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Third molar removal

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https://www.readbyqxmd.com/read/28638558/impacted-lower-third-molars-and-distal-caries-in-the-mandibular-second-molar-is-prophylactic-removal-of-lower-third-molars-justified
#1
José Marques, Marta Montserrat-Bosch, Rui Figueiredo, Miguel-Angel Vilchez-Pérez, Eduard Valmaseda-Castellón, Cosme Gay-Escoda
BACKGROUND: The objective of this study was to evaluate the association between the presence of mandibular third molars and the occurrence of carious lesions in the distal aspect of the mandibular second molar. MATERIAL AND METHODS: A retrospective cohort study comprising 327 lower third molars extracted in the Oral Surgery and Implantology Master's Degree program of the School of Dentistry of the University of Barcelona (Barcelona, Spain) was carried out. A descriptive and bivariate analysis was made...
June 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28610818/effect-of-pre-emptive-analgesia-on-clinical-parameters-and-tissue-levels-of-tnf-%C3%AE-and-il-1%C3%AE-in-third-molar-surgery-a-triple-blind-randomized-placebo-controlled-study
#2
A F M Albuquerque, C S R Fonteles, D R do Val, H V Chaves, M M Bezerra, K M A Pereira, P G de Barros Silva, B B de Lima, E C S Soares, T R Ribeiro, F W G Costa
This study aimed to evaluate whether pre-emptive analgesia modifies the tissue expression of tumour necrosis factor alpha (TNF-α) and interleukin 1 beta (IL-1β), and whether there is an association with postoperative surgical outcomes. A triple-blind, randomized, placebo-controlled study of patients undergoing mandibular third molar removal was performed. Volunteers were allocated randomly to receive etoricoxib 120 mg, ibuprofen 400 mg, or placebo 1h before surgery. Twenty-four surgical sites per group were required (95% confidence level and 80% statistical power)...
June 10, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28607555/an-observational-cohort-study-on-delayed-onset-infections-after-mandibular-third-molar-extractions
#3
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/28597117/oral-dexamethasone-decreases-postoperative-pain-swelling-and-trismus-more-than-diclofenac-following-third-molar-removal-a-randomized-controlled-clinical-trial
#4
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/28586638/efficacy-of-codeine-when-added-to-paracetamol-acetaminophen-and-ibuprofen-for-relief-of-postoperative-pain-after-surgical-removal-of-impacted-third-molars-a-double-blinded-randomized-control-trial
#5
Adrian D Best, R K De Silva, W M Thomson, Darryl C Tong, Claire M Cameron, Harsha L De Silva
PURPOSE: The use of opioids in combination with nonopioids is common practice for acute pain management after third molar surgery. One such combination is paracetamol, ibuprofen, and codeine. The authors assessed the efficacy of codeine when added to a regimen of paracetamol and ibuprofen for pain relief after third molar surgery. MATERIALS AND METHODS: This study was a randomized, double-blinded, placebo-controlled trial conducted in patients undergoing the surgical removal of at least 1 impacted mandibular third molar requiring bone removal...
May 15, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28584538/pattern-of-mandibular-third-molar-impaction-and-its-association-to-caries-in-mandibular-second-molar-a-clinical-variant
#6
V K Prajapati, Ruchi Mitra, K M Vinayak
BACKGROUND: Caries in second molar is common and prophylactic removal of the impacted teeth may be considered appropriate. Caries detection and restoration can be difficult and a restored second molar can undergo recurrent caries if the third molar is not removed prophylactically. In this study, the clinical findings related to impaction and its association with angular position and depth of impacted third molar were evaluated. MATERIALS AND METHODS: A retrospective descriptive study was carried out among the patients visiting the outpatient, department of Dentistry, RIMS, Ranchi...
March 2017: Dental Research Journal
https://www.readbyqxmd.com/read/28583237/intrapulpal-temperature-rise-during-light-activation-of-restorative-composites-in-a-primary-molar
#7
Craig V Vinall, Tales C Garcia-Silva, Jennifer S B Lou, Martha H Wells, Daranee Tantbirojn, Antheunis Versluis
PURPOSE: To investigate intrapulpal temperature rise in a primary molar during light activation of a composite restoration to determine if clinically significant pulpal temperatures (greater than 5.5 degrees Celsius) were reached. METHODS: Restorative composites (EsthetX HD, Filtek Supreme Ultra, Filtek Bulk Fill) were placed into a primary molar with occlusal preparation (1.5 mm depth; remaining pulpal floor thickness one mm). The pulp was extirpated through a root access to place a thermocouple against the pulpal roof...
May 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/28579384/managing-molars-with-severe-molar-incisor-hypomineralization-a-cost-effectiveness-analysis-within-german-healthcare
#8
Karim Elhennawy, Paul-Georg Jost-Brinkmann, David John Manton, Sebastian Paris, Falk Schwendicke
OBJECTIVES: Dentists have a range of options for managing molars with severe molar-incisor hypomineralization (MIH), each with different long-term implications. The cost-effectiveness of managing molars with severe MIH was assessed. METHODS: A mixed public-private-payer perspective within German healthcare was adopted. Individuals with one to four severely MIH-affected molars were followed over their lifetime. We compared: (1) removal of the tooth/teeth and orthodontic alignment of the second and third molars (Ex/Ortho); (2) restoration of the tooth using resin composite (Comp); (3) restoration using an indirect metal crown after temporizing it using a preformed metal crown (PMC/IR)...
June 1, 2017: Journal of Dentistry
https://www.readbyqxmd.com/read/28578891/autotransplantation-of-mandibular-third-molar-with-buccal-cortical-plate-to-replace-vertically-fractured-mandibular-second%C3%A2-molar-a-novel-technique
#9
Juan Zufía, Francesc Abella, Ivan Trebol, Ramón Gómez-Meda
Tooth replacement often leads to inadequate vertical volume in the recipient site bone when a tooth has been extracted because of a vertical root fracture (VRF). This case report presents the autotransplantation of a mandibular third molar (tooth #32) with the attached buccal cortical plate to replace a mandibular second molar (tooth #31) diagnosed with a VRF. After extraction of tooth #31, the recipient socket was prepared based on the size measured in advance with cone-beam computed tomographic imaging. The precise and calculated osteotomy of the cortical bone of tooth #32 allowed for the exact placement of the donor tooth in the position of tooth #31...
June 1, 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28576461/osteomyelitis-of-the-jaw-with-pathological-fracture-following-extraction-of-an-impacted-wisdom-tooth-a-case-report
#10
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/28571296/maxillary-second-molar-with-fused-root-and-six-canals-a-case-report
#11
Mitthra Suresh, Kittappa Karthikeyan, Sekar Mahalaxmi
One of the known aberrations in root canal morphology of maxillary second permanent molars is the presence of collateral mesiobuccal canals. This case report describes the endodontic management of a maxillary second molar that had a single fused root with six canals that was successfully managed with the aid of dental operating microscope. Six canal orifices were located namely MB1 (Mesiobuccal), MB2, MB3, DB1 (Distobuccal), DB2 and palatal. During the cleaning and shaping, instrument separation occurred at the apical third of the palatal canal which was removed with ultrasonics...
April 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28570409/microsurgical-decompression-of-inferior-alveolar-nerve-after-endodontic-treatment-complications
#12
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/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
#13
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/28529149/autotransplantation-of-third-molars-with-platelet-rich-plasma-for-immediate-replacement-of-extracted-non-restorable-teeth-a-case-series
#14
Jorge Gonzalez-Ocasio, Mark Stevens
PURPOSE: The aim of this study was to examine the use of platelet-rich plasma (PRP) for autotransplantation of third molars as a successful technique to provide immediate tooth structure for space maintenance and masticatory function when premature loss of a permanent tooth occurs and other dental restorative options are not indicated. MATERIALS AND METHODS: This study included 10 healthy patients 10 to 17 years of age with at least 1 immature third molar (one to two thirds of root formation) used to replace extracted non-restorable teeth...
April 25, 2017: Journal of Oral and Maxillofacial Surgery
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
#15
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
https://www.readbyqxmd.com/read/28498604/post-operative-interventions-to-reduce-inflammatory-complications-after-third-molar-surgery-review-of-the-current-evidence
#16
REVIEW
Howard Cho, Anthony J Lynham, Edward Hsu
BACKGROUND: Inflammatory complications such as pain, swelling, trismus, infection and alveolar osteitis, have an adverse affect on the quality of life of patients after third molar removal. This review presents the current evidence on post-operative strategies to reduce these complications. METHODS: A literature search was performed to identify articles published in English between 2000 to 2016 using the following key words: third molar(s), wisdom tooth/teeth, pain, swelling, trismus, infection, alveolar osteitis, and dry socket...
May 12, 2017: Australian Dental Journal
https://www.readbyqxmd.com/read/28495409/effect-of-asymptomatic-visible-third-molars-on-periodontal-health-of-adjacent-second-molars-a-cross-sectional-study
#17
Hong-Lei Qu, Bei-Min Tian, Kun Li, Li-Na Zhou, Zhi-Bang Li, Fa-Ming Chen
PURPOSE: Evidence that asymptomatic third molars (M3s) negatively affect their adjacent second molars (A-M2s) is limited. The present study evaluated the association between visible M3s (V-M3s) of various clinical status with the periodontal pathologic features of their A-M2s. PATIENTS AND METHODS: Subjects with at least 1 quadrant having intact first and second molars, either with V-M3s and symptom free or without adjacent V-M3s, were enrolled in the present cross-sectional investigation...
April 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28495408/is-the-level-of-nitric-oxide-in-the-dental-follicular-tissues-of-impacted-third-molars-with-a-history-of-recurrent-pericoronitis-a-true-marker-of-oxidative-stress
#18
Meltem Karsiyaka Hendek, Fatma Şenses, Üçler Kisa, Nurkan Aksoy, Umut Tekin
PURPOSE: Nitric oxide (NO) is an indicator of oxidative stress in several tissues. Its role in dental follicular (DF) tissues of impacted third molars with a history of recurrent pericoronitis is not well elucidated. The present study compared NO levels between inflamed and noninflamed DF tissues of impacted third molars with a history of recurrent pericoronitis. MATERIALS AND METHODS: A cross-sectional study was designed. The study sample included inflamed DF tissues (test group) with certain local inflammatory symptoms, such as pain, tenderness, swelling, and erythema and noninflamed DF tissues (control group) without local inflammatory symptoms of impacted mandibular third molars...
April 13, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28482442/-effect-of-a-nano-hydroxyapatite-desensitizing-paste-application-on-dentin-bond-strength-of-three-self-etch-adhesive-systems
#19
D D Pei, S Y Liu, H Y Yang, J Gan, C Huang
Objective: To evaluate a nano-hydroxyapatite (nano-HA) desensitizing paste application on the bond strength of three self-etch adhesives. Methods: Three dentin specimens of about 1 mm thick were cut from two teeth. Scanning electron microscope (SEM) was used to evaluate the dentin surfaces without treatment, after citric acid treatment and after nano-HA treatment. Thirty-six intact third molars extracted for surgical reasons were cut to remove the occlusal enamel with isomet, and then were etched with 1% citric acid for 20 s to simulate the sensitive dentin and divided into two groups randomly using a table of random numbers (n=18): the control group (no treatment) and the HA treated group (with nano-HA paste treatment)...
May 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/28468228/inappropriate-management-after-accidental-displacement-of-upper-third-molar-to-the-infratemporal-fossa-may-disrupt-its-subsequent-removal
#20
Tárik Ocon Braga Polo, Gustavo Antonio Correa Momesso, Valthierre Nunes de Lima, Leonardo Perez Faverani, Francisley Ávila Souza, Idelmo Rangel Garcia-Junior
No abstract text is available yet for this article.
May 2017: Journal of Craniofacial Surgery
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