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Third molar surgery

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https://www.readbyqxmd.com/read/28210446/differences-between-panoramic-and-cone-beam-ct-in-the-surgical-evaluation-of-lower-third-molars
#1
Ruggero Rodriguez Y Baena, Riccardo Beltrami, Angelo Tagliabo, Silvana Rizzo, Saturnino-Marco Lupi
BACKGROUND: The aim of this study was to evaluate the ability to identify the contiguity between the root of the mandibular third molar and the mandibular canal (MC) in panoramic radiographs compared with Cone Beam-CT. MATERIAL AND METHODS: Panoramic radiographs of 326 third molars and CBCT radiographs of 86 cases indicated for surgery and considered at risk were evaluated. The following signs were assessed in panoramic radiographs as risk factors: radiolucent band, loss of MC border, change in MC direction, MC narrowing, root narrowing, root deviation, bifid apex, superimposition, and contact between the root third molar and the MC...
February 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28209003/comparative-evaluation-of-immediate-post-operative-sequelae-after-surgical-removal-of-impacted-mandibular-third-molar-with-or-without-tube-drain-split-mouth-study
#2
Barun Kumar, Kalyani Bhate, R S Dolas, Sn Santhosh Kumar, Pushkar Waknis
INTRODUCTION: Third molar surgery is one of the most common surgical procedures performed in general dentistry. Post-operative variables such as pain, swelling and trismus are major concerns after impacted mandibular third molar surgery. Use of passive tube drain is supposed to help reduce these immediate post-operative sequelae. The current study was designed to compare the effect of tube drain on immediate post-operative sequelae following impacted mandibular third molar surgery. AIM: To compare the post-operative sequelae after surgical removal of impacted mandibular third molar surgery with or without tube drain...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28174361/prevalence-and-pattern-of-mandibular-third-molar-impaction-in-eritrean-population-a-retrospective-study
#3
V Raj Kumar, Priya Yadav, Efrem Kahsu, Farhana Girkar, Rajnish Chakraborty
INTRODUCTION: The most commonly impacted tooth in the oral cavity is the mandibular third molar. Various etiologic factors have been suggested for impacted mandibular third molars. The pattern and prevalence of impacted mandibular third molars vary with different population and region. This study throws light on the prevalence and pattern of impacted mandibular third molars in Eritrea, East Africa. This is the first reported study regarding the same from Eritrea. AIM: To assess the prevalence and pattern of impacted mandibu-lar third molars in the population of Eritrea, East Africa by conducting a retrospective study from January 2009 to January 2014...
February 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28174060/does-additional-cone-beam-computed-tomography-decrease-the-risk-of-inferior-alveolar-nerve-injury-in-high-risk-cases-undergoing-third-molar-surgery-does-cbct-decrease-the-risk-of-ian-injury
#4
Y T Korkmaz, S Kayıpmaz, F C Senel, K T Atasoy, Z Gumrukcu
The objectives of this study were to evaluate the efficacy of additional cone beam computed tomography (CBCT) imaging on decreasing the risk of inferior alveolar nerve (IAN) injury during third molar removal in patients at high risk and to assess the surgical outcomes. The study sample included patients considered at high risk for IAN injury based on panoramic radiography (PAN) evaluation. The primary predictor was the type of imaging method (PAN only or with additional CBCT). The other variables were demographic and anatomical/radiographic factors...
February 4, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28161136/efficacy-of-oral-diclofenac-with-or-without-codeine-for-pain-control-after-invasive-bilateral-third-molar-extractions
#5
P Zupelari-Goncalves, G M Weckwerth, A M Calvo, L F Simoneti, T J Dionisio, D T Brozoski, E A Torres, J R P Lauris, F A C Faria, C F Santos
Postoperative pain and inflammation after oral surgery is mostly managed using non-steroidal anti-inflammatory drugs (NSAIDs). However, opioids combined with NSAIDs may improve pain management in patients, especially after traumatic oral surgery. Few studies have compared NSAIDs with and without opioid use after oral and maxillofacial surgery. This randomized, double-blind, cross-over study compared the clinical efficacy of either diclofenac (50mg) and codeine (50mg) or diclofenac alone (50mg) for the management of postoperative pain after invasive third molar surgery...
February 1, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28152489/a-case-report-of-unusual-anatomical-variation-externalisation-of-inferior-alveolar-nerve
#6
David McAnerney, Shadi Basyuni, Vijay Santhanam
INTRODUCTION: The risks of third molar surgery have been well documented with damage to the inferior alveolar nerve (IAN) being one of the largest concerns. PRESENTATION OF CASE: This case report presents an impacted third molar with associated dentigerous cyst in which the IAN is externalised and runs along the lateral surface of the mandible. DISCUSSION: This is an extremely rare anatomical variation with most IANs lying inferior and lingually to third molars...
January 17, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28142010/prevention-of-lingual-nerve-injury-in-third-molar-surgery-literature-review
#7
REVIEW
Roberto Pippi, Andrea Spota, Marcello Santoro
PURPOSE: To identify any factors that could aid the surgeon in preventing or minimizing the risk of lingual nerve injury during third molar surgery. MATERIALS AND METHODS: Electronic research was carried out on the correlation between lingual nerve damage and lower third molar surgery (topographic anatomy, surgical technique, and regional anesthesia) using PubMed, Scopus, and Cochrane central databases. The research included only articles published in English up to February 2016...
January 4, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28128661/comparing-the-efficiencies-of-third-molar-surgeries-with-and-without-a-dentist-anesthesiologist
#8
Uday Reebye, S Young, E Boukas, E Davidian, J Carnahan
Two different anesthesia models were compared in terms of surgical duration, safer outcomes, and economic implications. Third molar surgeries performed with and without a separate dentist anesthesiologist were evaluated by a retrospective data analysis of the surgical operative times. For more difficult surgeries, substantially shorter operative times were observed with the dentist anesthesiologist model, leading to a more favorable surgical outcome. An example calculation is presented to demonstrate economic advantages of scheduling the participation of a dentist anesthesiologist for more difficult surgeries...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28116438/-comparison-of-minimally-invasive-extraction-and-traditional-method-in-the-extraction-of-impacted-mandibular-third-molar
#9
Fang Xu, Hui-Xia Zhang
PURPOSE: To compare minimally invasive extraction and traditional method in the extraction of impacted mandibular third molar. METHODS: One hundred and sixty patients with impacted mandibular third molar were equally divided into two groups. Patients in the experimental group were treated with minimally invasive extraction, using implant machine and luxator, while patients in the control group were treated with traditional methods including use of orthodox chisel...
October 2016: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/28091430/impact-of-informed-consent-on-patient-decisions-regarding-third-molar-removal
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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