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Third molar surgery

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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
#1
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
#2
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...
August 15, 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
#3
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
https://www.readbyqxmd.com/read/28797219/unresolving-trismus-following-third-molar-surgery-report-of-a-case-of-fibrodysplasia-ossificans-progressiva-with-review-of-literature
#4
B R Rajanikanth, Kavitha Prasad, K Vineeth, Sushma M N Sonale, Khuteja Al-Kubra
BACKGROUND: Trismus is a problem commonly encountered by the dental practitioner. It has a number of potential causes, and its treatment will depend on the cause. However, there are very few reports of trismus due to fibrodysplasia ossificans progressiva (FOP) following third molar surgery. CLINICAL PRESENTATION: FOP is a rare human genetic disorder with characteristic clinical features like progressive formation of extraskeletal bone or heterotopic ossification and congenital malformation of the great toes...
August 11, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/28791081/is-the-late-mandibular-fracture-from-third-molar-extraction-a-risk-towards-malpractice-case-report-with-the-analysis-of-ethical-and-legal-aspects
#5
Weuler Dos Santos Silva, Rubens Jorge Silveira, Michelle Gouveia Benicio de Araujo Andrade, Ademir Franco, Rhonan Ferreira Silva
OBJECTIVES: The present study reports a case of late mandibular fracture due to third molar extraction and highlights the inherent clinical, ethical and legal aspects related to this surgical complication. MATERIAL AND METHODS: A female patient underwent surgical procedure for the extraction of the mandibular right third molar. Two days after the surgery the patient reported pain and altered occlusion in the right side of the mandible. After clinical and radiographic re-examination, the diagnosis of late mandibular fracture was established...
April 2017: Journal of Oral & Maxillofacial Research
https://www.readbyqxmd.com/read/28771709/assessment-of-the-referral-system-for-surgical-removal-of-third-molars-at-the-dental-faculty-king-saud-university
#6
Randa Abdul Moein Al Fotawi, Manju Roby Philip, Sangeetah Negavara Premnath
INTRODUCTION: There is compelling evidence that prophylactic extraction of third molars is a health problem that needs to be addressed. In particular, the vast amount of evidence demonstrating complications after removal of third molars, rather than supporting the necessity of removal or the negative effects of retention, raise this concern. OBJECTIVE: The aim of this study was to investigate the referral system for third molar extraction at our institution by assessing patient opinions and the experience of the oral surgeons and the referring dentists...
August 2, 2017: International Dental Journal
https://www.readbyqxmd.com/read/28761272/efficacy-of-murva-sansevieria-roxburghiana-schult-and-schult-f-as-a-suture-material-in-closure-of-incisions-in-third-molar-surgeries-a-prospective-study
#7
Pravin Lambade, Ashutosh Thorat
INTRODUCTION: Adequate closure of the surgical wound is one of the most important aspects of surgery; improper suturing techniques or improper suturing materials sometimes compromise the success of surgery. Many synthetic materials have replaced the natural materials, which were once used for suturing in the ancient era, and Murva is one of them. There are references of Murva (Sansevieria roxburghiana Schult. and Schult.f.) at various contexts of "Sushruta Samhita" where it has been used as a suture material...
January 2017: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28761271/a-comparative-clinical-evaluation-of-analgesic-efficacy-of-tapentadol-and-ketorolac-in-mandibular-third-molar-surgery
#8
Dixit Shah, Sanket Shah, Amit Mahajan, Navin Shah, Darshan Sanghvi, Rishabh Shah
INTRODUCTION: The surgical removal of impacted mandibular third molars is one of the most commonly performed dentoalveolar procedures in oral and maxillofacial surgery and is associated with varying degrees of postoperative discomfort. Pain, trismus, and swelling are the most common postoperative complaints, and these influence a patient's quality of life in the days after surgery. MATERIALS AND METHODS: A comparative study of the 32 patients, 16 were allocated to receive ketorolac and 16 patients were allocated to receive tapentadol...
January 2017: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28740425/efficacy-of-piroxicam-for-postoperative-pain-after-lower-third-molar-surgery-associated-with-cyp2c8-3-and-cyp2c9
#9
Adriana Maria Calvo, Paulo Zupelari-Gonçalves, Thiago José Dionísio, Daniel Thomas Brozoski, Flávio Augusto Faria, Carlos Ferreira Santos
OBJECTIVE: Nonsteroidal anti-inflammatory drugs (NSAIDs) are metabolized by the cytochrome P450 enzymes (CYPs), predominantly CYP2C8 and CYP2C9. The aim of this study was to evaluate the possible association of polymorphisms in the CYP2C8*3 and CYP2C9 genes with the clinical efficacy of oral piroxicam (20 mg daily for 4 days) after lower third molar surgeries with regard to postoperative pain, swelling, trismus, adverse reactions, need for rescue medication and the volunteer's overall satisfaction...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28740273/mandibular-osteonecrosis-due-to-the-pulpal-periodontal-syndrome-a-case-report-and-review-of-the-literature
#10
Dragana Gabrić, Sven Seiwerth, Anja Baraba, Vanja Vučićević, Boras
OBJECTIVE: Ishemic bone disease has multifactorial etiologies. Cronic dental infections should be eliminated to prevent osteonecrosis of the jaw. CASE REPORT: We report an unusual case of osteonecrosis due to the pulpal-peridontal syndrome and subsequent pulp necrosis. A case of 38 year old woman who presented with exposed bone, 8 mm in diameter, in the lingual area of the right lower third molar. The patient was otherwise healthy and was not taking any medications...
March 2017: Acta Stomatologica Croatica
https://www.readbyqxmd.com/read/28713761/measurement-of-lingual-cortical-plate-thickness-and-lingual-position-of-lower-third-molar-roots-using-cone-beam-computed-tomography
#11
Anindita Mallick, K C Vidya, Akshat Waran, Sanjeeb Kumar Rout
OBJECTIVE: The objective of the study was to determine the potential risk of tooth/root displacement into the soft tissue during the third molar surgery. While performing third molar surgeries, one of the many complications is displacement of the tooth into the soft tissues. This can be due perforation of the lingual cortical bone during surgery or the position of the tooth root which may be close to the lingual bone. MATERIALS AND METHODS: Retrospective samples of 251 patients were collected who had undergone cone-beam computed tomography (CBCT) for various reasons...
June 2017: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/28713735/an-assessment-of-factors-influencing-the-difficulty-in-third-molar-surgery
#12
Pavan Tenglikar, Ashwini Munnangi, Anand Mangalgi, Syed Furqhan Uddin, Santosh Mathpathi, Kundan Shah
BACKGROUND AND OBJECTIVES: Surgical removal of a mandibular impacted third molar is one among the most common oral surgical procedures. The objective of this study was to assess and identify risk indicators influencing extended operation time in relation to the surgical removal of mesioangular impacted mandibular third molar, position A, Class I and to evaluate the incidence of postoperative swelling, trismus, and pain. MATERIALS AND METHODS: A prospective cohort was implemented and the patients who presented for mandibular third molar removal which were impacted in position A, Class I were enlisted for the study...
January 2017: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28713729/piezosurgery-versus-rotatory-osteotomy-in-mandibular-impacted-third-molar-extraction
#13
Bharat Bhati, Pankaj Kukreja, Sanjeev Kumar, Vidhi C Rathi, Kanika Singh, Shipra Bansal
AIM: The aim of this study is to compare piezoelectric surgery versus rotatory osteotomy technique in removal of mandibular impacted third molar. MATERIALS AND METHODS: Sample size of 30 patients 18 males, 12 females with a mean age of 27.43 ± 5.27. Bilateral extractions were required in all patients. All the patients were randomly allocated to two groups in one group, namely control group, surgical extraction of mandibular third molar was done using conventional rotatory osteotomy and in the other group, namely test group, extraction of lower third molar was done using Piezotome...
January 2017: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28711570/anesthetic-management-of-reversible-cerebral-vasoconstriction-syndrome-a-case-report
#14
Hiroshi Hoshijima, Naoki Itoh, Yoshinori Iwase, Hiroshi Nagasaka
Reversible cerebral vasoconstriction syndrome (RCVS) is a group of disorders characterized by prolonged reversible cerebral vasoconstriction, associated with acute-onset, severe, episodic "thunderclap" headaches with or without other neurologic clinical features. We describe the first reported case, to our knowledge, of a patient with RCVS who was managed under general anesthesia in the field of oral and maxillofacial surgery. A 67-year-old woman with a diagnosis of RCVS made 2 months earlier was scheduled to undergo surgical extraction of the mandibular right third molar...
June 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28708643/rare-complication-in-third-maxillary-molar-extraction-dislocation-in-infratemporal-fossa
#15
Andrea Battisti, Paolo Priore, Filippo Giovannetti, Giorgio Barbera, Francesco D'Alessandro, Valentino Valentini
AIM: Removal of impacted third maxillary molar is frequently carried out without difficulties and low rate of intraoperative complications. The rare and particularly challenger to manage it is the third molar dislocation into the infratemporal fossa (IF). In this clinical report, the authors present their solution to manage and resolve this particular complication. METHODS: A 28-year-old woman was referred to the emergency rescue unit of the authors' hospital by her dentistry, after the attempt to extract the left impacted maxillary third molar...
July 13, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28690083/analgesic-effects-of-preinjection-low-level-laser-light-therapy-lllt-before-third-molar-surgery-a-double-blind-randomized-controlled-trial
#16
Jacco G C Tuk, Arjen J van Wijk, Ine C Mertens, Zühal Keleş, Jérôme A H Lindeboom, Dan M J Milstein
OBJECTIVE: The aim of this study was to evaluate the analgesic effects of low-level laser therapy (LLLT) on preinjection sites in patients scheduled for third molar removal. STUDY DESIGN: This double-blind randomized controlled trial included 163 healthy patients undergoing third molar extractions. The study participants were randomly divided into an LLLT and a placebo group. Objective and subjective data sets were obtained from physiologic feedback (heart rate and sweat response) and a questionnaire, respectively...
May 4, 2017: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/28675812/pre-emptive-effect-of-dexamethasone-and-diclofenac-sodium-associated-with-codeine-on-pain-swelling-and-trismus-after-third-molar-surgery-a-split-mouth-randomized-triple-blind-controlled-clinical-trial
#17
Thiago César Lima, Elizabete Bagordakis, Saulo Gabriel Moreira Falci, Cássio Roberto Rocha Dos Santos, Marcos Luciano Pimenta Pinheiro
PURPOSE: We aimed to compare the effect of dexamethasone, 8 mg, and diclofenac sodium, 50 mg, associated with codeine, 50 mg, on the control of pain, swelling, and trismus after extraction of impacted third molars. MATERIALS AND METHODS: Fifteen healthy patients with a mean age of 22.8 years (SD, 12.62 years) received a single oral dose of either drug 1 hour before each surgical procedure (left and right teeth). At 24, 48, and 72 hours after surgery, swelling was determined by use of linear measurements on the face and trismus was determined by maximal mouth opening...
June 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28672141/patient-recall-of-the-information-on-an-informed-consent-video
#18
Brennen T Olsen, Connor J Sherwood, Caroline K Carrico, James H Priest, Daniel M Laskin
PURPOSE: Experience has shown that in malpractice cases patients often claim certain information was not provided during the informed consent process. The purposes of this study were to determine how much of an informed consent video patients initially remember and how much is recalled when there is a hiatus from viewing the video to the surgery. PATIENTS AND METHODS: In this prospective cohort study, patients presenting for impacted third molar removal in an academic setting (n = 50) or a private office (n = 50) viewed an informed consent video and then met with the treating doctor for further discussion and signing of an informed consent form...
June 12, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28672139/management-of-surgical-third-lower-molar-extraction-and-postoperative-progress-in-patients-with-factor-vii-deficiency-a-clinical-protocol-and-focus-on-this-rare-pathologic-entity
#19
Pier Carmine Passarelli, Guido Pasquantonio, Antonio D'Addona
PURPOSE: The purpose of the present study was to analyze the management of surgical third molar extraction and postoperative progress in patients with a diagnosis of factor VII deficiency. Close collaboration between the oral-maxillofacial surgeon and hematologist will allow the team to categorize the risk and operate safely, thereby minimizing the incidence and severity of intraoperative and postoperative complications. MATERIALS AND METHODS: The present retrospective study included 7 patients with factor VII deficiency who had undergone third lower molar surgery...
June 14, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28669486/method-of-osteotomy-fixation-and-need-for-removal-following-bimaxillary-orthognathic-osseous-genioplasty-and-intranasal-surgery-a-retrospective-cohort-study
#20
J C Posnick, E Choi, A Chavda
The purpose of this study was to determine the incidence and causes of fixation hardware removal after bimaxillary orthognathic, osseous genioplasty, and intranasal surgery. A retrospective study was performed, involving subjects with a bimaxillary developmental dentofacial deformity (DFD) and symptomatic chronic obstructive nasal breathing. At a minimum, subjects underwent Le Fort I osteotomy, bilateral sagittal ramus osteotomies (SROs), septoplasty, inferior turbinate reduction, and osseous genioplasty. The primary outcome variable studied was fixation hardware removal...
June 29, 2017: International Journal of Oral and Maxillofacial Surgery
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