare primary and secondary healing and collagen membrane-based primary healing after surgical removal of partial impacted mandibular third molars, evaluating the incidence of postoperative complications and analyzing the swelling, mouth opening, and pain...
October 5, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28974709/a-novel-method-in-the-removal-of-impacted-mandibular-third-molar-buccal-drainage
#17
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/28961427/comparison-of-clinical-efficacies-of-preoperatively-initiated-naproxen-sodium-codeine-phosphate-in-combination-diclofenac-potassium-and-benzydamine-hydrochloride-for%C3%A2-pain-edema-and-trismus-after%C3%A2-extraction-of-impacted-lower%C3%A2-third-molar-a-randomized-double
#18
Levent Cigerim, Cennet Neslihan Eroglu
PURPOSE: The aim of this study was to compare the clinical efficacies of naproxen sodium-codeine phosphate in combination, benzydamine hydrochloride, and diclofenac potassium for pain, edema, and trismus after lower third molar extraction. MATERIALS AND METHODS: Ninety healthy volunteers in whom impacted third molar extraction was indicated were randomly distributed into 3 groups. One hour before the tooth-extraction process, patients were administered one of the following drugs: naproxen sodium, 550 mg, and codeine phosphate, 30 mg, in a tablet; diclofenac potassium, 50 mg, in a coated pill; or benzydamine hydrochloride, 50 mg, in a coated pill...
September 8, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28955589/the-effects-of-amoxicillin-with-or-without-clavulanic-acid-on-the-postoperative-complaints-after-third-molar-surgery-a-retrospective-chart-analysis
#19
Alparslan Esen
PURPOSE: The aim of this chart-based retrospective study was to evaluate the effects of orally administered amoxicillin alone or amoxicillin combined with clavulanic acid on the frequency of post-operative complications and patients' comfort after mandibular third molar surgery. MATERIALS AND METHODS: The records of patients who had undergone lower third molar surgery between October 2014 and December 2015 were examined. A total of 62 patients who had fully impacted teeth in mesioangular position and who had been prescribed same type and dose of anti-inflammatory drug were included in this study...
2017: J Istanb Univ Fac Dent
https://www.readbyqxmd.com/read/28954756/iatrogenic-displacement-of-high-speed-bur-during-third-molar-removal
#20
Jothi Raamahlingam Rajaran, Abd Jabar Nazimi, Rama Krsna Rajandram
Surgical removal of impacted mandibular third molar is a routine procedure in oral surgery. Various iatrogenic complications related to the procedure has been discussed well in the literatures before. Some of these complications are related to the wrong usage of instruments and techniques. Here we discuss a rare complication on a 42-year-old male, related to the use of high-speed handpiece drill in mandibular third molar removal in a general dental office setting. He was referred when a high speed tungsten carbide bur was accidentally broken and displaced into the mandibular bone during surgical procedure...
September 27, 2017: BMJ Case Reports
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