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Third molar surgery

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https://www.readbyqxmd.com/read/28439171/lingual-based-four-cornered-flap-for-third-molar-surgery
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/28341449/do-antibiotics-decrease-the-risk-of-inflammatory-complications-after-third-molar-removal-in-community-practices
#8
Melanie S Lang, Martin L Gonzalez, Thomas B Dodson
PURPOSE: The role of antibiotic use in third molar (M3) surgery is controversial. The purpose of this study was to measure the association between antibiotic use and postoperative inflammatory complications after M3 surgery in the community office-based ambulatory private practice setting. MATERIALS AND METHODS: The authors designed and implemented a prospective cohort study and enrolled a sample composed of patients who had at least one M3 removed in a private practice setting by oral and maxillofacial surgeons participating in a practice-based research collaborative from June 2011 through May 2012...
February 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28336306/efficacy-of-acellular-nerve-allografts-in-trigeminal-nerve-reconstruction
#9
Andrew Yampolsky, Vincent Ziccardi, Sung-Kiang Chuang
PURPOSE: During trigeminal nerve repair, a gap is sometimes encountered that prevents the tension-free apposition of nerve endings. The use of a processed acellular nerve allograft is a novel technique that shows promise in overcoming this problem. The goal of the present study was to support the slowly evolving body of evidence that acellular processed nerve allografts (Avance; Axogen, Alachua, FL) are a viable alternative to autogenous nerve grafting and the use of conduits for reconstructing defects of the trigeminal nerve...
February 27, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28325960/efficacy-of-preoperative-administration-of-paracetamol-codeine-on-pain-following-impacted-mandibular-third-molar-surgery-a-randomized-split-mouth-placebo-controlled-double-blind-clinical-trial
#10
Maria Paola Cristalli, Gerardo La Monaca, Chiara De Angelis, Nicola Pranno, Susanna Annibali
Objectives. The aim of this study was to determine the effectiveness of preoperative administration of single-dose of paracetamol-codeine, in the relieving of acute postoperative pain after the surgical removal of an impacted mandibular third molar. Materials and Methods. The study cohort consisted of 32 Caucasian outpatients, giving a total of 64 bilateral symmetrical impacted mandibles. Patients were randomized in two experimental groups to receive a preoperative oral dose of paracetamol-codeine (analgesic group) or a placebo (placebo group) at the first and second surgeries...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/28318872/dexamethasone-injection-into-the-pterygomandibular-space-in-lower-third-molar-surgery
#11
K Boonsiriseth, M M Latt, S Kiattavorncharoen, V Pairuchvej, N Wongsirichat
The objective of this study was to evaluate the effects of 8mg dexamethasone injection into the pterygomandibular space on the postoperative sequelae of lower third molar surgery. A prospective, randomized, controlled, split-mouth study was designed involving 62 lower third molar extractions (31 patients). Prior to surgery, the study group received 2ml of 4mg/ml (8mg) dexamethasone injection through the pterygomandibular space following local anaesthesia; the control group received 2ml normal saline injection...
March 16, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28314941/neuropeptide-expression-and-morphometric-differences-in-crushed-alveolar-inferior-nerve-of-rats-effects-of-photobiomodulation
#12
Daniel Oliveira Martins, Fabio Martinez Dos Santos, Adriano Polican Ciena, Ii-Sei Watanabe, Luiz Roberto G de Britto, José Benedito Dias Lemos, Marucia Chacur
Inferior alveolar nerve (IAN) injuries may occur during various dental routine procedures, especially in the removal of impacted lower third molars, and nerve recovery in these cases is a great challenge in dentistry. Here, the IAN crush injury model was used to assess the efficacy of photobiomodulation (PBM) in the recovery of the IAN in rats following crushing injury (a partial lesion). Rats were divided into four experimental groups: without any procedure, IAN crush injury, and IAN crush injury with PBM and sham group with PBM...
May 2017: Lasers in Medical Science
https://www.readbyqxmd.com/read/28299268/role-of-addition-of-dexamethasone-to-lignocaine-2-with-adrenaline-in-dental-nerve-blocks-for-third-molar-surgery-a-prospective-randomized-control-trial
#13
Saroj Prasad Deo
CONTEXT: Dexamethasone has been frequently used in oral surgical procedure and accepted by oral and maxillofacial surgeon community worldwide. However, this is the first clinical trial that used dexamethasone as adjuvant with lignocaine in dental nerve block (DNB). AIMS: The purpose of this double-blind, randomized control trial (RCT) was to compare the effect of dexamethasone with normal saline (NS) in a lignocaine DNB. SETTINGS AND DESIGN: This prospective, double-blind, RCT was carried out after obtaining approval from the Institutional Ethical Committee...
July 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28299267/postsurgical-consequences-in-lower-third-molar-surgical-extraction-using-micromotor-and-piezosurgery
#14
Freddy Kersi Mistry, Nidarsh Diwakar Hegde, Mithra Nidarsh Hegde
BACKGROUND: One of the most critical and crucial steps in surgical extraction is cutting the bone or osteotomy, for which many techniques are used, e.g., chisels and mallet, rotary instruments, and ultrasound bone-cutting instruments. If they are not used judiciously, they can be hazardous. OBJECTIVES: To assess the efficiency of piezosurgery unit over micromotor while performing surgical extraction of lower third molars by assessing the time taken for the surgery and measuring postoperative parameters such as pain, trismus, and swelling...
July 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28299228/surgical-management-of-unusual-biangular-mandibular-fractures
#15
Stefan Cocis, Umberto Autorino, Fabio Roccia, Chiara Corio
Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the third molar in the fracture line, the best surgical approach, and the fixation methods. In this report the authors present the case of 40-year-old man presenting with a bilateral mandibular angle fracture referred to the Maxillofacial Surgery Department of Turin...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28286381/rotary-instrument-or-piezoelectric-for-the-removal-of-third-molars-a-meta-analysis
#16
REVIEW
Rafael Alvim Magesty, Endi Lanza Galvão, Carolina de Castro Martins, Cássio Roberto Rocha Dos Santos, Saulo Gabriel Moreira Falci
AIM: The aim of this systematic review and meta-analysis was to compare, in the lower third molar surgery, the osteotomy techniques with rotary instruments and piezoelectric motors. METHODS: An electronic search was conducted using the following databases: Pubmed, Web of Science, and the Cochrane Oral Health Group Trials Register. Inclusion criteria were: studies in humans, randomized or nonrandomized, comparing the extraction of third molars that required osteotomy and/or odontosection with rotary instrument and osteotomy and/or odontosection with piezoelectric motor assistance...
March 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28282517/risk-factor-analysis-of-graft-failure-with-concomitant-cyst-enucleation-of-the-jaw-bone-a-retrospective-multicenter-study
#17
Ho-Kyung Lim, Jin-Woo Kim, Ui-Lyong Lee, Ju-Won Kim, Ho Lee
PURPOSE: Cysts are common pathologic entities in the oral and maxillofacial region. Enucleation is commonly used for treatment and is occasionally followed by bone grafting. However, no studies have evaluated factors affecting the failure of grafts used for cystic defects in the oral and maxillofacial region. Therefore, the present study was conducted to determine the risk factors for postoperative graft failure in patients treated with cyst enucleation and simultaneous bone grafting...
February 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28280708/evaluation-of-postoperative-complications-according-to-treatment-of-third-molars-in-mandibular-angle-fracture
#18
Hye-Youn Lim, Tae-Young Jung, Sang-Jun Park
OBJECTIVES: The aim of this study was to evaluate the implication of third molars in postoperative complications of mandibular angle fracture with open reduction and internal fixation (ORIF). MATERIALS AND METHODS: Data were collected on patients who presented with mandibular angle fracture at our Department of Oral and Maxillofacial Surgery between January 2011 and December 2015. Of the 63 total patients who underwent ORIF and perioperative intermaxillary fixation (IMF) with an arch bar, 49 patients were identified as having third molars in the fracture line and were followed up with until plate removal...
February 2017: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/28251102/incidence-of-distal-caries-in-mandibular-second-molars-due-to-impacted-third-molars-nonintervention-strategy-of-asymptomatic-third-molars-causes-harm-a-retrospective-study
#19
Nikhil Srivastava, Akshay Shetty, Rahul Dev Goswami, Vijay Apparaju, Vivek Bagga, Saurabh Kale
BACKGROUND: Removal of impacted third molars is the most common oral surgical procedure. Many investigators have questioned the necessity of removal in patients who are free of symptoms or associated pathologies. AIM: The aim of this retrospective study was to evaluate the incidence of caries on distal aspect of mandibular second molars in patients referred for corresponding third molar assessment and to identify its association with angular position and depth of the impacted mandibular third molars based on the classification of Pell and Gregory...
January 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/28249808/potential-for-osseous-regeneration-of-platelet-rich-fibrin-a-comparative-study-in-mandibular-third-molar-impaction-sockets
#20
Mathew P Varghese, Suvy Manuel, Surej Kumar L K
PURPOSE: This study investigated the potential of platelet-rich fibrin (PRF) for osseous regeneration and soft tissue healing in mandibular third molar impaction sockets. MATERIALS AND METHODS: A prospective in vivo study was performed. Randomization was performed after extraction. On one side, the socket was sutured primarily (control site); on the other side, autologous PRF gel was placed and then the socket was sutured (test site). Postoperatively, grid periapical radiographs were obtained at periodic intervals (weeks 1, 4, and 16) and digitalized...
February 4, 2017: Journal of Oral and Maxillofacial Surgery
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