Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 8.721
Filtrar
5.
J Coll Physicians Surg Pak ; 34(6): 672-676, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38840349

RESUMO

OBJECTIVE: To explore the preventive efficacy of antibiotics following surgical removal of the impacted mandibular third molars and screen the potential risk factors. STUDY DESIGN: A cohort trial. Place and Duration of the Study: Department of Oral and Maxillofacial Surgery, Zhejiang University School of Medicine, Stomatology Hospital, Hangzhou, China, from August 2021 to 2022. METHODOLOGY: Cases with impacted mandibular third molar were divided into two groups based on antibiotics use. The primary outcome variable post-operative infection, secondary clinical parameter analgesics intake, and other variables (the operative time, the history of pericoronitis, and wound closure) were documented. RESULTS: The post-operative infections occurred in 3.64% (n = 12) of the 330 cases (n = 330); 3.01% in the antibiotic group (n = 166) and 4.27% in the control group (n = 164, OR = 1.44, 95% CI: 0.49 to 4.06; p = 0.54). Concerning secondary outcome measures, the analgesics that the antibiotic group took was 5.40, and the control group took was 5.95 (95% CI = -0.21 to 1.30; p = 0.16). For those with post-operative infections, the average operative time was 22.83 minutes, whereas for those without post-operative infections it was 14.87 minutes (95% CI = -0.26 to 15.67; p = 0.04). When the operative time was greater than or equal to 15 minutes, it was related to more analgesics use (95% CI: -0.43 to 1.93; p <0.05), also was the history of pericoronitis (95% CI = 0.04 to 1.54; p = 0.04). CONCLUSION: Antibiotics are unnecessary for preventing post-operative infections or minimising analgesic requirements following extraction of the impacted mandibular third molars; operative time and pericoronitis showed a suppressive influence on post-operative recovery. KEY WORDS: Impacted molars, Antibiotics, Analgesics, Operative time, Pericoronitis.


Assuntos
Antibacterianos , Antibioticoprofilaxia , Dente Serotino , Infecção da Ferida Cirúrgica , Extração Dentária , Dente Impactado , Humanos , Dente Serotino/cirurgia , Masculino , Dente Impactado/cirurgia , Feminino , Extração Dentária/efeitos adversos , Adulto , Infecção da Ferida Cirúrgica/prevenção & controle , Antibacterianos/uso terapêutico , Antibioticoprofilaxia/métodos , Mandíbula/cirurgia , Adulto Jovem , China/epidemiologia , Duração da Cirurgia , Estudos de Coortes , Resultado do Tratamento
6.
J Coll Physicians Surg Pak ; 34(6): 723-726, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38840359

RESUMO

OBJECTIVE: To determine the frequency of inferior alveolar nerve injury during third molar extraction and the associated factors. STUDY DESIGN: Descriptive study. Place and Duration of the Study: Department of Oral and Maxillofacial Surgery, Ayub Teaching Hospital, Abbottabad, Pakistan, from July to December 2021. METHODOLOGY: A total of 163 patients with third molar surgery were included. Patients were followed up after one week, one month, and three months of duration. The frequency of inferior alveolar nerve injury was determined as well as its relationship with other surgical variables like age, gender, type of impaction, buccal flap retraction, bone cutting, tooth splitting, and duration of surgery via Chi-square test. RESULTS: The frequency of inferior alveolar nerve injury was found to be 1.2% (n = 02). None of the surgical variables had a statistically significant association with it (p >0.05). CONCLUSION: The frequency of nerve injury of the inferior alveolar nerve during extraction of the third molar was 1.2%. Proper treatment planning, using advanced radiography, experienced surgeon, and proper technique can help in lowering nerve injury risk. KEY WORDS: Inferior alveolar nerve injuries, Molar, Tooth extraction, Paraesthesia.


Assuntos
Traumatismos do Nervo Mandibular , Dente Serotino , Extração Dentária , Dente Impactado , Humanos , Dente Serotino/cirurgia , Extração Dentária/efeitos adversos , Feminino , Masculino , Adulto , Paquistão/epidemiologia , Dente Impactado/cirurgia , Traumatismos do Nervo Mandibular/epidemiologia , Traumatismos do Nervo Mandibular/etiologia , Adulto Jovem , Adolescente , Pessoa de Meia-Idade , Nervo Mandibular
7.
BMC Oral Health ; 24(1): 667, 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38849778

RESUMO

BACKGROUND: This study investigated the effect of carbodiimide (EDC) combined with Clearfil SE self-etch adhesive on the shear bond strength (SBS), crosslinking degree, denaturation temperature, and enzyme activity of dentin in vitro. MATERIALS AND METHODS: Collected human sound third molars were randomly divided into different groups with or without EDC treatment (0.01-1 M). The specimens (n = 16)were stored for 24 h (immediate) or 12 months (aging) before testing the SBS. Fine dentin powder was obtained and treated with the same solutions. Then the crosslinking degree, denaturation temperature (Td), and enzyme activity were tested. Statistical analysis was performed using a one-way analysis of variance (ANOVA) to compare the differences of data between groups (α = 0.05). RESULTS: There was a significant drop in immediate SBS and more adhesive fracture of 1.0 M EDC group, while there were no significant differences among the other groups. SEM showed a homogeneous interface under all treatments. After 12 months of aging, the SBS significantly decreased. Less decreases of SBS in the 0.3 and 0.5 M groups were found. Due to thermal and enzymatical properties consideration, the 0.3 and 0.5 M treatments also showed higher cross-link degree and Td with lower enzyme activity. CONCLUSION: 0.3 and 0.5 M EDC may be favorable for delaying the aging of self-etch bond strength for 12 months. But it is still needed thoroughly study.


Assuntos
Carbodi-Imidas , Cimentos de Resina , Resistência ao Cisalhamento , Humanos , Carbodi-Imidas/química , Cimentos de Resina/química , Teste de Materiais , Dentina , Microscopia Eletrônica de Varredura , Adesivos Dentinários/química , Análise do Estresse Dentário , Reagentes de Ligações Cruzadas/química , Colagem Dentária/métodos , Técnicas In Vitro , Condicionamento Ácido do Dente/métodos , Dente Serotino , Temperatura , Fatores de Tempo , Propriedades de Superfície
8.
Sci Rep ; 14(1): 13082, 2024 06 07.
Artigo em Inglês | MEDLINE | ID: mdl-38844566

RESUMO

Accurate classification of tooth development stages from orthopantomograms (OPG) is crucial for dental diagnosis, treatment planning, age assessment, and forensic applications. This study aims to develop an automated method for classifying third molar development stages using OPGs. Initially, our data consisted of 3422 OPG images, each classified and curated by expert evaluators. The dataset includes images from both Q3 (lower jaw left side) and Q4 (lower right side) regions extracted from panoramic images, resulting in a total of 6624 images for analysis. Following data collection, the methodology employs region of interest extraction, pre-filtering, and extensive data augmentation techniques to enhance classification accuracy. The deep neural network model, including architectures such as EfficientNet, EfficientNetV2, MobileNet Large, MobileNet Small, ResNet18, and ShuffleNet, is optimized for this task. Our findings indicate that EfficientNet achieved the highest classification accuracy at 83.7%. Other architectures achieved accuracies ranging from 71.57 to 82.03%. The variation in performance across architectures highlights the influence of model complexity and task-specific features on classification accuracy. This research introduces a novel machine learning model designed to accurately estimate the development stages of lower wisdom teeth in OPG images, contributing to the fields of dental diagnostics and treatment planning.


Assuntos
Aprendizado Profundo , Dente Serotino , Radiografia Panorâmica , Dente Serotino/crescimento & desenvolvimento , Dente Serotino/diagnóstico por imagem , Humanos , Redes Neurais de Computação , Processamento de Imagem Assistida por Computador/métodos , Feminino , Masculino
9.
Fa Yi Xue Za Zhi ; 40(2): 149-153, 2024 Apr 25.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-38847029

RESUMO

OBJECTIVES: To investigate the age-related changes of the mandibular third molar root pulp visibility in individuals in East China, and to explore the feasibility of applying this method to determine whether an individual is 18 years or older. METHODS: A total of 1 280 oral panoramic images were collected from the 15-30 years old East China population, and the mandibular third molar root pulp visibility in all oral panoramic images was evaluated using OLZE 0-3 four-stage method, and the age distribution of the samples at each stage was analyzed using descriptive statistics. RESULTS: Stages 0, 1, 2 and 3 first appeared in 16.88, 19.18, 21.91 and 25.44 years for males and in 17.47, 20.91, 22.01 and 26.01 years for females. In all samples, individuals at stages 1 to 3 were over 18 years old. CONCLUSIONS: It is feasible to determine whether an individual in East China is 18 years or older based on the mandibular third molar root pulp visibility on oral panoramic images.


Assuntos
Determinação da Idade pelos Dentes , Polpa Dentária , Dente Serotino , Radiografia Panorâmica , Raiz Dentária , Humanos , Dente Serotino/diagnóstico por imagem , Masculino , Adolescente , Feminino , Adulto , Adulto Jovem , China , Raiz Dentária/diagnóstico por imagem , Determinação da Idade pelos Dentes/métodos , Polpa Dentária/diagnóstico por imagem , Mandíbula/diagnóstico por imagem , Odontologia Legal/métodos , Fatores Etários
10.
J Evid Based Dent Pract ; 24(2): 101983, 2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38821660

RESUMO

OBJECTIVES: The extraction of third molars is one of the most performed surgical procedures in oral and maxillofacial surgery. Pain, oedema, and trismus are the most frequently complications related in the surgical postoperative period. The literature has indicated PBM as a potential adjuvant method to reduce these complications. The aim of this review and meta-analysis is evaluate the PBM, as an optimal method to improve patient experience and minimize postoperative morbidity. Additionally, we seek to determine which wavelength, site, and frequency of application are most effective. METHODS: This review was registered in PROSPERO (CRD42023429966) and followed PRISMA guidelines. The search was carried out in the main databases, PubMed/MEDLINE, Cochrane Library, Embase, Scopus, and Lilacs, including reviews in the most important journals in the area of oral surgery and laser applied to oral surgery. In addition, all article references and also gray literature were reviewed. After the studies selection, the relevant data was collected. All the studies were randomized controlled trials and the patients were allocated into two groups: active PBM and inactive PBM. The statistical analysis was carried out using Stata v.16, and the methodological quality and risk of bias were assessed by the Jadad scale and RoB 2.0, respectively. RESULTS: Where included 22 studies and 989 subjects, to all with a minimum follow-up of 7 days. Pain and oedema showed statistically significant results in favor to the active PBM group. Especially when laser applied in infrared mode, for pain and oedema at 48 h, MD = -1.80 (CI95% -2.88, -0.72) I²â€¯= 92.13% and MD = -1.45 (CI95% -2.42, -0.48) I²â€¯= 65.01%, respectively. The same is not true for trismus at 48 h, MD = 0.07 (CI95% -0.06, 0.21) I²â€¯= 3.26%. The meta-analysis also presented results in respect of laser site of application and number of PBM sessions. CONCLUSIONS: PBM with infrared laser, in a combination intraoral and extraoral application, in one session in the immediate postoperative period, has been shown to be effective to achieve the objectives of reducing pain and oedema after third molar extraction.


Assuntos
Edema , Terapia com Luz de Baixa Intensidade , Dente Serotino , Dor Pós-Operatória , Complicações Pós-Operatórias , Extração Dentária , Humanos , Dente Serotino/cirurgia , Terapia com Luz de Baixa Intensidade/métodos , Dor Pós-Operatória/prevenção & controle , Dor Pós-Operatória/etiologia , Edema/prevenção & controle , Edema/etiologia , Complicações Pós-Operatórias/prevenção & controle , Mandíbula/cirurgia , Trismo/prevenção & controle , Trismo/etiologia
11.
Sci Rep ; 14(1): 12444, 2024 05 30.
Artigo em Inglês | MEDLINE | ID: mdl-38816512

RESUMO

This preregistered ex vivo investigation examined the dentinal hybrid layer formation of a resinous infiltrant (Icon), with reference to both thickness (HLT) and homogeneity when combined with modified tunnel preparation (occlusal cavity only) and internal/external caries infiltration. The adhesives Syntac and Scotchbond MP were used as controls (Groups 1 and 3) or in combination with Icon (Groups 2 and 4). A split-tooth design using healthy third molars from 20 donors resulted in 20 prepared dentine cavities per experimental group. The cavity surfaces (n = 80) were etched (37% H3PO4), rinsed, and air-dried. Rewetting with ethanol was followed by application of the respective primers. After labeling with fluorescent dyes, either Syntac Adhesive/Heliobond or Scotchbond MP Adhesive was used alone or supplemented with Icon. HLT, as evaluated by scanning electron microscopy, did not significantly differ (P > 0.05), and confocal laser scanning microscopy revealed homogeneously mixed/polymerized resin-dentine interdiffusion zones in all groups. Icon can be successfully integrated into an ethanol-wet dentine bonding strategy, and will result in compact and homogeneous hybrid layers of comparable thickness considered equivalent to the non-Icon controls, thus allowing for preservation of the tooth's marginal ridge and interdental space in the case of internal/external infiltration of proximal caries.


Assuntos
Colagem Dentária , Esmalte Dentário , Dentina , Etanol , Humanos , Etanol/química , Colagem Dentária/métodos , Adesivos Dentinários/química , Dente Serotino , Cimentos de Resina/química , Restauração Dentária Permanente/métodos , Microscopia Confocal , Resinas Sintéticas/química , Cárie Dentária/terapia , Microscopia Eletrônica de Varredura , Resinas Compostas/química
12.
J Clin Pediatr Dent ; 48(3): 139-145, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38755992

RESUMO

The endodontic treatment of immature permanent teeth with necrotic pulp is a significant clinical challenge. The success of regenerative endodontic procedure is highly dependent on disinfection of the root canal and an accurate anatomical knowledge of the root canal. The aim of this study was to use micro-computed tomography (micro-CT) analysis to investigate the configuration of root canals in the upper permanent third maxillary molars with incomplete root development in their coronal, apical and middle third portions. Thirty immature third permanent maxillary molars were scanned using a micro-CT system. Then, we measured the diameters and areas of the root canal in the coronal, middle and apical third of the roots. The ratio between the long and short diameter of each root canal was then calculated and the canals were divided into several groups: round, oval, long oval, flat and irregular. The round configuration was not observed in the distobuccal and mesiobuccal roots in any of their anatomical regions. Oval and long oval canals predominated in the distobuccal root. The greatest variations were observed in the mesiobuccal root, with the ribbon-shaped canal predominating in the middle region and an irregular shape in the apical region. In the coronal region of the palatal canal, the round configuration predominated; in the middle third, we observed an almost equivalent distribution between round and oval configurations; apically, the oval shape predominated. In conclusion, we observed significant complexity and variation in the morphology and configuration of root canals in immature permanent molars, thus generating additional obstacles for the success of regenerative endodontics.


Assuntos
Cavidade Pulpar , Maxila , Dente Serotino , Microtomografia por Raio-X , Humanos , Microtomografia por Raio-X/métodos , Cavidade Pulpar/diagnóstico por imagem , Cavidade Pulpar/anatomia & histologia , Maxila/diagnóstico por imagem , Maxila/anatomia & histologia , Dente Serotino/diagnóstico por imagem , Dente Serotino/anatomia & histologia , Criança , Raiz Dentária/diagnóstico por imagem , Raiz Dentária/anatomia & histologia
13.
Clin Oral Investig ; 28(6): 307, 2024 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-38733524

RESUMO

PURPOSE: The factors related to pericoronitis severity are unclear, and this study aimed to address this knowledge gap. MATERIALS AND METHODS: In total, 113 patients with pericoronitis were included, and their demographic, clinical, and radiographic characteristics were recorded. The Patient-Clinician Pericoronitis Classification was used to score and categorize the severity of pericoronitis. Statistical analysis was conducted to examine the participants' characteristics, validity of the Patient-Clinician Pericoronitis Classification, and risk factors associated with the severity of pericoronitis. RESULTS: The demographic, clinical, and radiographic characteristics of males and females were similar, except for Winter's classification, pain, and intraoral swelling. The constructive validity of the Patient-Clinician Pericoronitis Classification was confirmed with three latent factors, including infection level, patient discomfort, and social interference. Ordinal logistic multivariate regression analysis revealed that upper respiratory tract infection was the sole risk factor associated with pericoronitis severity in males (odds ratio = 4.838). In females, pericoronitis on the right side (odds ratio = 2.486), distal radiolucency (odds ratio = 5.203), and menstruation (odds ratio = 3.416) were significant risk factors. CONCLUSION: This study demonstrated the constructive validity of the Patient-Clinician Pericoronitis Classification. Among females, pericoronitis in mandibular third molars on the right side with radiolucency in menstruating individuals was more severe. In males, upper respiratory tract infection was the sole risk factor associated with pericoronitis severity. CLINICAL RELEVANCE: Individuals with risk factors should be aware of severe pericoronitis in the coming future.


Assuntos
Dente Serotino , Pericoronite , Índice de Gravidade de Doença , Humanos , Masculino , Feminino , Fatores de Risco , Dente Serotino/diagnóstico por imagem , Pericoronite/complicações , Adulto , Adolescente , Mandíbula/diagnóstico por imagem
14.
Head Face Med ; 20(1): 29, 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38730394

RESUMO

Forensic age assessment in the living can provide legal certainty when an individual's chronological age is unknown or when age-related information is questionable. An established method involves assessing the eruption of mandibular third molars through dental panoramic radiographs (PAN). In age assessment procedures, the respective findings are compared to reference data. The objective of this study was to generate new reference data in line with the required standards for mandibular third molar eruption within a German population. For this purpose, 605 PANs from 302 females and 303 males aged 15.04 to 25.99 years were examined. The PANs were acquired between 2013 and 2020, and the development of the mandibular third molars was rated independently by two experienced examiners using the Olze et al. staging scale from 2012. In case of disagreement in the assigned ratings, a consensus was reached through arbitration. While the mean, median and minimum ages were observed to increase with each stage of mandibular third molar eruption according to the Olze method, there was considerable overlap in the distribution of age between the stages. The minimum age for stage D, which corresponds to complete tooth eruption, was 16.1 years for females and 17.1 years for males. Thus, the completion of mandibular third molar eruption was found in both sexes before reaching the age of 18. In all individuals who had at least one tooth with completed eruption and who were younger than 17.4 years of age (n = 10), mineralization of the teeth in question was not complete. Based on our findings, the feature of assessing mandibular third molar eruption in PAN cannot be relied upon for determining age of majority.


Assuntos
Determinação da Idade pelos Dentes , Dente Serotino , Radiografia Panorâmica , Erupção Dentária , Humanos , Radiografia Panorâmica/métodos , Dente Serotino/diagnóstico por imagem , Masculino , Feminino , Determinação da Idade pelos Dentes/métodos , Adolescente , Erupção Dentária/fisiologia , Alemanha , Adulto , Adulto Jovem , Valores de Referência
15.
Clin Oral Investig ; 28(6): 304, 2024 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-38717697

RESUMO

OBJECTIVE: To evaluate the efficacy of pregabalin and dexamethasone coadministration in preemptive analgesia and anxiety control in lower third molar surgery. MATERIALS AND METHODS: A triple-blind, split-mouth clinical trial conducted with patients divided into two groups: control group, receiving placebo and dexamethasone, and test group, receiving pregabalin and dexamethasone preoperatively. The evaluated variables were pain, measured by the Visual Analog Scale (VAS), anxiety assessed through the State-Trait Anxiety Inventory (STAI) questionnaires, hemodynamic parameters [Blood Pressure (BP), Heart Rate (HR), Oxygen Saturation (SpO2)], and sedation assessed by the Ramsay scale. RESULTS: A total of 31 patients were included. The test group exhibited a significant reduction in pain at 2,4,6,8,12,16,24, and 48 h after surgery and in the consumption of rescue analgesics. Anxiety, evaluated by STAI and VAS, showed a significant decrease in the test group (p < 0.001). Additionally, there was a significant decrease in BP at most of the assessed time points (p < 0.05) and a significant reduction in HR at two different time intervals (p = 0.003 and p = 0.009), indicating a positive effect in the test group. There was no significant difference in SpO2 between the groups. Sedation assessment revealed a significant difference at all time points favoring the test group (p < 0.05). There were no significant postoperative adverse effects. CONCLUSIONS: Pregabalin coadministered with dexamethasone demonstrated significant efficacy in controlling postoperative pain and anxiety, as well as a sedative effect. CLINICAL RELEVANCE: The coadministration of pregabalin with dexamethasone may presents potential advantages in both pain modulation and psychological well-being of individuals undergoing third molar surgeries. TRIAL REGISTRATION: Brazilian Clinical Trials Registry (REBEC), No. RBR-378h6t6.


Assuntos
Analgésicos , Dexametasona , Quimioterapia Combinada , Dente Serotino , Medição da Dor , Dor Pós-Operatória , Pregabalina , Extração Dentária , Humanos , Pregabalina/uso terapêutico , Dexametasona/administração & dosagem , Dexametasona/uso terapêutico , Dente Serotino/cirurgia , Masculino , Feminino , Dor Pós-Operatória/prevenção & controle , Dor Pós-Operatória/tratamento farmacológico , Analgésicos/uso terapêutico , Adulto , Ansiedade ao Tratamento Odontológico/prevenção & controle , Resultado do Tratamento , Inquéritos e Questionários , Manejo da Dor/métodos
17.
PLoS One ; 19(5): e0302581, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38696507

RESUMO

OBJECTIVE: We will perform the systematic review to evaluate the effect of applying concentrated growth factor (CGF) on relieving postoperative complications and promoting wound healing following mandibular third molar extraction. METHODS: The PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, China Biology Medicine Disc (CBM), and VIP Databases will be comprehensively searched up to May 31, 2024. Randomized controlled trials (RCTs) examining the application of CGF after mandibular third molar extraction will be included. The protocol was registered in PROSPERO, and the registration ID was CRD42023463234. Two reviewers will conduct the literature search, eligible study selection, data extraction, and bias risk assessment (using the Cochrane Risk of Bias 2.0 tool). Data analysis will be performed with RevMan software (version 5.4). RESULTS: The results of this study will be available in a peer-reviewed journal. CONCLUSION: Our study will provide scientific evidence regarding the efficacy of applying CGF in mandibular third molar extraction.


Assuntos
Metanálise como Assunto , Dente Serotino , Revisões Sistemáticas como Assunto , Extração Dentária , Humanos , Dente Serotino/cirurgia , Extração Dentária/métodos , Peptídeos e Proteínas de Sinalização Intercelular/administração & dosagem , Peptídeos e Proteínas de Sinalização Intercelular/farmacologia , Mandíbula/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Cicatrização/efeitos dos fármacos , Ensaios Clínicos Controlados Aleatórios como Assunto
18.
BMC Oral Health ; 24(1): 515, 2024 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-38698359

RESUMO

OBJECTIVE: Low impacted third molars are usually asymptomatic and are often found by X-ray examination. The removal of asymptomatic low impacted third molars is one of the most controversial clinical issues in oral and maxillofacial surgery. METHODS: In this study, 806 patients with low impacted mandibular third molars (LIMTMs) (full bony impaction) were analyzed to determine the prevalence and risk factors for cystic lesions and adjacent tooth root resorption throughout the patients' entire life cycle. RESULTS: The results showed that the prevalence of adjacent tooth root resorption and cystic lesions was age-related, exhibiting a trend of first increasing and then decreasing; prevalence peaked at the age of 41 to 45 years old, the prevalence rates were 12.50% and 11.11% respectively. And the lowest prevalence rate was 2.86% and 2.44% in ≥ 61 group and 56- to 60-year age group respectively. Age was an independent risk factor for adjacent tooth root resorption of LIMTMs, whereas age and impaction type (especially inverted impaction) were independent risk factors for cystic lesions. CONCLUSIONS: The full life cycle management strategy for LIMTMs may need to be individualized. Surgical removal is recommended for LIMTMs in patients younger than 41 to 45 years, especially for inverted, mesioangular, and horizontally impacted LIMTMs. LIMTMs in patients older than 41 to 45 years may be treated conservatively with regular follow-up, but surgical removal of inverted impacted LIMTMs is still recommended to avoid cyst formation.


Assuntos
Dente Serotino , Reabsorção da Raiz , Dente Impactado , Humanos , Dente Impactado/complicações , Dente Impactado/diagnóstico por imagem , Reabsorção da Raiz/etiologia , Feminino , Estudos Retrospectivos , Masculino , Adulto , Pessoa de Meia-Idade , Fatores de Risco , Mandíbula , Prevalência , Adulto Jovem , Adolescente , Fatores Etários , Idoso
19.
J Craniofac Surg ; 35(4): 1219-1224, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38722732

RESUMO

OBJECTIVE: This study aimed to evaluate the effects of sterile saline solution irrigation (lavage) performed after mandibular third molar extraction on postoperative complications, utilizing a split-mouth randomized clinical trial design. METHODS: Seventeen healthy participants requiring bilateral mandibular third molar extraction were enrolled in this single-center study. In each participant, one impacted third molar was designated as the experimental group and subjected to saline lavage at 4 °C. In contrast, the control group was the other impacted third molar, undergoing saline lavage at 25 °C. Various parameters, including postoperative pain, mouth opening, and facial swelling, were assessed using standardized measures and three-dimensional facial scanning at multiple time points. RESULTS: The average age of participants was 26.66 ± 4.1 years, with no postoperative complications observed in either group. The duration of surgery did not significantly differ between groups. Postoperative pain was significantly reduced in the experimental group during the immediate postoperative period compared with the control group, but this difference diminished over time. No significant differences were observed in mouth opening or facial swelling between groups at any time. CONCLUSION: In site 4 °C, sterile saline solution irrigation after mandibular third molar extraction may effectively reduce early postoperative complications, particularly pain, without prolonging surgical duration.


Assuntos
Dente Serotino , Dor Pós-Operatória , Solução Salina , Irrigação Terapêutica , Extração Dentária , Dente Impactado , Humanos , Dente Serotino/cirurgia , Solução Salina/administração & dosagem , Irrigação Terapêutica/métodos , Adulto , Masculino , Dor Pós-Operatória/prevenção & controle , Feminino , Dente Impactado/cirurgia , Mandíbula/cirurgia , Complicações Pós-Operatórias/prevenção & controle , Edema/prevenção & controle , Edema/etiologia , Medição da Dor
20.
Quintessence Int ; 55(5): 380-390, 2024 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-38619256

RESUMO

OBJECTIVES: This study examined the impact of injectable platelet-rich fibrin (iPRF) and concentrated growth factor on postoperative pain, edema, trismus, and quality of life in impacted mandibular third molar surgery. The primary aim of this study was to minimize common sequelae following third molar surgery by using iPRF and concentrated growth factor. The secondary objective was to compare the postoperative effects of these products. METHOD AND MATERIALS: This study represents a single-center, randomized prospective clinical trial conducted at the Ordu University Faculty of Dentistry. It involved patients who underwent third molar surgery for various reasons between July and October 2022. The predictor variables were the use of concentrated growth factor and i-PRF. They were categorized as concentrated growth factor, i-PRF, and control groups. The outcome variables include pain levels and analgesic consumption measured on a visual analog scale, distances between predetermined anatomical points, maximum mouth opening capacity, and data from the postoperative symptom severity (PoSSe) scale. Some statistical tests were performed with a 95% confidence interval, which was considered significant. RESULTS: Total analgesic use was notably lower in the concentrated growth factor group (P = .044). Concentrated growth factor and iPRF outperformed the control group in all edema measurements by postoperative day 7 (tragus-pogonion, lateral canthus-angulus, tragus-commissura; P < .05). Concentrated growth factor significantly reduced trismus on days 2 and 7. Quality of life was notably higher in the concentrated growth factor group than in the control group (P = .026), although iPRF group differences were not significant. CONCLUSION: The results indicate that concentrated growth factor has a limited impact on postoperative pain, but significantly reduces edema, trismus, and enhances quality of life. The iPRF group experienced positive effects on pain, edema, and trismus, although the statistically significant differences observed with concentrated growth factor highlight its potential for use instead of iPRF after third molar surgery. An increased sample size is essential for more comprehensive results.


Assuntos
Edema , Dente Serotino , Dor Pós-Operatória , Fibrina Rica em Plaquetas , Qualidade de Vida , Dente Impactado , Trismo , Humanos , Dente Serotino/cirurgia , Dente Impactado/cirurgia , Feminino , Masculino , Estudos Prospectivos , Dor Pós-Operatória/prevenção & controle , Adulto , Edema/prevenção & controle , Edema/etiologia , Trismo/prevenção & controle , Trismo/etiologia , Complicações Pós-Operatórias/prevenção & controle , Extração Dentária , Medição da Dor , Peptídeos e Proteínas de Sinalização Intercelular/uso terapêutico
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...