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Third molar surgery

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https://www.readbyqxmd.com/read/28091430/impact-of-informed-consent-on-patient-decisions-regarding-third-molar-removal
#1
G Göcmen, O Atalı, O Gonul, K Goker
PURPOSE: We investigated whether the order in which patients learned about complication risks affected their anxiety about and willingness to undergo the removal of their third molar. MATERIALS AND METHODS: In total, 171 patients (65 males, 106 females) were included in the study. The distributions of gender and the position of mandibular third molars were recorded. The Amsterdam Preoperative Anxiety and Information Scale and Spielberger's State-Trait Anxiety Inventory were used to evaluate anxiety...
February 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28067086/-prospective-randomized-study-regarding-the-effect-of-the-preoperative-antibiotic-and-chlorhexidine-rinse-on-wound-healing-after-mandibular-third-molar-surgery
#2
István Kaposvári, Kinga Körmöczi, Zsuzsa Beáta László, Ferenc Oberna, Ferenc Horváth, Árpád Joób-Fancsaly
INTRODUCTION AND AIM: The study compares the antibiotic prophylaxis combined with postoperative antibiotic therapy to preoperative chlorhexidine rinse combined with postoperative antibiotic therapy in preventing complications after surgical removal of a mandibular third molar. METHOD: 71 healthy patients in four groups were enrolled in the study: I. prophylactic dose of 2000 mg of amoxicillin clavulanate, continued with amoxicillin clavulanate postoperatively; II...
January 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28057390/pre-emptive-analgesic-effect-of-lornoxicam-in-mandibular-third-molar-surgery-a-prospective-randomized-double-blind-clinical-trial
#3
I M Mojsa, J Stypulkowska, P Novak, K Lipczynski, K Szczeklik, M Zaleska
The aim of this study was to establish whether the pre-emptive use of lornoxicam (16mg) in third molar surgery ensures successful postoperative analgesia and reduces rescue analgesic intake when compared to postoperative application, and in comparison with placebo. Ninety patients were split randomly into three groups: group A received lornoxicam 60min before surgery and placebo 60min after surgery; group B received placebo 60min before surgery and lornoxicam 60min after surgery; group C received placebo 60min before surgery and placebo 60min after surgery...
January 2, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28050988/comparative-study-of-piezoelectric-and-rotary-osteotomy-technique-for-third-molar-impaction
#4
Sulphi A Basheer, R Jay Govind, Augustine Daniel, George Sam, V J Adarsh, Akshatha Rao
INTRODUCTION: Bone removal is necessary for extracting the third molars that are erupted, partially erupted, and/or impacted in bone. Hence, it is necessary to choose a surgical method or instruments that conform to anatomic landmarks and are based on physiological principles. Many authors have reported injuries to the adjacent tooth, especially the distal part of periodontium after removal of second molar. Hence, the present study was undertaken to assess and compare the surgical and postsurgi-cal outcomes of third molar removal using piezoelectric surgery and rotary bur...
January 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28041843/predictive-value-of-panoramic-radiography-for-injury-of-inferior-alveolar-nerve-after-mandibular-third-molar-surgery
#5
Naichuan Su, Arjen van Wijk, Erwin Berkhout, Gerard Sanderink, Jan De Lange, Hang Wang, Geert J M G van der Heijden
PURPOSE: The purpose of the present systematic review was to assess the added value of panoramic radiography in predicting postoperative injury of the inferior alveolar nerve (IAN) in the decision-making before mandibular third molar (MM3) surgery. MATERIALS AND METHODS: MEDLINE and EMBASE were searched electronically to identify the diagnostic accuracy of studies that had assessed the predictive value of 7 panoramic radiographic signs, including root-related signs (darkening of the root, deflection of the root, narrowing of the root, and dark and bifid apex of the root) and canal-related signs (interruption of the white line of the canal, diversion of the canal, and narrowing of the canal) for IAN injury after MM3 surgery...
December 15, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28012633/effect-of-submucosal-dexamethasone-injection-on-postoperative-pain-oedema-and-trismus-following-mandibular-third-molar-surgery-a-prospective-randomized-double-blind-clinical-trial
#6
I M Mojsa, R Pokrowiecki, K Lipczynski, D Czerwonka, K Szczeklik, M Zaleska
The aim of this study was to investigate the effect of the submucosal injection of 1ml dexamethasone (4mg/ml) on pain, swelling, and trismus following the extraction of retained lower third molars. Ninety patients (mean age 23.5 years) were split randomly into three equal study groups (30 patients in each): the 'before' group received dexamethasone 15min before surgery and placebo 15min after surgery; the 'after' group received placebo 15min before surgery and dexamethasone 15min after surgery; the 'placebo' group received placebo 15min before surgery and placebo 15min after surgery...
December 21, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28011325/third-molar-complications-in-the-elderly-a-matched-pairs-analysis
#7
Frederik Baensch, Marcus S Kriwalsky, Wiebke Kleffmann, Martin Kunkel
PURPOSE: The aim of this study was to evaluate the perioperative morbidity of third molar (3M) removal in elderly patients in an attempt to estimate the long-term future burden of 3M-related morbidity resulting from the postponement of 3M surgery to old age. MATERIALS AND METHODS: The study design was a retrospective matched-pair analysis comparing patients at least 65 years old (group A) with a control group of 15- to 20-year-old patients (group B). Age group was the predictor variable in this study...
December 5, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27994412/a-comparative-study-to-assess-the-effect-of-oral-alprazolam-as-premedication-on-vital-parameters-of-patients-during-surgical-removal-of-impacted-mandibular-third-molars
#8
Sanjay Joshi, Arsalan Shakil Ahmed Ansari, Sima Mazumdar, Sidra Ansari
PURPOSE: The aim of this study was to evaluate and monitor the changes in vital parameters of patients during surgical removal of impacted mandibular third molars. METHODS: This was an in vivo study conducted in Oral and Maxillofacial Surgery Department of Terna Dental College. Sixty patients were randomly selected. Thirty patients were given a preoperative single dose of oral tablet alprazolam 0.5 mg as premedication (test group), whereas the other thirty were treated without any premedication (control group)...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27990846/are-different-imaging-methods-affecting-the-treatment-decision-of-extractions-of-mandibular-third-molars
#9
Yifat Manor, Refael Abir, Alex Manor, Israel Kaffe
OBJECTIVES: To find the differences between treatment decisions of lower impacted third molars among experts of oral and maxillofacial surgery according to panoramic radiographic and CBCT findings. METHODS: A retrospective analysis of 62 panoramic radiographs and CBCT of lower third molars evaluated for treatment decisions by 9 independent experts of oral and maxillofacial surgery. RESULTS: Differences in interpretation of the panoramic radiography were found between surgeons...
December 18, 2016: Dento Maxillo Facial Radiology
https://www.readbyqxmd.com/read/27980326/cone-beam-computed-tomography-in-pre-surgical-assessment-of-mandibular-third-molars
#10
Patrick A Fee, Alison Wright, Claudia Cunningham
DesignMulticentre, randomised controlled clinical trial.InterventionPatients referred for third molar removal received a digital panoramic radiograph(PR). Adults with one or more lower third molars in a close relationship with the mandibular canal were eligible for the study. Patients randomised to the cone beam computed tomography (CBCT) group received a high resolution CBCT scan in addition to the PR. All lower third molar extractions were performed under local anaesthesia without sedation and without antibiotic prophylaxis...
December 2016: Evidence-based Dentistry
https://www.readbyqxmd.com/read/27975042/predictive-values-derived-from-lower-wisdom-teeth-developmental-stages-on-orthopantomograms-to-calculate-the-chronological-age-in-adolescence-and-young-adults-as-a-prerequisite-to-obtain-age-adjusted-informed-patient-consent-prior-to-elective-surgical-procedures
#11
Reinhard E Friedrich, Kirsten Schmidt, András Treszl, Jan F Kersten
Introduction: Surgical procedures require informed patient consent, which is mandatory prior to any procedure. These requirements apply in particular to elective surgical procedures. The communication with the patient about the procedure has to be comprehensive and based on mutual understanding. Furthermore, the informed consent has to take into account whether a patient is of legal age. As a result of large-scale migration, there are eventually patients planned for medical procedures, whose chronological age can't be assessed reliably by physical inspection alone...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/27974819/adjacent-tooth-trauma-in-complicated-mandibular-third-molar-surgery-risk-degree-classification-and-digital-surgical-simulation
#12
Zhou-Xi Ye, Chi Yang, Jing Ge
Analysis of adjacent tooth resistance is essential in wisdom teeth extraction to prevent adjacent tooth trauma, however it lacks adequate attention nowadays. This study aims at suggesting special extraction methods based on adjacent tooth resistance analysis for prevention of adjacent tooth damage. In this study, 136 complicated mandibular third molars extracted using piezosurgery were reviewed and classified based on the adjacent teeth resistances shown in orthopantomogram (OPG) during their mesio-distal rotations: degree I refers to teeth with no adjacent teeth resistance; degree II refers to teeth with resistance released after mesial-half crown sectioning; degree III refers to teeth which still had resistance after mesial-half crown sectioning...
December 15, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27956057/sedative-analgesic-activity-of-remifentanil-and-effects-of-preoperative-anxiety-on-perceived-pain-in-outpatient-mandibular-third-molar-surgery
#13
A C Torun, M Z Yilmaz, N Ozkan, B Ustun, E Koksal, C Kaya
The aim of this study was to assess the sedative-analgesic activity of different doses of remifentanil and effects of preoperative anxiety on intraoperative pain levels in patients attending a dental clinic. The patients (n=60) were divided into two groups according to the remifentanil infusion dose given: group R1: 0.05μg/kg/min; group R2: 0.1μg/kg/min. The following were evaluated: haemodynamic parameters, State-Trait Anxiety Inventory (STAI) TX-I score, pain level due to local anaesthesia injection, time to reach a Ramsay Sedation Scale (RSS) score of 3, amount of bolus dose, total drug consumption, recovery period, patient and surgeon satisfaction, and complications...
December 9, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27933720/autogenous-bone-grafting-for-treatment-of-osseous-defect-after-impacted-mandibular-third-molar-extraction-a-randomized-controlled-trial
#14
Jing Ge, Chi Yang, Jiawei Zheng, Yingkai Hu
BACKGROUND: Extraction of impacted mandibular third molar (M3) has been cited as causing osseous defect at the distal aspect of the adjacent second molar (M2). PURPOSE: This randomized controlled trial was aimed to evaluate the effect of autogenous bone grafting in situ for regeneration of periodontal osseous defect distal to the M2 compared with non-grafting after impacted M3 removal. MATERIALS AND METHODS: A total of 60 sites in 51 adult patients were enrolled and randomly assigned to the control group or the test group...
December 8, 2016: Clinical Implant Dentistry and related Research
https://www.readbyqxmd.com/read/27918744/efficacy-of-naproxen-with-or-without-esomeprazole-for-pain-and-inflammation-in-patients-after-bilateral-third-molar-extractions-a-double-blinded-crossover-study
#15
G-M Weckwerth, L-F Simoneti, P Zupelari-Gonçalves, A-M Calvo, D-T Brozoski, T-J Dionísio, E-A Torres, J-R-P Lauris, F-A-C Faria, C-F Santos
BACKGROUND: Using a double-blinded randomized crossover design, this study aimed to evaluate acute postoperative pain management, swelling and trismus in 46 volunteers undergoing extractions of the two lower third molars, in similar positions, at two different appointments who consumed a tablet of either NE (naproxen 500 mg + esomepraz ole 20 mg) or only naproxen (500 mg) every 12 hours for 4 days. MATERIAL AND METHODS: Parameters were analyzed: self-reported pain intensity using a visual analog scale (VAS) pre- and postoperative mouth opening; incidence, type and severity of adverse reactions; total quantity consumed of rescue medication; and pre- and postoperative swelling...
January 1, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/27918731/effects-of-passiflora-incarnata-and-midazolam-for-control-of-anxiety-in-patients-undergoing-dental-extraction
#16
L-P Dantas, A de Oliveira-Ribeiro, L-M de Almeida-Souza, F-C Groppo
BACKGROUND: Anxiety symptoms are frequently observed in dental patients, whether they are undergoing simple or more invasive procedures such as surgery. This research aimed to compare the effects of Passiflora incarnata and midazolam for the control of anxiety in patients undergoing mandibular third molar extraction. MATERIAL AND METHODS: Forty volunteers underwent bilateral extraction of their mandibular third molars in a randomized, controlled, double-blind, crossover clinical trial...
January 1, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
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
#17
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
#18
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
#19
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
#20
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
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