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Third molar surgery

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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/28604375/retained-upper-third-molars-during-le-fort-i-osteotomy-with-downfracture
#3
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/28604089/comparison-of-articaine-and-lidocaine-for-buccal-infiltration-after-inferior-alveolar-nerve-block-for-intraoperative-pain-control-during-impacted-mandibular-third-molar-surgery
#4
Geraldo Prisco da Silva-Junior, Liane Maciel de Almeida Souza, Francisco Carlos Groppo
In order to compare the efficacy of lidocaine and articaine for pain control during third molar surgery, 160 patients presenting bilateral asymptomatic impacted mandibular third molars were selected. They received 1.8 mL of 2% lidocaine with epinephrine 1:100,000 during inferior alveolar nerve block. In group 1 (n = 80), an infiltrative injection of 0.9 mL of 2% lidocaine with epinephrine 1:100,000 was performed in buccal-distal mucosa of the third molar. Group 2 (n = 80) received 0.9 mL of 4% articaine with epinephrine 1:100,000 in the contralateral side...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28597837/-effectiveness-of-selective-alveolar-decortication-in-accelerating-orthodontic-treatment-a-systematic-review
#5
Victor Fau, Dany Diep, Gérard Bader, Damien Brézulier, Olivier Sorel
INTRODUCTION: The number of scientific publications on accelerating orthodontic treatment, and especially surgical alveolar corticotomies techniques, has grown exponentially over the years. The objective of this systematic literature review was to assess the effectiveness of these corticotomies basing on human studies. MATERIAL AND METHOD: The review was conducted from Medline and Web of Science Core Collection to identify prospective controlled clinical trials with duration of orthodontic treatment or the tooth movement rate for primary endpoint...
June 2017: L' Orthodontie Française
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
#6
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/28578368/effect-of-pre-operatory-low-level-laser-therapy-on-pain-swelling-and-trismus-associated-with-third-molar-surgery
#7
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...
June 4, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/28570409/microsurgical-decompression-of-inferior-alveolar-nerve-after-endodontic-treatment-complications
#8
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/28554462/treatment-of-class-ii-malocclusion-with-mandibular-skeletal-anchorage
#9
Ezgi Cakir, Siddik Malkoç, Mustafa Kirtay
INTRODUCTION: The aim of this case report was to present the dentofacial changes obtained with bone anchorage in a Class II patient with moderate to severe crowding. METHODS: A boy, aged 14.5 years, with a dolichofacial type, convex profile, and skeletal and dental Class II relationships was examined. After evaluation, functional treatment with bone anchorage and 4 first premolar extractions was decided as the treatment approach. Miniplates were placed on the buccal shelves of the mandibular third molars...
June 2017: American Journal of Orthodontics and Dentofacial Orthopedics
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
#10
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
#11
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/28487738/comparative-assessment-of-preoperative-versus-postoperative-dexamethasone-on-postoperative-complications-following-lower-third-molar-surgical-extraction
#12
Hashem M Al-Shamiri, Maha Shawky, Nermin Hassanein
Aim. To evaluate the effect of preoperative versus postoperative administration of oral Dexamethasone on postoperative complications including pain, edema, and trismus following lower third molar surgery. Methods. 24 patients were divided into two equal groups receiving 8 mg Dexamethasone orally, one group one hour preoperatively and the other group immediately after surgery. Pain was measured using VAS, edema was measured using a graduated tape between 4 fixed points in the face, and the mouth opening was measured using a graduated sliding caliper...
2017: International Journal of Dentistry
https://www.readbyqxmd.com/read/28473242/evaluation-of-postoperative-complications-after-mandibular-third-molar-surgery-with-the-use-of-platelet-rich-fibrin-a-systematic-review-and-meta-analysis
#13
REVIEW
J V Dos S Canellas, F G Ritto, P J D Medeiros
The current literature was reviewed to analyze the effects of platelet-rich fibrin (PRF) on postoperative complications after mandibular third molar surgery (pain, alveolar osteitis, swelling, and bone healing). A comprehensive literature search was performed up to 2016 in the PubMed/MEDLINE, Cochrane Library, LILACS, and ScienceDirect databases and the grey literature. Additional records were identified through manual and reference searches. The full-text articles of potentially relevant studies were reviewed; only randomized clinical trials were included...
May 1, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28439171/lingual-based-four-cornered-flap-for-third-molar-surgery
#14
Anshul Rai, Monika Rai
PURPOSE: The aim of this prospective randomized clinical study was to compare the efficacy of lingual based four cornered flap with the commonly used triangular flap for impacted third molar surgery. METHODS: Ten patients with bilateral impacted third molars were randomly treated under local anaesthesia, one side with triangular flap and single layer closure (with 3-0 silk) and other side by raising lingual based four cornered flap and double layer closure, subcutaneously with 5-0 vicryl and mucosa with 3-0 silk...
June 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28438596/can-preoperative-intramuscular-single-dose-dexamethasone-improve-patient-centered-outcomes-following-third-molar-surgery
#15
Mahmoud Al-Dajani
PURPOSE: Because of increased attention focused on administering dexamethasone to treat third molar surgical complications, this study investigated the efficacy of single-dose dexamethasone in managing postoperative complications after impacted third molar surgery. Pain intensity and analgesic intake, patients' discomfort, limitation of oral function, and limitation of daily activities were assessed. MATERIALS AND METHODS: This triple-blinded split-mouth randomized controlled clinical trial included patients 18 to 30 years old who underwent randomized bilateral extractions of impacted mandibular third molars during 2 consecutive sessions...
March 31, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28438595/does-administration-of-oral-versus-intravenous-antibiotics-for-third-molar-removal-have-an-effect-on-the-incidence-of-alveolar-osteitis-or-postoperative-surgical-site-infections
#16
Matthew D Reiland, Kyle S Ettinger, Christine M Lohse, Christopher F Viozzi
PURPOSE: To compare the incidence of postoperative alveolar osteitis (AO) and surgical site infections (SSIs) in 2 separate cohorts of patients undergoing elective third molar removal: those who received postoperative oral (PO) antibiotics and those who received perioperative intravenous (IV) antibiotics. MATERIALS AND METHODS: A retrospective cohort study of all patients 14 to 30 years old undergoing elective outpatient third molar removal under a single surgeon's service over a 12-year period was completed...
March 31, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28438151/effect-of-platelet-rich-fibrin-on-edema-and-pain-following-third-molar-surgery-a-split-mouth-control-study
#17
Uğur Gülşen, Mehmet Fatih Şentürk
BACKGROUND: To evaluate the efficacy of platelet-rich fibrine (PRF) on postoperative edema and pain after impacted mandibular third molar surgery. METHODS: The prospective study was comprised 30 patients who presented for the removal of bilateral impacted mandibular third molar teeth. After extraction, the sockets were filled with PRF or without PRF in the study and control groups, respectively. Postoperative edema was measured with a flexible tape measure by calculating the distance between several facial landmarks on postoperative days two and seven...
April 24, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28419843/a-review-of-in-office-dynamic-image-navigation-for-extraction-of-complex-mandibular-third-molars
#18
Robert W Emery, Oxana Korj, Ravi Agarwal
PURPOSE: We performed a retrospective review of in-office removal of complex mandibular third molars with a dynamic image navigation system (DINS). MATERIALS AND METHODS: A retrospective review was conducted of cases completed from 2010 to 2014 by a single oral and maxillofacial surgeon. The average age of the patients was 47 years (range, 27 to 72 years). Extraction complexity was classified with Juodzbalys and Daugela's classification system. The included study cases had complexity scores of 9 or greater...
March 25, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28406129/prevention-of-alveolar-osteitis-after-third-molar-surgery-comparative-study-of-the-effect-of-warm-saline-and-chlorhexidine-mouth-rinses
#19
O D Osunde, C E Anyanechi, G O Bassey
BACKGROUND: Chlorhexidine mouth rinses have a proven efficacy for the prevention of alveolar osteitis after third molar surgery. This study compares the efficacy of warm saline rinse, a component of postextraction instructions, with that of chlorhexidine in our institution over a period of 2 years. PATIENTS AND METHODS: Apparently healthy patients who were referred to the Oral Surgery Clinic of our institution, with an indication for surgical extraction of lower third molar were prospectively, consecutively, and uniformly randomized into warm saline and chlorhexidine groups...
April 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28348610/comparison-of-anti-inflammatory-and-analgesic-effects-of-ginger-powder-and-ibuprofen-in-postsurgical-pain-model-a-randomized-double-blind-case-control-clinical-trial
#20
Farshid Rayati, Fatemeh Hajmanouchehri, Elnaz Najafi
BACKGROUND: Ginger has been used as an herbal drug for a long time for the treatment of chronic inflammatory conditions. MATERIALS AND METHODS: This randomized, double-blind clinical trial was conducted on 67 healthy adults with at least one impacted lower third molar. Participants were randomly allocated into three groups: Ibuprofen, Ginger, and placebo. Evaluation of inflammation was done by measuring cheek swelling, mouth opening ability, serum C-reactive protein (CRP) levels, and visual analog scale (for pain scoring)...
January 2017: Dental Research Journal
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