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1.
Br Dent J ; 233(10): 847-852, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36434224

RESUMO

Furcation-involved molars are a common presentation in general dental practice. Teeth with increasing degrees of furcation involvement are at a higher risk of requiring extraction. The assessment and management of these teeth may be complicated by difficulties in accessing the furcation for both the clinician and patient. However, with appropriate supportive therapy, these teeth have been shown to have acceptable survival rates. This first article reviews and discusses the classification, assessment and the non-surgical management of furcation-involved molar teeth. An improved understanding of how to appropriately manage these teeth can result in improved outcomes for patients.


Assuntos
Dente Serotino , Dente Molar , Humanos , Prevalência , Odontologia Geral
2.
Orthod Fr ; 93(4): 1-6, 2022 11 01.
Artigo em Francês | MEDLINE | ID: mdl-36444738

RESUMO

Introduction: The prognostic improvement for dental auto-transplants is the result of a better understanding in the physiopathology of the periodontium and also of the refining of the technical operative procedure. This fact allows the use of third molars as donor site for the replacement of absent, or first or second badly decayed molars. Discussion: This possible therapy is a supplement argument for the conservation of third molars and their extraction must be indicated only when the anatomic situation presents a pathological risk. Results: If, in adults, it is possible to compare the advantages and disadvantages with the classical implant or prosthetic techniques, it should however be considered as first choice therapy for adolescents and young adults. Indeed, in these cases, the lower risk of root ankylosis avoids passive intrusion and the osteogenic effect of the desmodontium allows normal alveolar bone formation.


Introduction: L'amélioration du pronostic des autogreffes dentaires, envisageable par une meilleure compréhension de la physiopathologie du parodonte et par un affinement de la technique opératoire qui en résulte, permet d'utiliser à bon compte les dents de sagesse comme site donneur dans le remplacement de molaires absentes ou trop fortement délabrées. Discussion: Cette possibilité thérapeutique est un argument supplémentaire à la conservation des dents de sagesse dont l'extraction ne devrait être indiquée que lorsque la situation anatomique de ces dents présente un risque pathologique. Résultats: Si, chez l'adulte, il est possible d'en discuter les avantages et les inconvénients avec les techniques prothétiques et implantaires classiques, les autogreffes dentaires doivent en revanche être considérées comme la solution de choix chez l'adolescent ou le jeune adulte. En effet, dans ces cas, le risque moindre d'ankylose radiculaire évite l'ingression passive de la dent remplacée et l'action ostéogénique de son desmodonte permet une formation normale de l'os alvéolaire qui l'environne.


Assuntos
Dente Serotino , Dente Molar , Adolescente , Adulto Jovem , Humanos , Dente Serotino/cirurgia , Dente Molar/cirurgia , Periodonto , Assistência Odontológica , Osteogênese
3.
Yakugaku Zasshi ; 142(12): 1391-1398, 2022.
Artigo em Japonês | MEDLINE | ID: mdl-36450517

RESUMO

Although the dosage of oral antibiotics (OA) for the mandibular third molar extraction (MTME) varies among the administration periods according to the current guideline, our previous reports suggested that it might be possible to further shorten the administration period without increasing the incidence of surgical site infection (SSI). In the present study, we retrospectively evaluated the relationship between the incidence of SSI and the administration period of OA in patients who underwent the MTME in our hospital. This retrospective cohort study included 348 patients who underwent the MTME in our dental outpatient clinic from June 2020 to March 2022. The administrated antibiotic was amoxicillin (AMPC) in all patients. Patients were divided into two groups based on the administration period of AMPC single and three times before the surgery. The following information was collected: (1) patient factors (age, gender, body mass index, diagnosis, mandibular third molar status); (2) surgical factors (operation time, presence/absence of wound closure, presence/absence of hemostat, experience of surgeons); (3) relationship between administration period of OA and SSI occurrence; and (4) details of SSI. There were 217 cases in the single group and 131 cases in the three times group. The incidence of SSI was 1.1% (4/348), with 1.4% (3/217) in the single group and 0.8% (1/131) in the three times group; there was no significant difference between the two groups. Our result suggests that single administration of AMPC before the MTME would be sufficient for the prevention of SSI in Japanese patients without risk factors.


Assuntos
Amoxicilina , Infecção da Ferida Cirúrgica , Humanos , Infecção da Ferida Cirúrgica/epidemiologia , Infecção da Ferida Cirúrgica/prevenção & controle , Estudos Retrospectivos , Japão , Dente Serotino/cirurgia , Antibacterianos
4.
J Am Dent Assoc ; 153(12): 1154-1170.e60, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36435528

RESUMO

BACKGROUND: The aim of this network meta-analysis was to assess the comparative effects of different dexamethasone (DXM) routes and doses on reducing postoperative sequelae (pain, swelling, trismus) after surgical extraction of impacted mandibular third molars. METHODS: Five databases were searched on September 22, 2021, for randomized controlled trials. Risk of bias (ROB) was assessed using the Cochrane ROB 2 tool. Study heterogeneity, publication bias, and quality of evidence were investigated. Network meta-analyses were conducted (P < .05), and the P-score was used to rank comparisons of DXM doses and routes. RESULTS: Thirty-four eligible studies were included. Eight studies had low ROB, 21 had some concerns, and 5 had high ROB. The certainty of evidence evaluated by the Confidence in Network Meta-Analysis tool indicated low to very low certainty in most comparisons. The results showed that most DXM route and dose combinations were superior to a placebo in reducing the postoperative sequelae 1 day after surgical extraction. The results also showed that a 4-mg DXM submucosal injection substantially reduces pain 3 days after extraction compared with a 4-mg twin-mix or 8-mg intramuscular injection. Overall, it appears that 4 mg DXM submucosal injection or admixed with local anesthetic is effective in reducing postoperative sequelae after surgical extraction. CONCLUSIONS: Within the limitations of this study, the administration of DXM appears to be effective in reducing the postoperative sequelae, especially in the submucosal route. However, no noteworthy differences were found between the investigated DXM route and dose comparisons. PRACTICAL IMPLICATIONS: Submucosal DXM injection effectively reduce postoperative sequelae of third-molar extractions.


Assuntos
Dente Serotino , Dente Impactado , Humanos , Dente Serotino/cirurgia , Metanálise em Rede , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/etiologia , Dor Pós-Operatória/prevenção & controle , Ensaios Clínicos Controlados Aleatórios como Assunto , Dente Impactado/cirurgia , Dexametasona/uso terapêutico , Dente Molar , Injeções Intramusculares
5.
J Contemp Dent Pract ; 23(7): 733-738, 2022 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-36440521

RESUMO

AIM: This study was conducted to compare the efficacy of using 0.5 mg/mL povidone-iodine solution as an irrigant and coolant in reducing postoperative sequelae like swelling, trismus, and pain with the conventional normal saline irrigation during the surgical removal of the impacted lower third molar. MATERIALS AND METHODS: The research was conducted out toward the MES Dental College in Perinthalmanna, Kerala, in the Department of Oral and Maxillofacial Surgery. After mandibular third-molar surgical removal, researchers studied 60 individuals, 30 of whom had normal saline irrigation (group I), and 30 of whom received 0.05% povidone-iodine irrigation (group II). The postoperative discomforts were measured on the second and seventh days after surgery, respectively. After that, the data were analyzed using SPSS. The data analysis considered p-values less than 0.05 to be significant. RESULTS: At the second postoperative visit, patients in the povidone-iodine group reported much less pain, swelling, and reduced mouth opening than those in the normal saline group. But on the seventh postoperative day, there was not much difference between either group. CONCLUSION: Following the surgical removal of teeth, it was revealed that povidone-iodine solution (0.5 mg/mL) was more effective as irrigation and cooling aid than regular saline solution. CLINICAL SIGNIFICANCE: Low-concentrated povidone-iodine is a better option in dentistry as irrigant.


Assuntos
Dente Serotino , Dente Impactado , Humanos , Dente Serotino/cirurgia , Povidona-Iodo/uso terapêutico , Solução Salina , Extração Dentária/efeitos adversos , Dente Impactado/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Edema/etiologia , Edema/prevenção & controle , Dor
6.
BMC Oral Health ; 22(1): 466, 2022 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-36329417

RESUMO

OBJECTIVE: This systematic review aims to examine whether cone-beam CT (CBCT) assessment influences the incidence of nerve injury following high-risk mandibular third molar (MTM) surgery. STUDY DESIGN: Randomised controlled trials comparing two and three-dimensional imaging for assessing high-risk MTMs were included. MEDLINE, EMBASE, CENTRAL and the Dentistry and Oral Science Source (DOSS) were systematically searched along with extensive grey literature searches, hand searching of web sites, and detailed citation searching up to 3 September 2022. Risk of bias was assessed against the Cochrane Risk of Bias Tool (RoB 2.0). Certainty of the evidence was assessed using GRADE. RESULTS: Two authors independently screened 402 abstracts prior to full text screening of 27 articles, which culminated in seven RCTs for inclusion. Two studies were assessed as high risk of bias overall. The other five raised some concerns largely due to unblinded patients and lack of prior trial registration. Just one study reported significantly less nerve injuries following CBCT. The remaining six articles found no significant difference. CONCLUSION: The seven RCTs included in this systematic review offered moderate quality evidence that CBCT does not routinely translate to reduced incidence of nerve injury in MTM removal. A single study provided low quality evidence for a consequent change in the surgical approach. Low quality evidence from 3 studies suggested CBCT does not influence the duration of third molar surgery.


Assuntos
Dente Serotino , Extração Dentária , Humanos , Dente Serotino/diagnóstico por imagem , Dente Serotino/cirurgia , Extração Dentária/efeitos adversos , Extração Dentária/métodos , Nervo Mandibular/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico
7.
Pain Res Manag ; 2022: 1816748, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36339067

RESUMO

Objectives: To provide a nonbiased, complete assessment of what the evidence from meta-analyses informs us about complementary and nonpharmacological treatment options for the management of pain after third molar surgery, as well as highlight any discordancy, gaps, or lack of evidence among meta-analyses. Methods: The quality of the included systematic reviews was assessed using the ROBIS tool. Corrected covered area (CCA) was calculated for pairs of similar meta-analyses to identify the amount of overlap. Reviews that were the most recent, comprehensive, and had adequate quality were considered for analyses when reviews showed a high overlap. In cases with a low amount of overlap among meta-analyses, all eligible studies were included. Also, citation matrices were constructed to address overlap. A network meta-analytical approach was adopted to rank different interventions. Results: Ten meta-analyses were included for quantitative synthesis. The quantitative analysis revealed that platelet-rich fibrin and its derivatives as well as ozone therapy reduce early and late pain better than the other complementary interventions compared to control (no complementary intervention). Conclusions: Despite the shortcomings of included meta-analyses, consolidated evidence suggests that platelet-rich-fibrin and its derivatives as well as ozone therapy outperform the other nonpharmacological complementary interventions in reducing early and late postsurgical pain following third molar extraction. However, the results should be interpreted with caution due to an unclear risk of bias and lack of firm evidence in the included meta-analyses. Moreover, there is a need for a standard protocol for the application of nonpharmacological complementary interventions.


Assuntos
Dente Serotino , Ozônio , Humanos , Dente Serotino/cirurgia , Viés , Dor
8.
Compend Contin Educ Dent ; 43(9): 586-590, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36227132

RESUMO

The removal of impacted teeth is a common office-based oral and maxillofacial surgical procedure. Complications associated with the procedure are uncommon; however, in the mandible, close proximity of the third molars to the inferior alveolar nerve can potentially lead to temporary or permanent sensory disturbances. The intentional partial odontectomy (coronectomy) procedure is a surgical option aimed at mitigating and reducing the incidence of this potential risk and complication.


Assuntos
Extração Dentária , Dente Impactado , Traumatismos do Nervo Trigêmeo , Humanos , Mandíbula/cirurgia , Nervo Mandibular/cirurgia , Dente Serotino/cirurgia , Coroa do Dente/cirurgia , Extração Dentária/métodos , Dente Impactado/cirurgia , Traumatismos do Nervo Trigêmeo/etiologia , Traumatismos do Nervo Trigêmeo/prevenção & controle
9.
BMC Oral Health ; 22(1): 433, 2022 10 02.
Artigo em Inglês | MEDLINE | ID: mdl-36184595

RESUMO

BACKGROUND: Impaction of mandibular third molars (M3) is one of the most common diseases. Extraction of M3 usually exacerbates osseous defects at the distal aspect of the adjacent second molar (M2). BonMaker® ATB has been cited as a novel autogenous bone grafting material. The aim of this pilot study was to introduce a novel method for repairing the distal osseous defects of M2 after the surgical removal of M3 with autogenous tooth graft powder (ATGP). METHOD: A total of five patients were enrolled in this prospective split-mouth clinical pilot study. Four impacted wisdom teeth were extracted bilaterally from each patient with proximal alveolar bone loss ≥ 5 mm of M3. The ATGP was prepared chairside from two extracted one side third molars and randomly implanted in one of the M3 extraction sockets, and the other side was treated with a blank and considered the control site. Patients were followed up at 6 months. RESULTS: The five patients included three males and two females. Their ages ranged from 25 to 30 years, with a median of 27 years. Primary wound healing without complications was achieved in all the patients. There was a greater tendency for swelling of the cheeks and trismus to occur at the experimental site on the third postoperative day. Compared with the control site, the experimental site exhibited progressive bone filling and ossification in the sixth postoperative month. Moreover, the probing pocket depth of the experimental site was lower than that of the control site. CONCLUSION: The results of this study demonstrate that ATGP effectively and economically repairs distal osseous defects of M2. Further study is required to validate the effectiveness with a larger study population.


Assuntos
Dente Serotino , Dente Impactado , Adulto , Transplante Ósseo/métodos , Feminino , Humanos , Masculino , Mandíbula/cirurgia , Dente Molar , Dente Serotino/cirurgia , Projetos Piloto , Pós , Estudos Prospectivos , Extração Dentária/efeitos adversos , Extração Dentária/métodos , Dente Impactado/cirurgia
10.
Sci Rep ; 12(1): 16925, 2022 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-36209283

RESUMO

In this study, the accuracy of the positional relationship of the contact between the inferior alveolar canal and mandibular third molar was evaluated using deep learning. In contact analysis, we investigated the diagnostic performance of the presence or absence of contact between the mandibular third molar and inferior alveolar canal. We also evaluated the diagnostic performance of bone continuity diagnosed based on computed tomography as a continuity analysis. A dataset of 1279 images of mandibular third molars from digital radiographs taken at the Department of Oral and Maxillofacial Surgery at a general hospital (2014-2021) was used for the validation. The deep learning models were ResNet50 and ResNet50v2, with stochastic gradient descent and sharpness-aware minimization (SAM) as optimizers. The performance metrics were accuracy, precision, recall, specificity, F1 score, and area under the receiver operating characteristic curve (AUC). The results indicated that ResNet50v2 using SAM performed excellently in the contact and continuity analyses. The accuracy and AUC were 0.860 and 0.890 for the contact analyses and 0.766 and 0.843 for the continuity analyses. In the contact analysis, SAM and the deep learning model performed effectively. However, in the continuity analysis, none of the deep learning models demonstrated significant classification performance.


Assuntos
Aprendizado Profundo , Dente Serotino , Mandíbula/diagnóstico por imagem , Nervo Mandibular/diagnóstico por imagem , Dente Molar , Dente Serotino/diagnóstico por imagem , Radiografia Panorâmica
11.
J Craniofac Surg ; 33(7): e758-e761, 2022 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-36201693

RESUMO

Ectopic maxillary third molar teeth can often be located in the maxillary sinus, and the region necessarily requires a multidisciplinary approach due to its proximity to the oral cavity. Ectopic third molar tooth in the maxillary sinus was detected by oral and radiological examination in a 26-year-old male patient. The tooth was removed, and sinus augmentation was performed through the Caldwell-Luc procedure, and a dental implant was placed afterward. The treatment was ended by making a prosthetic metal-supported ceramic crown. Both removals of the ectopic tooth from the maxillary sinus, sinus augmentation, and implant operation can be achieved in a single operation of a single-window opened in the bone. As a result, because of the adjacency of the regions in operations related to the maxillary sinus, both the dental practitioner and the otolaryngologist should evaluate the operation, and multidisciplinary work should be done when necessary.


Assuntos
Implantes Dentários , Dente Supranumerário , Adulto , Odontólogos , Humanos , Masculino , Seio Maxilar/diagnóstico por imagem , Seio Maxilar/cirurgia , Dente Serotino/diagnóstico por imagem , Dente Serotino/cirurgia , Papel Profissional
12.
Prog Orthod ; 23(1): 36, 2022 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-36210386

RESUMO

BACKGROUND: Eruption disturbances of permanent molars are uncommon; however, it is important to treat them as soon as they are diagnosed. The main objective was to analyze the effectiveness of the "miniscrew-supported pole technique," a surgically assisted orthodontic procedure to force the eruption of impacted/retained second molars (M2s) when there are indicators of complex molar inclusion. An observational prospective study was carried out during a 2-year period. Sociodemographic, clinical and low-dose scanner variables were taken at baseline (T0). Follow-up variables (T1) were the time between surgery and tooth eruption, radiographic measurements, debonding of buttons, failure rate of miniscrews and success rate of eruption. RESULTS: A total of 21 patients (mean age of 13.9 years) with 24 retained/impacted M2s were recruited; 13 molars were maxillary (54.2%) and 11 (45.8%) were mandibular. Six (25%) were impacted molars and 18 (75%) primarily retained. At T0, molar angulation was mesial in six molars (25%), distal in five molars (20.8%) and 13 molars were vertically positioned (54.2%). Infraocclusion degree was moderate in four (16.7%) molars and severe in 20 (83.3%). Only three (12.5%) third molars were removed due to lack of space. All M2s managed to erupt, achieving a success rate of 100%; however, two molars of the same patient did not achieve occlusion. The period of eruption after surgery was 126.8 (117.3) days. Anatomical radicular alteration was the only variable independently related to a longer time of treatment (p = 0.027). CONCLUSIONS: The pole technique, using one mesial miniscrew and simple orthodontic mechanics, applies forces that succeed in erupting complicated retained/impacted M2s in a short period of time and with a low failure rate.


Assuntos
Dente Impactado , Adolescente , Seguimentos , Humanos , Mandíbula/cirurgia , Dente Molar/cirurgia , Dente Serotino , Estudos Prospectivos , Erupção Dentária , Dente Impactado/diagnóstico por imagem , Dente Impactado/cirurgia
13.
BMC Oral Health ; 22(1): 448, 2022 10 18.
Artigo em Inglês | MEDLINE | ID: mdl-36258229

RESUMO

BACKGROUND: Alveolar osteitis (AO) is one of the most commonly encountered complication following tooth extraction, however, to date there is no standard methods of prevention and treatment. The study aims to investigate the efficiency of minocycline hydrochloride ointment (MHO) for the treatment of alveolar osteitis compared with traditional treatment with iodoform gauze (IG). METHODS/DESIGN: STROBE checklist was followed to report this study. All patients underwent tooth extraction either in our department or other hospitals, whom presented with postoperative pain, were screened out to meet the inclusion and exclusion criteria of this study about AO. Patients who fulfilled the inclusion criteria were enrolled in our prospective cohort study, and MHO or IG was administered. The Visual analog scale scores were used to assess the pain score of patients. The healing status of the extraction sockets was followed up. Differences in responses between groups were analyzed using Mann-Whitney U tests. Chi-square test was performed to explore the differences in the teeth position of AO. RESULTS: Of 41,371 patients underwent tooth extraction with post-operative follow-up in our departments, only 20 patients (0.05%) suffered from AO. 31 patients with AO, whose teeth were extracted in other places, were also enrolled. The incidence of AO was significantly higher in third molars than other teeth (P < 0.01). In 28 patients that were treated with MHO, the pain was relieved substantially on day 3 and almost painless on day 7. And only 25% of cases required dressing change more than once. Whilst 23 patients treated with IG, the pain was relieved on day 5, and 56.5% of cases required multiple dressing change. The difference between the two groups of VAS scores had statistical significance during treatment at 8 h, 24 h, 3d, 5d, and 7d. No allergic reaction or further infection occurred. CONCLUSION: MHO has a safer and higher therapeutic effect in the treatment of AO compared with traditional treatment with IG. MHO may become a preferred treatment modality for AO.


Assuntos
Alvéolo Seco , Dente Impactado , Humanos , Alvéolo Seco/tratamento farmacológico , Alvéolo Seco/etiologia , Alvéolo Seco/epidemiologia , Minociclina/uso terapêutico , Pomadas/uso terapêutico , Dente Impactado/cirurgia , Estudos Prospectivos , Dente Serotino/cirurgia , Extração Dentária/efeitos adversos , Extração Dentária/métodos , Dor/etiologia
14.
Niger J Clin Pract ; 25(10): 1629-1634, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36308231

RESUMO

Background: The mandibular bone is the largest and strongest bone in comparison to the other bones in the face skeleton. However, it is the most commonly fractured in facial injuries. The location of the fracture in mandible depends on various factors. The relationship of the impacted lower third molar teeth to mandibular angle fracture has been the subject of many epidemiological studies. It is argued that the risk of fracture in mandibular angle is two to four times more when there are particularly an impacted or partially impacted third molar teeth. However, the effect of the position of the impacted tooth on mandibular angle fracture is not clear yet. Aim: This study seeks to reveal the effect of third molar teeth that are impacted in various positions on the angle fragility. Materials And Methods: This study was performed using three-dimensional finite element stress analysis and static linear analysis methodology. Computed tomography (CT) images obtained previously from a patient were used to construct models of the bone tissue. An ILUMA CBCT device (3M Imtec, OK, USA) was used for tomographic scans. Impacted teeth in various positions were digitally modeled separately. Different direction forces were applied to the mandible, the stress values on the bone surrounding the third molar teeth impacted in different positions were determined. Results: Third molar teeth are impacted in mandibular bone in the following positions: mesioangular, vertical, horizontal, and distoangular positions. The study showed that the force that created the highest stress in the Mandibular angle among the modelled groups is the force by ipsilateral angle. Conclusion: For all kinds of impacted teeth, there was more stress accumulation in the buccal area than in the lingual area when the force is from the symphisis.


Assuntos
Fraturas Mandibulares , Dente Impactado , Humanos , Dente Serotino/diagnóstico por imagem , Dente Impactado/diagnóstico por imagem , Análise de Elementos Finitos , Mandíbula/diagnóstico por imagem
15.
Am J Dent ; 35(5): 233-237, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36261402

RESUMO

PURPOSE: A retrospective clinical study was performed to compare the post-operative sequelae of the submucosal administration of two different low dosages of dexamethasone, after the surgical extraction of lower third molars. METHODS: Data regarding edema, trismus, pain and analgesic consumption were collected from 150 subjects, selecting three equal groups (n= 50): a control group with no administered dexamethasone (G1); submucosal injection of dexamethasone 2 mg/0.5 ml (G2) and submucosal injection of dexamethasone 4 mg/1 ml (G3). Collected data were evaluated at three different time points: T0 before surgery, T1 on the third day after surgery and T2 on the 7th day after surgery. Patients' gender and age were also considered for statistical purposes. RESULTS: The effects on facial swelling reduction were statistically significant in G2 at T1 in the male subgroup. With trismus, the differences between the time points considered were statistically significant in G2 in the subgroup of subjects younger than 25 years old. Differences in analgesics taken were statistically significant when G1 and G2 were compared at T1. CLINICAL SIGNIFICANCE: The submucosal injection of 2 mg/0.5 ml of dexamethasone to subjects younger than 25 years old is enough to reduce trismus. For females and subjects older than 25 years old, it is preferable to administer at least 4 mg of dexamethasone to reduce edema.


Assuntos
Dente Serotino , Trismo , Feminino , Humanos , Masculino , Adulto , Dente Serotino/cirurgia , Trismo/etiologia , Trismo/prevenção & controle , Estudos Retrospectivos , Dexametasona/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/prevenção & controle , Medição da Dor , Estudos Prospectivos , Edema/etiologia , Edema/prevenção & controle
16.
Stomatologiia (Mosk) ; 101(5): 73-76, 2022.
Artigo em Russo | MEDLINE | ID: mdl-36268925

RESUMO

Third molar extraction is a very common manipulation in dental practice, which involve risks of injury of the important adjacent anatomical structures. In order to prevent such complications, the authors suggest using marked surgical burs providing maximal control of the tooth dissection.


Assuntos
Dente Serotino , Dente Impactado , Humanos , Dente Serotino/cirurgia , Dente Impactado/cirurgia , Extração Dentária/efeitos adversos , Dente Molar , Mandíbula/cirurgia
18.
Ned Tijdschr Tandheelkd ; 129(10): 391-393, 2022 Sep.
Artigo em Holandês | MEDLINE | ID: mdl-36074645

RESUMO

A 23-year-old man presented with an irritating sensation at the third molar on the left side of the mandible and a bad taste in his mouth. Radiographic and histopathological examination revealed the abnormality was caused by a paradental cyst. The paradental cyst is located distal to a lower third molar and, together with the mandibular buccal bifurcation cyst, belongs to the inflammatory collateral cysts. Treatment consists of enucleation of the cyst and removal of the lower third molar. Recurrences do not occur.


Assuntos
Doenças Mandibulares , Cisto Periodontal , Adulto , Face , Humanos , Masculino , Mandíbula , Doenças Mandibulares/diagnóstico , Dente Serotino/cirurgia , Cisto Periodontal/diagnóstico , Cisto Periodontal/patologia , Adulto Jovem
19.
Medicine (Baltimore) ; 101(37): e30436, 2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36123843

RESUMO

BACKGROUND: This study was designed to compare effect of combined use of dexamethasone and honey versus each agent alone in controlling complications associated with removal of impacted mandibular third molar. METHODS: This randomized clinical study included patients suffering from impacted mandibular wisdom teeth. Patients were divided randomly into 4 groups. Group I, control, group II, received dexamethasone injection preoperatively, group III, received honey locally in the wound after extraction, and group IV, received dexamethasone injection preoperatively and topical honey application. All patients were evaluated preoperatively and postoperatively to assess facial edema, interincisal distance, pain, and total analgesic dose used. RESULTS: Significant edema developed in group I than other groups and improved significantly in group II and III on seventh postoperative day, and tenth postoperative day in group I. Insignificant edema developed in group IV. Significant decrease in interincisal distance occurred in all groups on third postoperative day that improved significantly on seventh postoperative days in all groups except group I, it improved on tenth postoperative day. Pain was significantly minimum in group IV than other groups and its maximum degree was in group I. CONCLUSION: Both dexamethasone and honey are an effective way of minimizing swelling, pain, and trismus after removal of impacted lower third molars. Both agents either alone or in combination provide simple, safe, painless, and cost-effective method to eliminate postoperative discomfort. However, dexamethasone or honey can decrease complications related to surgical extraction of mandibular third molar, the simultaneous application of both agents is more effective method in this regard.


Assuntos
Dente Serotino , Dente Impactado , Dexametasona/uso terapêutico , Edema/etiologia , Edema/prevenção & controle , Humanos , Dente Serotino/cirurgia , Dor Pós-Operatória/etiologia , Dor Pós-Operatória/prevenção & controle , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/prevenção & controle , Estudos Prospectivos , Dente Impactado/cirurgia
20.
Med. oral patol. oral cir. bucal (Internet) ; 27(5): e410-e418, September 01, 2022. tab, graf
Artigo em Inglês | IBECS | ID: ibc-209806

RESUMO

Background: Third molar surgery is frequently associated with postoperative discomfort such as pain, edema andtrismus. We aimed to evaluate the current evidence on the efficacy of adjunctive corticosteroid therapy in improving patient-centered outcomes following third molar surgery.Material and Methods: This systematic review assessed and searched PubMed, Google scholar, Scopus, web ofscience, clinicaltrials.gov and Cochrane central for controlled trials, up to May 2021. The primary outcome measures were patient-centered outcomes such as quality of life following the use of adjunctive corticosteroid therapyin third molar removal. Only randomized controlled trials published in English language were included.Results: A total of 355 studies were initially identified, and 12 studies were finally included. The results showedthat both methylprednisolone and dexamethasone decreased postoperative side effects such as pain, trismus, andedema and consequently were improving patient reported outcomes. In this regard, none of the included papersreported any significant statistical difference between these two drugs (p > 0.05). The analysis regarding theroute of administration for the corticosteroids showed that local and intravenous injection of dexamethasone hadequivalent effects, and both methods showed better results as compared to simple oral administration.Conclusions: Adjunctive use of corticosteroid drugs may improve patient-centered outcomes following third molar surgery. However, there is no significant difference between drugs and routs of administration. Comparingvarious administration routs, local submucosal injection of dexamethasone seems to be a straightforward, painlessand cost-effective adjunctive therapy. (AU)


Assuntos
Humanos , Corticosteroides/uso terapêutico , Dexametasona/uso terapêutico , Dente Serotino/cirurgia , Avaliação de Resultados em Cuidados de Saúde , Dor Pós-Operatória/tratamento farmacológico , Dente Impactado/cirurgia , Edema , Dor , Assistência Centrada no Paciente , Qualidade de Vida , Extração Dentária , Trismo
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