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Third molar surgery

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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
#1
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
#2
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
#3
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...
March 17, 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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
Mathew P Varghese, Suvy Manuel, L K Surej Kumar
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
https://www.readbyqxmd.com/read/28236425/efficacy-of-platelet-rich-fibrin-after-mandibular-third-molar-extraction-a-systematic-review-and-meta-analysis
#12
REVIEW
Faez Saleh Al-Hamed, Mohamed Abdel-Monem Tawfik, Ehab Abdelfadil, Mohammed A Q Al-Saleh
PURPOSE: To assess the effect of platelet-rich fibrin (PRF) on the healing process of the alveolar socket after surgical extraction of the mandibular third molars. MATERIALS AND METHODS: PubMed, the Cochrane Central Register of Controlled Trials, Scopus, and relevant journals were searched using a combination of specific keywords ("platelet-rich fibrin," "oral surgery," and "third molar"). The final search was conducted on November 2, 2015. Randomized controlled clinical trials, as well as controlled clinical trials, aimed at comparing the effect of PRF versus natural healing after extraction of mandibular third molars were included...
February 1, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28219630/early-complications-from-the-use-of-calcium-phosphate-paste-in-mandibular-lengthening-surgery-a-retrospective-study
#13
Erica Coppey, Maurice Y Mommaerts
PURPOSE: Calcium phosphate paste is used in mandibular lengthening surgery to avoid unesthetic notching at the lower border and to help stabilize the segments when osteosynthesis slippage is a concern. The aim of this study was to investigate whether the hardened paste increases the incidence of infections. MATERIALS AND METHODS: This was a retrospective cohort study of medical charts of all patients who underwent a bilateral sagittal split osteotomy from February 2012 through July 2015...
January 26, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28217540/correlating-the-clinical-assessment-of-impacted-mandibular-third-molars-with-panoramic-radiograph-and-intraoral-periapical-radiograph
#14
P Vani Priya, Fazil A Nasyam, M Ramprasad, Narendra V Penumatsa, Syed Akifuddin, Sandeep
AIMS AND OBJECTIVES: This study was conducted to compare the clinical assessment of impacted third molars of mandible with panaromic radiograph (OPG) and intraoral periapical radiograph (IOPA) and to assess the efficacy of IOPA and. Moreover, we corroborated the OPG and IOPA findings of impacted mandiblar third molar root apex to inferior alveolar canal. MATERIALS AND METHODS: A total of 200 patients with pericoronitis were examined who were indicated for surgical extraction, among which 50 patients were selected for the study...
December 2016: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/28217537/effect-of-proteolytic-enzyme-bromelain-on-pain-and-swelling-after-removal-of-third-molars
#15
Tejpal Singh, Vinayak More, Umayra Fatima, Tanveer Karpe, Mohammed A Aleem, J Prameela
AIMS AND OBJECTIVES: To evaluate the effect of bromelain on pain and swelling after surgical removal of third molars. MATERIALS AND METHODS: A prospective randomized clinical study was conducted among 40 patients requiring surgical removal of impacted mandibular third molars. All the impacted molars were surgically removed, and the patients were administered bromelain along with amoxicillin. Patients were recalled on day 1, day 3, and day 7 for postoperative pain assessment using visual analogue scale (VAS) and postoperative swelling assessment using facial reference points tragus and pogonion...
December 2016: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/28210446/differences-between-panoramic-and-cone-beam-ct-in-the-surgical-evaluation-of-lower-third-molars
#16
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
#17
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
#18
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
#19
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
#20
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
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