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Third molar removal

Tantry Maulina, Hedy Diana, Arief Cahyanto, Amaliya
BACKGROUND: Curcumin is a turmeric contained active ingredient that has been proven to be effective in treating pain and inflammation due to its analgesic as well as anti-inflammation potential. Odontectomy, on the other hand, has been well known for its post-procedure acute inflammation pain. OBJECTIVE: The aim of the current study was to evaluate the efficacy of curcuminoid in treating acute inflammation post-operative pain in the post-surgical removal of impacted third molars patients...
June 16, 2018: Journal of Oral Rehabilitation
Luis Fernando Simoneti, Giovana Maria Weckwerth, Thiago José Dionísio, Elza Araujo Torres, Paulo Zupelari-Gonçalves, Adriana Maria Calvo, José Roberto Lauris, Flávio Cardoso Faria, Carlos Ferreira Santos
In view of the gastrointestinal problems generated by the ketoprofen use, the ketoprofen association with omeprazole is available on the market. However, this association efficacy in acute pain control has not been established. Bilateral extraction of lower third molars in similar positions is currently the most used model for the evaluation and investigation of the efficacy and pharmacological effects of new compounds for the treatment of acute postoperative pain. The randomized and crossover study consisted in evaluating the clinical efficacy of therapy performed by ketoprofen 100 mg (twice daily-b...
March 2018: Brazilian Dental Journal
Sachin Rai, Vidya Rattan, Akshat Gupta, Praveen Kumar
Aims & objective: To evaluate the efficacy of combined intralesional injection of Hyaloronidase and Triamcinolone with third molar removal in early and intermediate stage (Stage II & III) of Oral Submucous Fibrosis (OSMF) for improvement in mouth opening and hypersensitivity to food. Study design: 48 patients in stage II & III OSMF were selected for the study. All the third molars were extracted in each patient followed by 6-8 doses of combined intralesional injection of Hyaloronidase and triamcinolone at 10 days interval targeting the fibrotic bands...
May 2018: Journal of Oral Biology and Craniofacial Research
Caitlin Magraw, Matthew Pham, Timothy Neal, Barry Kendell, Glenn Reside, Ceib Phillips, Raymond P White
OBJECTIVE: This study was designed to assess the number of opioid doses available to patients from filled prescriptions after adoption, in 2017, of a multimodal analgesic protocol that included opioid prescribing to manage postoperative pain. STUDY DESIGN: Data were retrieved from records of the first 24 patients having third molar surgery in 2017 identified from appointment schedules. Inclusion criteria were American Society of Anesthesiologists risk classification I or II, age 18 to 35 years, and at least 2 lower third molars removed...
May 3, 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Hani T Ali, Mohamed I Mosleh, Maha Shawky
BACKGROUND: The aim of this paper was to identify the most important variables that predict the intensity of postoperative pain following lower third molar surgery. METHODS: A unilateral 100 impacted lower third molar teeth were surgically removed under local anesthesia. Preoperative predictor variables were categorized as demographic, anatomic and radiographic, and operative variables. Evaluation of these variables was performed through personal data, extra and intra oral examination, and radiological examination, while the postoperative pain was recorded by the patient using a visual analogue scale...
June 2018: Minerva Stomatologica
Petar Đanić, Ivan Salarić, Darko Macan
In modern times, all procedures in oral surgery need to be painless and management of postoperative pain needs to be adequate. The surgical extraction of the third molar or alveolectomy of the wisdom tooth is one of the most common surgical procedures carried out in oral surgery and it includes rising a flap, bone removal and suturing. These surgical procedures usually cause swelling, trismus and moderate to severe pain. Third molar surgery is often used as a model in clinical trials that are directed toward reducing postoperative pain and improving its management...
December 2017: Acta Stomatologica Croatica
Saikrishna Degala, Nikita A Bathija
PURPOSE: Simvastatin has been reported to promote osteoblastic activity, inhibit osteoclastic activity, and support osteoblast differentiation induced by bone morphogenetic protein. This split-mouth randomized clinical trial evaluated the effect of local application of simvastatin (10 mg) on bone regeneration after surgical removal of bilaterally impacted mandibular third molars. MATERIALS AND METHODS: A randomized, split-mouth, single-blinded, single-center trial was performed in 30 patients 18 to 40 years old requiring surgical extraction of bilaterally impacted mandibular third molars...
May 30, 2018: Journal of Oral and Maxillofacial Surgery
S Drukteinis, V Peciuliene, P M H Dummer, J Hupp
AIM: To evaluate and compare the canal shaping ability of BioRace, ProTaper NEXT, and Genius engine driven nickel-titanium (NiTi) file systems in extracted mandibular first molars using micro-computed tomography (MCT). METHODOLOGY: Sixty mesial root canals of mandibular first molars were randomly divided into three equal groups, according to the instrument system used for root canal preparation (n=20): BioRace (BR), ProTaper NEXT (PTN), or Genius (GN). Root canals were prepared to the full WL using a crown-down technique up to size 35, ...
June 1, 2018: International Endodontic Journal
Polianne Alves Mendes, Isabela Moreira Neiva, Cláudia Borges Brasileiro, Ana Cristina Rodrigues Antunes Souza, Leandro Napier Souza
Taurodontism is considered a dental anomaly responsible for a morphoanatomical change in the shape of the tooth in which the roots are reduced in size but the body of the tooth is enlarged and bulky. The aim of this paper is to present a case of a 25-year-old female patient with taurodontism of mandibular partially erupted third molars, presenting a high risk of angle fracture and paresthesia in case of their removal, treated by means of coronectomy. The postoperative period was uneventful and the patient remained in follow-up for 12 months...
2018: Case Reports in Dentistry
José López-Cedrún, Sebastián Videla, Miguel Burgueño, Inma Juárez, Samir Aboul-Hosn, Rafael Martín-Granizo, Joan Grau, Miguel Puche, José-Luis Gil-Diez, José-Antonio Hueto, Anna Vaqué, Mariano Sust, Carlos Plata-Salamán, Antoni Monner
BACKGROUND: Co-crystal of tramadol-celecoxib (CTC), containing equimolar quantities of the active pharmaceutical ingredients (APIs) tramadol and celecoxib (100 mg CTC = 44 mg rac-tramadol hydrochloride and 56 mg celecoxib), is a novel API-API co-crystal for the treatment of pain. We aimed to establish the effective dose of CTC for treating acute pain following oral surgery. METHODS: A dose-finding, double-blind, randomised, placebo- and active-controlled, multicentre (nine Spanish hospitals), phase II study (EudraCT number: 2011-002778-21) was performed in male and female patients aged ≥ 18 years experiencing moderate to severe pain following extraction of two or more impacted third molars requiring bone removal...
May 25, 2018: Drugs in R&D
Lucas Duarte-Rodrigues, Ednele Fabyene Primo Miranda, Taiane Oliveira Souza, Haroldo Neves de Paiva, Saulo Gabriel Moreira Falci, Endi Lanza Galvão
OBJECTIVE: The purpose of this systematic review was to assess the impact of third molar removal on patient's quality of life. METHODS: To address the study purpose, investigators designed and implemented a systematic review. The primary outcome variable was the quality of life after third molar extraction. An electronic search was conducted through March, 2017, on the PUBMED, Virtual Health Library (VHL), Web of Science, and OVID, to identify relevant literatures...
May 24, 2018: Quality of Life Research
Pavan Kumar Pachipulusu, Manjula S
AIM: Aim of the study is to compare the primary and secondary healing after surgical removal of impacted mandibular third molars, in terms of swelling, severity of pain, trismus, and periodontal healing between two types of closure. MATERIALS AND METHODS: A total of 60 patients, divided into two groups randomly: group A, with 30 patients in which primary closure was done; group B, with 30 patients in which secondary closure was done. A comparison between two groups was done in terms of postoperative pain, swelling, trismus at first, third, and seventh postoperative days, and periodontal healing near adjacent second molar after 6 months...
May 23, 2018: Oral and Maxillofacial Surgery
Paula Fernanda Damasceno Silva, Lais Rani Sales Oliveira, Stella Sueli Lourenço Braga, Cácia Signori, Steve R Armstrong, Carlos José Soares, Maximiliano Sérgio Cenci, André Luis Faria-E-Silva
OBJECTIVES: This study aimed to develop a method to induce carious lesions in the pulpal floor dentin of a class II cavity preparation, and to determine the effects of this carious lesion on the biomechanical behavior of the dental composite restoration. METHODS: The pulpal floor dentin of class I cavities in sound third molars were demineralised with acetic acid for 35days followed by a 7-day exposure to pooled human saliva biofilm and demineralization was verified by micro-CT...
May 21, 2018: Dental Materials: Official Publication of the Academy of Dental Materials
Niwut Juntavee, Apa Juntavee, Preeyarat Plongniras
Objective: This study investigates the effects of nano-hydroxyapatite (NHA) gel and Clinpro (CP) on remineralization potential of enamel and cementum at the cavosurface area of computer-aided design and computer-aided manufacturing ceramic restoration. Materials and methods: Thirty extracted human mandibular third molars were sectioned at 1 mm above and below the cemento-enamel junction to remove the cemento-enamel junction portions and replaced them with zirconia ceramic disks by bonding them to the crown and root portions with resin cement...
2018: International Journal of Nanomedicine
Dongmiao Wang, Tangyi Lin, Yanling Wang, Chao Sun, Lianfeng Yang, Hongbing Jiang, Jie Cheng
Introduction: The present study was aimed to identify the radiographic signs between impacted third molar root and inferior alveolar canal (IAC) on cone-beam CT (CBCT) images as risk factors and prognostic predictors associated with inferior alveolar nerve (IAN) damage following tooth removal. Material and methods: A retrospective clinical study was performed involving 136 patients with 257 impacted lower third molars from January 2013 to December 2014. The neurosensory function of the lower lip and chin was subjectively evaluated and assessed by neurosensory tests before and after surgery...
April 2018: Archives of Medical Science: AMS
Ashok Dongol, Alok Sagtani, Mehul Rajesh Jaisani, Arpita Singh, Ashish Shrestha, Anju Pradhan, Pradeep Acharya, Anjani Kumar Yadav, Ram Prasad Yadav, Arun Kumar Mahat, Iccha Kumar Maharjan, Leeza Pradhan
Objective: To assess the incidence of dentigerous cystic changes in the follicles of radiographically normal impacted mandibular third molars. Methods: One hundred and thirteen follicles obtained after surgical removal of impacted mandibular third molars with radiolucency of less than 2.5 mm in the radiograph were sent for histopathologic evaluation to evaluate pathologic changes. Results: The incidence of dentigerous cystic changes observed was 15...
2018: International Journal of Dentistry
Srimathy S Arora, Tanvi Phull, Ish Kumar, Arun Kumar, Nilesh Kumar, Hem Singh
INTRODUCTION: The aim of this clinical study was to evaluate and compare the relative efficacy of two different dosages of dexamethasone, i.e., 4 and 8 mg injected submucosally to reduce postoperative discomfort after mandibular third molar surgery. METHODOLOGY: A prospective randomized study was conducted on 45 patients requiring surgical removal of an impacted third molar. Selected patients were divided randomly into three groups of 15 patients each: group I patients received one regimen single dose of 4 mg dexamethasone submucosally, group II received one regimen single dose of 8 mg dexamethasone submucosally, and group III (control group), no dexamethasone was given but only received injection of normal saline submucosally after establishing local anesthesia...
May 12, 2018: Oral and Maxillofacial Surgery
Shahid M Shaikh, Mousumi Goswami
OBJECTIVES: The purpose of this in vitro study was to compare and evaluate the cleaning and shaping efficiency of the rotary Ni-Ti, sonic and conventional file systems for root canal preparation in primary teeth under CBCT. STUDY DESIGN: Seventy five maxillary and mandibular first and second primary molars were divided into three groups of 25 teeth each, according to the canal preparation technique: Group I Rotary file system, Group II Sonic file system, Group III Conventional K files...
May 11, 2018: Journal of Clinical Pediatric Dentistry
Ben Balevi
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Efficacy of adjuvant laser therapy in reducing postsurgical complications after the removal of impacted mandibular third molars: A systematic review update and meta-analysis. Dawdy J, Halladay J, Carrasco-Labra A, Araya I, Yanine N, Brignardello-Petersen R. J Am Dent Assoc 2017;148(12):887-902.e884. SOURCE OF FUNDING: None of the authors reported any disclosures TYPE OF STUDY/DESIGN: Systematic review with meta-analysis of data...
June 2018: Journal of Evidence-based Dental Practice
Jordi Borrás-Ferreres, Alba Sánchez-Torres, José-Manuel Aguirre-Urizar, Cosme Gay-Escoda
Background: Dentigerous cyst appears surrounding the crown of an included tooth. On the radiographic exam, a radiolucent rounded well-defined lesion can be observed. Material and Methods: This study reports a clinical case of a 34-years old man with a pericoronal radiolucent lesion associated to an impacted lower third molar with the presence of radiopaque material inside. The radiological differential diagnosis was calcifying odontogenic tumor, adenomatoid odontogenic tumor and dentigerous cyst...
March 2018: Journal of Clinical and Experimental Dentistry
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