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Third molar surgery

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https://www.readbyqxmd.com/read/27913269/the-structure-organisation-and-perioperative-management-of-ambulatory-surgery-and-anaesthesia-in-france-methodology-of-the-sfar-opera-study
#1
Pierre Albaladejo, Frédéric Aubrun, Charles-Marc Samama, Laurent Jouffroy, Marc Beaussier, Dan Benhamou, Pauline Romegoux, Kristina Skaare, Jean Luc Bosson, Claude Ecoffey
The organization of health care establishments and perioperative care are essential for ensuring the quality of care and safety of patients undergoing outpatient surgery. In order to correctly inventory these organizations and practices, in 2013-2014, the French Society of Anaesthesia and Intensive Care organized an extensive practical survey in French ambulatory surgery units entitled the "OPERA" study (Organisation PERiopératoire de l'anesthésie en chirurgie Ambulatoire). From among all of the ambulatory surgery centres listed by the Agences Régionales de Santé [Regional Health Agencies, France], 206 public and private centres were randomly selected...
November 29, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27893550/application-of-dexamethasone-in-the-masseter-muscle-during-the-surgical-removal-of-lower-third-molars
#2
Alípio Miguel Rocha-Neto, Emerson Filipe de Carvalho Nogueira, Patrícia Mendonça Borba, José Rodrigues Laureano-Filho, Belmiro Cavalcanti do Egito Vasconcelos
PURPOSE: The aim of the present study was to analyze the effect of the application of dexamethasone in the masseter muscle during third molar surgery. METHODS: This randomized, clinical trial used dependent samples and the split-mouth method. A sample of 30 patients, with impacted or semi-impacted third molars, as well as vertical and mesioangular positions of a similar surgical difficulty (on both sides), was subjected to 2 operations: an experimental operation and a control procedure, with a 30-day wash-out...
November 23, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27885569/delayed-retrieval-of-a-displaced-maxillary-third-molar-from-infratemporal-space-via-trans-sinusoidal-approach-a-case-report-and-the-review-of-the-literature
#3
REVIEW
Metin Sencimen, Aydin Gülses, Sencer Secer, Tamer Zerener, Savaş Özarslantürk
AIM: The aim of this case report is to present the trans-sinusoidal pathway used to remove a displaced maxillary third molar from the infratemporal fossa and review the English literature regarding the techniques used. CASE REPORT: A 21-year-old male patient was referred with the findings of an oroantral fistula on the left maxillary vestibular first molar region and slight restriction of mouth opening. The patient underwent a maxillary sinus surgery in order to remove a sinus retention cyst via Caldwell-Luc access in a dental clinic 4 years ago...
November 24, 2016: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27883161/-is-it-necessary-to-prescribe-antibiotics-in-impacted-third-molar-surgical-removal-comparative-study-between-prescribing-patterns
#4
I Izuzquiza, K A Jamtøy, N P Fossland, I Martínez-Padilla, F Falahat, L Alou, J Prieto, M L Gómez-Lus
OBJECTIVE: To assess whether there is a significant difference in infection rate after surgery tooth extraction in two different hospitals from Norway and Spain where different surgical antimicrobial prophylaxis protocols are applied. METHODS: An analytical observational study was conducted, retrospective cohorts type, analyzing healthy patients with no risk factors, who were third molar tooth operated in maxillofacial services of two different hospitals: St. Olav in Trondheim (Norway) and Clínico San Carlos in Madrid (Spain)...
November 22, 2016: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
https://www.readbyqxmd.com/read/27875705/societal-preference-for-gender-of-surgeons-performing-patients-surgery
#5
Alyssa Franklin, Caroline K Carrico, Daniel M Laskin
PURPOSE: Previous studies have shown that there may be a bias among some male oral and maxillofacial surgeons regarding women practicing in the specialty. The purpose of this study was to determine if there is a similar bias in the general public. PATIENTS AND METHODS: We performed a survey of 65 patients of various genders, educational levels, and ages asking them their surgeon gender preference for extraction of a tooth, removal of impacted third molars, and cosmetic surgery, as well as the reasons for their preference...
October 28, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27865630/effects-of-co-administered-dexamethasone-and-nimesulide-on-pain-swelling-and-trismus-following-third-molar-surgery-a-randomized-triple-blind-controlled-clinical-trial
#6
J C Barbalho, R J Vasconcellos, H H de Morais, L A M Santos, Rde A Almeida, H L Rêbelo, E E Lucena, S Q de Araújo
This study aimed to determine the effect of the co-administration of dexamethasone 8mg and nimesulide 100mg given 1h before mandibular third molar surgery. A prospective, randomized, triple-blind, split-mouth clinical trial was developed at the study institution in Pernambuco, Brazil. A pilot study was first performed (95% confidence interval, 80% test power, and 5% error), and a sample of 40 patients aged between 18 and 40 years was selected. The patients were randomized and divided into two groups: dexamethasone+placebo and dexamethasone+nimesulide...
November 16, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27843268/comparative-efficacy-of-amoxicillin-clavulanic-acid-and-levofloxacin-in-the-reduction-of-postsurgical-sequelae-after-third-molar-surgery-a-randomized-double-blind-clinical-trial-in-a-nigerian-university-teaching-hospital
#7
Kizito Chioma Ndukwe, Ramat Oyebunmi Braimah, John Foluso Owotade, Stephen Babatunde Aregbesola
BACKGROUND: The most common sequelae after surgical removal of mandibular third molar are pain, trismus, swelling, and dysphagia. However, these symptoms can also signal the onset of surgical site infection and alveoli osteitis. The aim of this study was to evaluate the efficacy of prophylactic amoxicillin/clavulanic acid and levofloxacin and preemptive therapy of amoxicillin/clavulanic acid in the reduction of postinflammatory complications, surgical site infection, and alveolar osteitis following the third molar surgery...
July 2016: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/27837346/the-effect-of-modified-surgical-flap-design-for-removal-of-lower-third-molars-on-lingual-nerve-injury
#8
Anwar B Bataineh, Ra'ad A Batarseh
AIM: The objective of this study was to evaluate a modified flap design for removal of lower third molars with avoidance of lingual flap elevation and its effect on postsurgical lingual nerve sensory impairment. MATERIALS AND METHODS: The patients included in this prospective study were those referred for removal of symptomatic lower third molars at two Oral and Maxillofacial Surgery clinics. Different patterns of impaction were included regarding the angulation and depth of the lower third molar...
November 12, 2016: Clinical Oral Investigations
https://www.readbyqxmd.com/read/27833861/maxillofacial-infections-of-odontogenic-origin-epidemiological-microbiological-and-therapeutic-factors-in-an-indian-population
#9
V Yuvaraj
Odontogenic fascial space infections are commonly encountered by the oral and maxillofacial surgeon. A retrospective study of the epidemiological characteristics, microbiological analysis and treatment response to odontogenic infections treated in the oral and maxillofacial unit of a Dental school is presented. A retrospective analysis of case records of all odontogenic infections that reported to the oral and maxillofacial surgery unit in a Dental school over a period of 2 years was performed. Epidemiological data, microbiological profile and treatment responses were analysed...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27833345/efficacy-of-intranasal-dexmedetomidine-for-conscious-sedation-in-patients-undergoing-surgical-removal-of-impacted-third-molar-a-double-blind-split-mouth-study
#10
Sujeeth Kumar Shetty, Garima Aggarwal
BACKGROUND: This study was conducted to evaluate the utility and effectiveness of Intranasal Dexmedetomidine on Sedation status and pain experience of the patients undergoing surgical extraction of impacted third molar. MATERIALS AND METHODS: In this double-blind, split mouth study, in 15 patients, evaluations pertaining to classes of third molar impaction was done. Each patient was randomly assigned to receive either intranasal normal saline (placebo group) or intranasal 1...
December 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27833338/intraoperative-computed-tomography-in-bilateral-sagittal-split-osteotomy
#11
Jimoh Olubanwo Agbaje, Ahmed Sobhy Salem, Ivo Lambrichts, Luc Daems, Paul Legrand, Constantinus Politis
OBJECTIVES: The objective of the study was to show the importance of intraoperative computed tomography as an aid for ensuring inferior alveolar nerve safety during bilateral sagittal split osteotomy. MATERIALS AND METHODS: This study included ten patients who underwent bilateral sagittal split osteotomy procedure. All patients were treated for orthognathic reasons. The unerupted lower third molars, if present, were removed at least 6 months prior to Sagittal Split Osteotomy...
December 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27833337/eventuality-of-dexamethasone-injected-intra-massetrically-on-post-operative-sequel-following-the-surgical-extraction-of-impacted-mandibular-third-molars-a-prospective-study
#12
G D Nandini
OBJECTIVE: The objective of the study was to compare the efficacy of dexamethasone given intra-massetrically via intra buccal approach on postoperative sequele after surgical extraction of impacted mandibular third molars. METHODOLOGY: Twenty patients, each of who required surgical extraction of a single impacted mandibular third molar under local anesthesia, were randomly set apart to one of the two groups of ten each. The experimental group received dexamethasone 8 mg injected to the masseter muscle intra buccally and the control group did not receive any steroid...
December 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27833246/effect-of-submucosal-or-oral-administration-of-prednisolone-on-postoperative-sequelae-following-surgical-extraction-of-impacted-mandibular-third-molar-a-randomized-controlled-study
#13
Adebayo Aremu Ibikunle, Wasiu Lanre Adeyemo, Akinola Ladipo Ladeinde
BACKGROUND: The aim of the study was to evaluate the effect of preoperatively administered submucosal and oral prednisolone on postoperative pain, facial swelling, and trismus following third molar surgery. PATIENTS AND METHODS: This was a randomized controlled trial in which subjects were randomly distributed into three groups. Group A consisted of subjects who received 40 mg oral prednisolone; Group B consisted of subjects who received 40 mg submucosal injection of prednisolone while Group C consisted of subjects who did not receive prednisolone...
September 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27816275/relationship-between-salivary-biomarkers-and-postoperative-swelling-after-the-extraction-of-impacted-lower-third-molars
#14
A Gutiérrez-Corrales, E Campano-Cuevas, G Castillo-Dalí, M-Á Serrera-Figallo, D Torres-Lagares, J-L Gutiérrez-Pérez
Many authors have studied various different parameters in relation to postoperative anxiety after the extraction of third molars. However, the effect that the acute inflammatory process occurring post extraction could have on these parameters has not been studied. Certain salivary biomarkers, although not specifically inflammatory, may be affected by the acute inflammatory process occurring following the extraction of a retained lower third molar. Three biomarkers were assessed in this study: total protein, immunoglobulin A (IgA), and alpha-amylase...
November 2, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27816069/submucosal-injection-of-dexamethasone-reduces-postoperative-discomfort-after-third-molar-extraction-a-systematic-review-and-meta-analysis
#15
REVIEW
Qian Chen, Jin Chen, Bo Hu, Ge Feng, Jinlin Song
BACKGROUND: The authors conducted a systematic review and meta-analysis on the effect of dexamethasone (DX) on edema, trismus, and pain during early and late postoperative periods after third-molar (M3) extraction. TYPES OF STUDIES REVIEWED: The authors identified eligible reports by searching PubMed, Embase, and the Cochrane Central Register of Controlled Trials up through April 2016. The full text of the studies that met the minimum inclusion requirements were those in which the investigators evaluated the effects of submucosal injection of DX compared with inactive treatments in patients undergoing surgical extraction of an M3...
November 3, 2016: Journal of the American Dental Association
https://www.readbyqxmd.com/read/27810140/diagnostic-value-of-cone-beam-computed-tomography-and-panoramic-radiography-in-predicting-mandibular-nerve-exposure-during-third-molar-surgery
#16
A Hasani, F Ahmadi Moshtaghin, P Roohi, V Rakhshan
The aim of this study was to evaluate the diagnostic accuracies of cone beam computed tomography (CBCT) and panoramic techniques in predicting inferior alveolar nerve (IAN) exposure. The sample size was determined based on a pilot study. This prospective clinical series study included 59 third molar extraction sites with any of seven previously suggested panoramic signs of IAN exposure. The diagnosis of nerve exposure was done on panoramic and CBCT images. Molars were extracted and nerve exposure was evaluated clinically...
October 31, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27792797/genetic-polymorphisms-of-catechol-o-methyltransferase-association-with-temporomandibular-disorders-and-postoperative-pain
#17
Irena Mladenovic, Gordana Supic, Ruzica Kozomara, Slobodan Dodic, Nedeljka Ivkovic, Bojana Milicevic, Ivana Simic, Zvonko Magic
AIMS: To evaluate the association between catechol-O-methyltransferase (COMT) gene polymorphisms and temporomandibular disorders (TMD), TMD pain, psychosocial impairment related to TMD, and postoperative pain. METHODS: A total of 90 patients with a diagnosis of painful TMD and 92 matched controls were investigated for the presence of TMD, TMD pain, and psychosocial variables by the Research Diagnostic Criteria for TMD. In a prospective cohort study of 40 subjects who underwent extraction of at least one fully impacted mandibular third molar, subjects had 6 months post-surgery follow-up of postoperative pain...
October 2016: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/27780691/regeneration-of-a-tooth-in-a-tissue-engineered-mandible-after-resection-of-a-central-giant-cell-tumor-demonstrating-evidence-of-functional-matrix-theory-and-ectodermal-origin-of-teeth-in-a-human-model-a-case-report
#18
James C Melville, Marcus A Couey, Matthew S Tong, Robert E Marx
Central giant cell tumors (CGCTs) are uncommon lesions occurring in the jaw. They are benign but locally destructive osteolytic lesions. They usually occur in pediatric patients 5 to 15 years of age. Multiple noninvasive modalities of treatment (intralesional steroids, interferon, calcitonin, and denosumab) have been described for those lesions, but for those that are refractory to treatment, enucleation and curettage or resection is a curative surgery. This case report describes a pediatric patient who was diagnosed with an aggressive CGCT of the left mandible encompassing the right angle to the condyle...
September 29, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27765547/does-psychological-profile-influence-third-molar-extraction-and-postoperative-pain
#19
Raquel González-Martínez, María Del Mar Jovani-Sancho, Isidoro Cortell-Ballester
PURPOSE: Our purposes were to determine the influence of psychological profile on hemodynamic changes in patients who undergo surgical removal of the third molars under intravenous sedation and to evaluate the effect on patients' anxiety and postoperative recovery. PATIENTS AND METHODS: We performed a prospective study of 100 patients (American Society of Anesthesiologists classes I and II; aged ≥18 years) seen in the CIMIVClinic (Department of Oral Surgery, Casa de Salud University Hospital, Valencia, Spain) who underwent extractions of all third molars under intravenous sedation...
September 22, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27755433/effect-of-oral-administration-of-bromelain-on-postoperative-discomfort-after-third-molar-surgery
#20
Paolo Ghensi, Alessandro Cucchi, Luca Creminelli, Cristiano Tomasi, Barbara Zavan, Carlo Maiorana
INTRODUCTION: The purpose of this prospective randomized controlled clinical trial was to evaluate the effect of oral administration of bromelain on discomfort after mandibular third molar surgery. MATERIALS AND METHODS: Eighty-four consecutive patients requiring surgical removal of a single mandibular impacted third molar under local anesthesia were randomly assigned to receiving no drug (control group, Group A), postoperative 40 mg bromelain every 6 hours for 6 days (Group B), preoperative 4 mg dexamethasone sodium phosphate as a submucosal injection (Group C), and preoperative 4 mg dexamethasone sodium phosphate as a submucosal injection plus postoperative 40 mg bromelain every 6 hours for 6 days (Group D)...
October 14, 2016: Journal of Craniofacial Surgery
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