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Third molar surgery

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https://www.readbyqxmd.com/read/28912943/assessment-of-low-level-laser-therapy-effects-after-extraction-of-impacted-lower-third-molar-surgery
#1
Shahrokh Raiesian, Mehdi Khani, Kazem Khiabani, Ershad Hemmati, Mohammad Pouretezad
Introduction: The aim of this study was to assess the effect of low-level laser therapy (LLLT) on pain, swelling and maximum mouth opening in patients undergoing third molar surgery. Methods: A prospective, randomized double-blind study was undertaken on 44 patients at the Dental School, Ahvaz Jundishapur University of Medical Sciences, in 2015. A low-level laser was randomly applied on one of the two sides after surgery of 15 patients. The experimental side received 18 J/cm(2) of energy density, wavelength of 980 nm, and output power of 1...
2017: Journal of Lasers in Medical Sciences
https://www.readbyqxmd.com/read/28902255/taking-advantage-of-an-unerupted-third-molar-a-case-report
#2
Igor Figueiredo Pereira, Fernando Zander Mucci Santiago, Augusto Cesar Sette-Dias, Vladimir Reimar Augusto de Souza Noronha
Introduction: Treatments with dental surgery seek to displace tooth to the correct position within the dental arch. Objective: To report a clinical case that took advantage of an unerupted third molar. Case history: A male patient, 18 years of age, was referred by his dentist to evaluate the third molars. The clinical exam revealed no visible lower third molars. The computed tomography (CT) exam showed the presence of a supernumerary tooth in the region of the mandibular ramus, on the left side, and impaction of the third molar, which was causing root resorption on the second molar, thus making it impossible to remain in the buccal cavity...
July 2017: Dental Press Journal of Orthodontics
https://www.readbyqxmd.com/read/28898426/differences-between-inflammatory-and-catabolic-mediators-of-peri-implantitis-and-periodontitis-lesions-following-initial-mechanical-therapy-an-exploratory-study
#3
M Ghighi, A Llorens, B Baroukh, C Chaussain, P Bouchard, M Gosset
BACKGROUND AND OBJECTIVE: The aim of this study was to analyze the differences in inflammatory and catabolic mediators expressed in peri-implantitis compared to periodontitis lesions after non-surgical therapy. Peri-implantitis is associated with a faster rate of bone loss when compared with periodontitis, and peri-implant non-surgical therapy is ineffective to cure peri-implantitis. This may be due to persistent inflammation in peri-implantitis tissues after initial mechanical treatment...
September 12, 2017: Journal of Periodontal Research
https://www.readbyqxmd.com/read/28893541/nanomechanical-assessment-of-bone-surrounding-implants-loaded-for-3%C3%A2-years-in-a-canine-experimental-model
#4
Rodolfo B Anchieta, Márcia V M Guimarães, Marcelo Suzuki, Nick Tovar, Estevam A Bonfante, Pablo Atria, Paulo G Coelho
PURPOSE: This work evaluated the nanomechanical properties of bone surrounding submerged and immediately loaded implants after 3 years in vivo. It was hypothesized that the nanomechanical properties of bone would markedly increase in immediately and functionally loaded implants compared with submerged implants. MATERIALS AND METHODS: The second, third, and fourth right premolars and the first molar of 10 adult Doberman dogs were extracted. After 6 months, 4 implants were placed in 1 side of the mandible...
August 17, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28886353/initial-manifestation-of-acquired-hemophilia-a-after-a-routine-tooth-extraction-a-case-report-and-literature-review
#5
Nicholas A Bennetts, James E Mergelmeyer, Eric J Reimer, James C Melville
Although surgical treatment of patients on anticoagulation regimens is common practice among oral and maxillofacial surgeons, unexpected and unknown coagulopathies can have devastating and catastrophic consequences for the most routine of procedures. Acquired hemophilia A (AHA) is an extremely rare life-threatening bleeding disorder characterized by autoantibodies directed against circulating coagulation factor VIII. The effects of AHA can produce catastrophic bleeding and hematomas. The effect of this uncontrolled hemorrhage after dentoalveolar surgery can mimic severe head and neck infection by causing dysphagia, odynophagia, and acute airway complications...
August 12, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28885317/ridge-preservation-after-maxillary-third-molar-extraction-using-30-porosity-plga-ha-%C3%AE-tcp-scaffolds-with-and-without-simvastatin-a-pilot-randomized-controlled-clinical-trial
#6
Miguel Noronha Oliveira, Levy Hermes Rau, Aline Marodin, Márcio Corrêa, Letícia Ruhland Corrêa, Aguedo Aragones, Ricardo de Souza Magini
OBJECTIVE: To evaluate clinically and radiographically, in humans, the healing of maxillary third molars postextraction sockets after application of different ridge preservation techniques 3 months after tooth extraction. MATERIALS AND METHODS: Twenty-six sockets (13 patients) were randomly assigned to 4 treatment modalities: deproteinized bovine bone mineral with 10% collagen (DBBM-C), poly(D,L-lactide-co-glycolide) with hydroxyapatite/β-TCP scaffold (PLGA/HA), PLGA/HA/β-TCP with 2...
September 6, 2017: Implant Dentistry
https://www.readbyqxmd.com/read/28880060/comparison-of-orthopantomography-opg-and-computed-tomography-ct-accuracy-in-predicting-inferior-alveolar-nerve-injury-following-lower-third-molar-surgical-extraction
#7
Fulvio Fusaro, Fulvia Costantinides, Michele Maglione, Domenico Dalessadri, Erica Vettori, Roberto DI Lenarda
BACKGROUND: The aim of this study was to compare OPG and CT accuracy in predicting inferior alveolar nerve (IAN) injury after lower wisdom teeth extraction. METHODS: 23 patients with completely impacted lower third molar were enrolled in this study and OPG and CT exams were obtained before surgical intervention. Finally, a total of 26 lower third molars were extracted and cases of paresthesia following a IAN lesion have been registered. Then, OPG and CT images of the same patients have been randomly submitted to four experienced oral surgeons (with a seniority of at least 5 years) who were required to predict the possibility of a IAN injury by only evaluating the radiological exams...
September 5, 2017: Minerva Stomatologica
https://www.readbyqxmd.com/read/28879339/double-versus-single-cartridge-of-4-articaine-infiltration-into-the-retro-molar-area-for-lower-third-molar-surgery
#8
Kamonpun Sawang, Teeranut Chaiyasamut, Sirichai Kiattavornchareon, Verasak Pairuchvej, Bishwa Prakash Bhattarai, Natthamet Wongsirichat
BACKGROUND: There are no studies regarding 4% articaine infiltration injection into the retro-molar area for an impacted lower third molar (LITM) surgery. This study aimed to evaluate the efficacy of infiltration using 1.7 ml (single cartridge: SC) of 4% articaine versus 3.4 ml (double cartridges: DC) of 4% articaine with 1:100,000 epinephrine in LITM surgery. METHOD: This study involved 30 healthy patients with symmetrical LITM. The patients were assigned to receive either a DC or SC of 4% articaine with 1:100,000 epinephrine as a local anesthetic for each operation...
June 2017: J Dent Anesth Pain Med
https://www.readbyqxmd.com/read/28879328/decreased-post-operative-pain-using-a-sublingual-injection-of-dexamethasone-8-mg-in-lower-third-molar-surgery
#9
Peiter Gozali, Kiatanant Boonsiriseth, Sirichai Kiattavornchareon, Manop Khanijou, Natthamet Wongsirichat
BACKGROUND: Every patient who undergoes mandibular third molar surgery is concerned about post-operative pain. Indeed, previous researchers have used various methods to treat such pain. This study aimed to assess the effectiveness of sublingual injection of dexamethasone (8 mg) to treat post-operative pain after mandibular third molar surgery. METHOD: This was a randomized, double-blind, split-mouth, clinical trial, involving 48 healthy patients who required surgical removal of two mandibular third molars with similar bilateral positions...
March 2017: J Dent Anesth Pain Med
https://www.readbyqxmd.com/read/28879326/4-lidocaine-versus-4-articaine-for-inferior-alveolar-nerve-block-in-impacted-lower-third-molar-surgery
#10
Kiatanant Boonsiriseth, Sittipong Chaimanakarn, Prued Chewpreecha, Natee Nonpassopon, Manop Khanijou, Bushara Ping, Natthamet Wongsirichat
BACKGROUND: No study has compared lidocaine with articaine, each at a concentration of 4% and combined with epinephrine. The purpose of this study was to compare the effectiveness of 4% lidocaine with that of 4% articaine, with a concentration of 1:100,000 epinephrine added to each, in an inferior alveolar nerve block for surgery on impacted lower third molars. METHOD: This study was conducted at the Faculty of Dentistry, Mahidol University in Bangkok, Thailand...
March 2017: J Dent Anesth Pain Med
https://www.readbyqxmd.com/read/28875137/risk-factor-analysis-of-additional-administration-of-sedative-agent-and-patient-dissatisfaction-in-intravenous-conscious-sedation-using-midazolam-for-third-molar-extraction
#11
Dong-Whan Shin, Jin-Yong Cho, Yoon-Sic Han, Hye-Young Sim, Hee-Sun Kim, Da-Un Jung, Ho Lee
OBJECTIVES: The primary purpose of this study was to investigate the factors related with additional administration of sedative agent during intravenous conscious sedation (IVS) using midazolam (MDZ). The secondary purpose was to analyze the factors affecting patient satisfaction. MATERIALS AND METHODS: Clinical data for 124 patients who had undergone surgical extraction of mandibular third molar under IVS using MDZ were retrospectively investigated in this case-control study...
August 2017: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/28874646/comparative-evaluation-of-two-different-flap-designs-and-postoperative-outcome-in-the-surgical-removal-of-impacted-mandibular-third-molar
#12
A Rabi, P M Mohamed Haris, Deepu M Panickal, Shabeer Ahamed, Venith J Pulikkottil, K T Muhamed Haris
AIM: The aim of this study is to compare triangular and envelope flap designs and the postoperative outcome in the surgical removal of impacted mandibular third molar. MATERIALS AND METHODS: A total of 50 participants were assessed clinically and were divided randomly into two groups. Group I (participants operated by triangular flap) and group II (participants operated by envelope flap), with 25 participants each between the age group of 20 and 30 years. Patient satisfaction was assessed subjectively using a graded scale from very satisfied to very unsatisfied...
September 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28866140/perioperative-supplementation-with-a-fruit-and-vegetable-juice-powder-concentrate-and-postsurgical-morbidity-a-double-blind-randomised-placebo-controlled-clinical-trial
#13
Patricia Gorecki, Danielle L Burke, Iain L C Chapple, Karla Hemming, Daniel Saund, David Pearson, Wilhelm Stahl, Ryan Lello, Thomas Dietrich
BACKGROUND & AIMS: Surgical trauma leads to an inflammatory response that causes surgical morbidity. Reduced antioxidant micronutrient (AM)(a) levels and/or excessive levels of Reactive Oxygen Species (ROS)(b) have previously been linked to delayed wound healing and presence of chronic wounds. We aimed to evaluate the effect of pre-operative supplementation with encapsulated fruit and vegetable juice powder concentrate (JuicePlus+(®)) on postoperative morbidity and Quality of Life (QoL)(c)...
August 10, 2017: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/28858553/liposomal-bupivacaine-use-in-third-molar-impaction-surgery-innovate-study
#14
Stuart E Lieblich, Hassan Danesi
The analgesic efficacy and safety of liposomal bupivacaine (LB) in third molar extraction was evaluated in this phase 3, double-blind, placebo-controlled study of subjects undergoing bilateral third molar extraction. Subjects were randomized 2 : 1 to infiltration with LB (133 mg/10 mL) or placebo, and received opioid rescue medication as needed. Primary efficacy measure was cumulative area under the curve (AUC) of numeric rating scale (NRS) pain severity scores through 48 hours (AUC of NRS0-48) postsurgery...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28858550/preemptive-effect-of-dexamethasone-in-third-molar-surgery-a-meta-analysis
#15
Saulo Gabriel Moreira Falci, Thiago César Lima, Carolina Castro Martins, Cássio Roberto Rocha Dos Santos, Marcos Luciano Pimenta Pinheiro
The aim of the present study was to assess the effectiveness of preemptive dexamethasone in surgery of the lower third molars and to compare it with other oral anti-inflammatories. An electronic search was conducted for preemptive effects related to lower third-molar surgery in 3 separate databases. The variables pain, swelling, and trismus were assessed. Meta-analysis was used to calculate the pooled effect measures for mean and standard deviation values (95% confidence interval [CI]). Seven split-mouth clinical trials were selected...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/28857982/is-horizontal-mattress-suturing-more-effective-than-simple-interrupted-suturing-on-postoperative-complications-and-primary-wound-healing-after-impacted-mandibular-third-molar-surgery
#16
Ahmet Hüseyin Acar, Hakki Oğuz Kazancioğlu, Necip Fazil Erdem, Fatih Asutay
The aim of this clinical study was to compare the influence of 2 different suturing techniques on postoperative complications and wound healing after surgical extractions of impacted mandibular third molars. In this randomized split mouth study, 30 patients were examined in whom 60 consecutive surgical extractions of symmetrically positioned impacted mandibular third molars were performed. After the extractions, the surgical flaps were sutured with either the simple interrupted or horizontal mattress suturing technique...
August 28, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28818641/pernambuco-index-predictability-of-the-complexity-of-surgery-for-impacted-lower-third-molars
#17
R W F de Carvalho, B C Vasconcelos
This study aimed to develop and validate an index of surgical difficulty for the removal of impacted lower third molars. The study was performed in two steps. The first was a cross-sectional analysis of clinical, demographic, and radiographic variables collected from patients undergoing the removal of an impacted lower third molar between 2008 and 2012. The second step was a prospective cohort study involving the same surgical procedures to validate the index; this was performed between 2013 and 2016. Univariate regression analysis was applied, followed by multiple linear regression analysis...
August 14, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28811076/submucosal-injection-of-dexamethasone-and-methylprednisolone-for-the-control-of-postoperative-sequelae-after-third-molar-surgery-randomized-controlled-trial
#18
A Chugh, S Singh, Y Mittal, V Chugh
Pain, swelling, and trismus are known sequelae of third molar surgery that can significantly affect the individual's quality of life (QOL). These should be minimized to improve QOL. The purpose of this study was to compare the effects of the preoperative submucosal administration of equivalent doses of two commonly used steroids on these postoperative sequelae. A randomized controlled clinical trial was conducted involving 60 subjects requiring the removal of impacted mandibular third molars. Extraction cases with a similar difficulty index were included...
August 12, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28809364/clinician-related-factors-behind-the-decision-to-extract-an-asymptomatic-lower-third-molar-a-cross-sectional-study-based-on-spanish-and-portuguese-dentists
#19
D Alves-Pereira, D Pereira-Silva, R Figueiredo, C Gay-Escoda, E Valmaseda-Castellón
BACKGROUND: Scientific literature estimates that around 18 to 40 % of asymptomatic third molars are extracted. The aims of the present study were to determine the indications for extraction of asymptomatic lower third molars in a sample of Spanish and Portuguese dentists, and to relate these indications to the clinicians' training and professional experience. MATERIAL AND METHODS: A survey consisting of 15 cases of asymptomatic lower third molars was emailed to Portuguese and Spanish dentists...
September 1, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/28805103/dentoalveolar-oral-surgery-in-children-and-adolescents-organization-and-surgical-treatment-in-a-large-danish-municipal-dental-service
#20
Anni Birgitte Grønbæk, Flemming Petersen, Dorte Haubek, Sven Poulsen
OBJECTIVE: To describe a population-based organization of dentoalveolar surgical service for 0 to 18-year old subjects in a Danish municipal dental service, and analyze the type of dentoalveolar surgical interventions needed. MATERIAL AND METHODS: The study was conducted in the Municipality of Aarhus, Denmark during five consecutive school-years. An internal referral system was established within the municipality where patients could be referred to colleagues with a higher level of competencies and more experiences with paediatric dentoalveolar surgery...
August 13, 2017: Acta Odontologica Scandinavica
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