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Third molar surgery

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https://www.readbyqxmd.com/read/29781451/comparisons-of-the-computed-tomographic-scan-and-panoramic-radiography-before-mandibular-third-molar-extraction-surgery
#1
Qian Luo, Wanglun Diao, Lan Luo, Yong Zhang
BACKGROUND Mandibular third molar extraction surgery has a postoperative complication of hypoesthesia of the lower lip and/or chin. The objective of the study was to determine if preoperative radiographic examination by panoramic radiography and computed tomography (CT) scan can predict postoperative complications of mandibular third molar extraction surgery. MATERIAL AND METHODS In total, 479 patients who had mandibular third molar extraction surgery were included in this cross-sectional study. Patients had panoramic radiographies and CT scans to determine the relationship of the tooth, the canal, and the buccolingual position...
May 21, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29765439/radiographic-features-of-anatomic-relationship-between-impacted-third-molar-and-inferior-alveolar-canal-on-coronal-cbct-images-risk-factors-for-nerve-injury-after-tooth-extraction
#2
Dongmiao Wang, Tangyi Lin, Yanling Wang, Chao Sun, Lianfeng Yang, Hongbing Jiang, Jie Cheng
Introduction: The present study was aimed to identify the radiographic signs between impacted third molar root and inferior alveolar canal (IAC) on cone-beam CT (CBCT) images as risk factors and prognostic predictors associated with inferior alveolar nerve (IAN) damage following tooth removal. Material and methods: A retrospective clinical study was performed involving 136 patients with 257 impacted lower third molars from January 2013 to December 2014. The neurosensory function of the lower lip and chin was subjectively evaluated and assessed by neurosensory tests before and after surgery...
April 2018: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/29752604/a-comparative-study-of-the-effect-of-two-dosages-of-submucosal-injection-of-dexamethasone-on-postoperative-discomfort-after-third-molar-surgery-a-prospective-randomized-study
#3
Srimathy S Arora, Tanvi Phull, Ish Kumar, Arun Kumar, Nilesh Kumar, Hem Singh
INTRODUCTION: The aim of this clinical study was to evaluate and compare the relative efficacy of two different dosages of dexamethasone, i.e., 4 and 8 mg injected submucosally to reduce postoperative discomfort after mandibular third molar surgery. METHODOLOGY: A prospective randomized study was conducted on 45 patients requiring surgical removal of an impacted third molar. Selected patients were divided randomly into three groups of 15 patients each: group I patients received one regimen single dose of 4 mg dexamethasone submucosally, group II received one regimen single dose of 8 mg dexamethasone submucosally, and group III (control group), no dexamethasone was given but only received injection of normal saline submucosally after establishing local anesthesia...
May 12, 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29752202/extensive-subcutaneous-emphysema-pneumomediastinum-and-pneumorrhachis-following-third-molar-surgery
#4
Y B E Tay, W S Loh
Third molar extraction is a common procedure in dental surgery. Common complications that may occur post procedure include pain, trismus, bleeding, dry socket, and nerve injuries. Subcutaneous emphysema is an uncommon complication. A rare case of extensive cervicofacial subcutaneous emphysema, pneumomediastinum, and pneumorrhachis following third molar extraction is reported here. Issues relating to the diagnosis, aetiology, and management of these complications are discussed.
May 8, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29735199/a-pilot-study-on-the-effects-of-direct-contact-of-two-different-surgical-burs-on-the-cadaveric-lingual-nerve
#5
S M Al-Amery, W C Ngeow, P Nambiar, M Naidu
The lingual guttering technique for third molar surgery carries the risk of injury to the lingual nerve if the surgical bur comes into direct contact with it. This study investigated the extent of nerve injury caused by two different burs, a tungsten carbide bur and the Dentium implant bur; the latter is designed to be soft tissue friendly. This study also examined whether ultrasound and magnetic resonance imaging are able to detect any injury inflicted. This cadaveric research involved subjecting 12 lingual nerves to the drilling effect of two different burs at two different speeds...
May 4, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29723658/common-risk-factors-of-dry-socket-alveolitis-osteitis-following-dental-extraction-a-brief-narrative-review
#6
Vahid Rakhshan
Dry socket is a common complication of dental extraction, especially extraction of third molars. Knowledge of the frequent risk factors of alveolitis osteitis is useful in determining high-risk patients, treatment planning, and preparing the patients mentally. The aim of this narrative review was to summarize the common risk factors of dry socket. A bibliographic search was carried out to find literature regarding risk factors of dry socket after tooth extraction. Each full article or abstract was read at least twice, and the relevant information was summarized...
April 30, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29714439/comparison-of-the-effects-of-diclofenac-potassium-and-tenoxicam-on-postoperative-pain-swelling-and-trismus-following-third-molar-surgery
#7
Ahmet Taylan Çebi, Metin Berk Kasapoğlu, Selin Eren, Çetin Kasapoğlu
Background/aim: This study aimed to compare two nonsteroidal antiinflammatory agents in relation to pain, swelling, and trismus following impacted third molar surgery. Materials and methods: The study was a randomized and a double-blinded study and included 50 healthy individuals. After the operation, patients were randomly assigned to 2 groups in which diclofenac potassium and tenoxicam were used. Impacted third molars were surgically extracted with local anesthesia. Pain was assessed postoperatively by visual analog scale at the 2nd, 6th, 8th, 12th, 24th, and 48th hours and on the 3rd, 5th, and 7th days...
April 30, 2018: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29675759/a-comparative-study-of-surgical-drain-placement-and-the-use-of-kinesiologic-tape-to-reduce-postoperative-morbidity-after-third-molar-surgery
#8
Aysenur Genc, Sirmahan Cakarer, Basak Keskin Yalcin, Beril Berivan Kilic, Sabri Cemil Isler, Cengizhan Keskin
OBJECTIVES: Our aim was to compare the effects of the surgical drain and kinesiotape applications on postoperative morbidity after mandibular third molar surgery in a split-mouth study design. MATERIALS AND METHODS: A single-centre, split-mouth study was performed in 23 patients who needed surgical removal of bilateral mandibular third molars. Each patient was treated with a drain tube on one side of the mandible and Kinesio tape (KT) on the contralateral side. RESULTS: Swelling was significantly greater in the KT group than in the drain group throughout the study period...
April 19, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29662970/does-giving-brief-information-keep-patients-calm-during-different-oral-surgical-procedures
#9
Fatih Cabbar, Muammer Çağrı Burdurlu, Ceyda Özçakır Tomruk
OBJECTIVES: Dental anxiety may play a central role in the oral health status and treatment outcomes of oral surgical procedures. The study aimed to investigate the effect that brief written information has over patients undergoing oral surgical procedures and to evaluate factors that may cause anxiety. METHOD AND MATERIALS: A prospective study was performed on 38 mandibular third molar surgery patients (mean age 26.74 ± 6.44 years) and 56 implant surgery patients (mean age 49...
April 16, 2018: Quintessence International
https://www.readbyqxmd.com/read/29657529/impact-of-electro-neuro-feedback-on-postoperative-outcome-of-impacted-lower-third-molar-surgery
#10
Giacomo Oteri, Michele Pisano, Antonia Marcianò, Gabriele Cervino, Matteo Peditto
Objective: The purpose of this study was to evaluate the impact of a treatment with electro-neuro-feedback (ENF), a portable transcutaneous electrical nerve stimulation (TENS) device, on the clinical outcome and inflammatory biochemical parameters related to the impacted lower third molar surgery. Materials and Methods: A randomized, split-mouth, and single-blind study was conducted on 32 patients requiring lower third molars extractions and referred to the Oral Surgery Unit of the School of Dentistry of the University of Messina...
January 2018: European Journal of Dentistry
https://www.readbyqxmd.com/read/29652024/intra-alveolar-extraction-of-impacted-distoangular-mandibular-third-molars-a-novel-technique
#11
K Santhosh Kumar, A Emmanuel Dhiravia Sargunam, C Ravindran, Gvv Giri
Recent trends in maxillofacial surgery are to reduce the trauma to the adjacent soft tissue. The distoangular impaction presents a challenge to the maxillofacial surgeon and also results in more surgical morbidity. Here, we present a minimally invasive extraction technique for the distoangular mandibular third molar impaction.
March 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29629438/influence-of-leukocyte-and-platelet-rich-fibrin-l-prf-on-the-outcomes-of-impacted-mandibular-third-molar-removal-surgery-a-split-mouth-randomized-clinical-trial
#12
Povilas Daugela, Vaidas Grimuta, Dalius Sakavicius, Juozas Jonaitis, Gintaras Juodzbalys
OBJECTIVES: The purpose of this study was to evaluate the influence of leukocyte- and platelet-rich fibrin (L-PRF) on impacted mandibular third molar (IMTM) extraction wound healing, patient postoperative discomfort, and incidence of alveolar osteitis. METHOD AND MATERIALS: Thirty-four patients (20 female, 14 male) who met the inclusion criteria for this split-mouth randomized clinical trial were enrolled and 30 patients completed the study. Patients were randomized and underwent bilateral IMTM surgical extractions...
2018: Quintessence International
https://www.readbyqxmd.com/read/29628168/effect-of-a-domiciliary-facial-cooling-system-on-generic-quality-of-life-after-removal-of-mandibular-third-molars
#13
A N Beech, S Haworth, G J Knepil
To evaluate quality of life (QoL) and patients' perceptions of a domiciliary facial cooling system (Hilotherm® , Hilotherapy UK Ltd, Coventry, UK), we asked 30 patients to complete a paper-based EQ-5D-3L QoL questionnaire (EuroQol Group 1990, Rotterdam, The Netherlands) each day for seven days after the removal of mandibular third molars. They were returned by 14 of the 20 patients who had not used the system and by all 10 who had. Patients aged between 18 and 25 who had their teeth removed in outpatients (in accordance with National Institute for Health and Care Excellence guidelines) under general anaesthesia (American Association of Anesthesiologists (ASA) class I or II) and did not smoke, were included...
April 5, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29627152/three-dimensional-radiographic-evaluation-of-root-migration-patterns-4-8-5-years-after-lower-third-molar-coronectomy-a-cone-beam-computed-tomography-study
#14
A W K Yeung, N S M Wong, M M Bornstein, Y Y Leung
This prospective study in patients with a follow-up of 4-8.5years aimed to describe the long-term, three-dimensional changes of coronectomized lower third molar roots. Pre- and postoperative cone beam computed tomography (CBCT) scans were compared. The distance of root migration, the direction of root translation and rotation, and the amount of bone regeneration at the adjacent second molar and superficially to the third molar root were recorded. Age, gender, time elapsed following surgery, the status of the retained root including, impaction pattern and depth of impaction were tested to check if they were influencing factors for the above outcomes...
April 4, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29625028/effectiveness-of-drainage-in-mandibular-third-molar-surgery-a-systematic-review-and-meta-analysis
#15
REVIEW
Shaopeng Liu, Zhu You, Chuan Ma, Ye Wang, Huaqiang Zhao
PURPOSE: The purpose of this study was to provide an evidence-based evaluation of the impact of surgical drainage after the removal of mandibular third molars. MATERIALS AND METHODS: The Medline (PubMed), Cochrane Library, and Web of Science databases were searched to identify randomized controlled trials up to September 1, 2017. Postoperative variables, including facial swelling, trismus, and pain, were calculated early (2 to 3 days) and late (5 to 7 days) after the removal of impacted mandibular third molars...
March 15, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29623148/diclofenac-potassium-in-acute-postoperative-pain-and-dysmenorrhoea-results-from-comprehensive-clinical-trial-reports
#16
REVIEW
R Andrew Moore, Sheena Derry
We compared the efficacy of diclofenac potassium in unpublished clinical study reports (CSRs) and published reports to examine publication bias, industry bias, and comprehensiveness. Novartis provided CSRs of randomised double-blind trials of diclofenac potassium involving postoperative patients following third molar extraction (3 trials, n =519), gynaecological surgery (3 trials, n =679), and dysmenorrhoea (2 trials, n =711) conducted in 1988-1990. Searches identified published reports of 6 trials. Information from 599/1909 patients was not published; trials with 846/1909 patients were published in a defunct journal...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29618877/infection-alveolar-osteitis-and-adverse-effects-using-metronidazole-in-healthy-patients-undergoing-third-molar-surgery-a-meta-analysis
#17
REVIEW
Mario Alberto Isiordia-Espinoza, Othoniel H Aragon-Martinez, Ronell E Bollogna-Molina, Ángel J Alonso-Castro
Purpose: The aim of this systematic review and meta-analysis was to evaluate the risk of surgical infection, alveolar osteitis, and adverse effects using systemic metronidazole in comparison with placebo in healthy patients undergoing third molar surgery. Materials and Methods: The eligible reports were identified from diverse science sources. Clinical trials meeting the inclusion and exclusion criteria and an acceptable Oxford Quality Score were included in this study...
June 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29618350/impaction-of-lower-third-molars-and-their-association-with-age-radiological-perspectives
#18
Soukaina Ryalat, Saif Aldeen AlRyalat, Zaid Kassob, Yazan Hassona, Mohammad H Al-Shayyab, Faleh Sawair
BACKGROUND: Third molars are the most commonly impacted teeth, and their extraction is the most commonly performed procedure in oral and maxillofacial surgery. The aim of the present study is to describe the pattern of mandibular third molar impaction and to define the most appropriate age for prophylactic extraction of mandibular third molar teeth. METHODS: A total of 1198 orthopantomographs (OPGs) with 1810 impacted lower third molars were reviewed by two authors...
April 4, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29594335/the-retromolar-canals-and-foramina-radiographic-observation-and-application-to-oral-surgery
#19
Shogo Kikuta, Joe Iwanaga, Ken Nakamura, Kiyosato Hino, Moriyoshi Nakamura, Jingo Kusukawa
PURPOSE: The retromolar canal (RMC) and foramen (RMF) are anatomic variants in the retromolar area of the mandible. The purpose of this study was to clarify the relationship between the RMC and RMF and related complications, and to reveal how the RMC could impact the mandibular anatomy using cone-beam computed tomography (CBCT) and panoramic images (PAN). MATERIALS AND METHODS: CBCT and PAN images of 50 patients were retrospectively analyzed to investigate the morphology of the RMC and RMF, and their impact on impacted third molar surgery and orthognathic surgery...
March 29, 2018: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29581740/effects-of-low-level-laser-therapy-following-surgical-extraction-of-the-lower-third-molar-with-objective-measurement-of-swelling-using-a-three-dimensional-system
#20
Mahmut Koparal, Ayse Ozcan Kucuk, Hilal Alan, Fatih Asutay, Mehmet Avci
The aim of the present study was to evaluate and compare the effects of single- and two-dose low-level laser therapy (LLLT) on the postoperative swelling, trismus and pain of patients undergoing extraction of impacted mandibular third molars. In addition, edema was volumetrically measured with a 3dMD face system. A total of 45 patients were randomly divided into three treatment groups (15 patients in each group) as follows: Group 1, receiving routine management with ice application and serving as the control group; Group 2, receiving a single dose of LLLT immediately following surgery; and Group 3, receiving two doses of LLLT, immediately following surgery and on day 2 after surgery...
April 2018: Experimental and Therapeutic Medicine
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