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Third molar extraction treatment

Manzoor Mohammad Dar, Ajaz Ahmad Shah, A Latief Najar, Mubashir Younis, Muneet Kapoor, Jahangir Irfan Dar
Background: Healing of both hard and soft tissues have become one of the great challenges, faced in clinical research in development of bioactive surgical additives responsible for regulating inflammation and increasing healing. Platelet-rich fibrin (PRF) represents a new step in the platelet gel therapeutic concept with simplified processing minus artificial biochemical modification. Aims and Objectives: The aim of this study is to evaluate the effectiveness of PRF on soft-tissue healing and bone tissue healing in terms of postoperative pain, postoperative swelling, soft tissue healing, and the quality of bone healing at the mandibular third molar socket...
July 2018: Annals of Maxillofacial Surgery
John R Zuniga, Athena S Papas, Stephen E Daniels, Kyle Patrick, Derek D Muse, Daniel Oreadi, Helen E Giannakopoulos, Eric J Granquist, Lawrence M Levin, Joli C Chou, Hilda Maibach, Bernard P Schachtel
Objectives: To evaluate the prevention of opioid-induced nausea and vomiting (OINV) and the relief of moderate to severe acute pain by CL-108, a novel drug combining a low-dose antiemetic (rapid-release promethazine 12.5 mg) with hydrocodone 7.5 mg/acetaminophen 325 mg (HC/APAP) was used. Methods: This was a multicenter, randomized, double-blind, placebo- and active-controlled multidose study. After surgical extraction of two or more impacted third molar teeth (including at least one mandibular impaction), 466 patients with moderate to severe pain (measured on a categorical pain intensity scale [PI-CAT]) were randomized to CL-108, HC/APAP, or placebo...
January 17, 2019: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Luan Cartaxo Félix, Madiana Magalhães Moreira, Francisco Artur Forte Oliveira, Clarissa Pessoa Fernandes, Mario Rogério Lima Mota, Ana Paula Negreiros Nunes Alves, Fabrício Bitu Sousa
Glanzmann thrombasthenia (GT) is a rare genetic disorder that alters platelet function. The clinical manifestations include purpura, epistaxis, gingival bleeding, and menorrhagia. For patients with GT, conventional surgical dental treatment may result in hemorrhagic complications. There are many reported ways to prevent hemorrhage in patients with GT during surgical procedures but no standardized recommendations. In this case study, a woman diagnosed with GT required 2 types of surgery (periodontal surgery and third molar extractions), which were performed on separate days...
January 2019: General Dentistry
Nádia Mazzei Mendes Feitoza, Ricardo Danil Guiraldo, Alcides Gonini-Júnior, Murilo Baena Lopes, Sandrine Bittencourt Berger
This study evaluated the effect of aging on the microtensile bond strength (μTBS) between composite resin and human dentin bleached with 35% hydrogen peroxide (HP) or 10% carbamide peroxide (CP). Thirty intact extracted third molars were selected for the study. After the dentin surface was exposed, the smear layer was abraded with silicon carbide paper to ensure standardization. The teeth were randomly divided into 3 groups: 1 (G1), no treatment (control); 2 (G2), dentin bleached with CP (at-home bleaching); and 3 (G3), dentin bleached with HP (in-office bleaching)...
January 2019: General Dentistry
L M IJzerman
The literature shows dry socket to occur in approximately 25% of cases following the extraction of mandibular third molars. The most frequently used preventive medication, both in the literature and in practice, is chlorhexidine. This medication is used orally by the patient for a few days following extraction, as a rinse for a few minutes each day, or as a gel once. Two systematic reviews of the literature and meta-analyses of dozens of randomised clinical studies show that with chlorhexidine, the risk of dry socket following extraction of a mandibular third molar is reduced by half...
January 2019: Nederlands Tijdschrift Voor Tandheelkunde
S Sukegawa, K Yokota, T Kanno, Y Manabe, Y Sukegawa-Takahashi, M Masui, Y Furuki
BACKGROUND: This study aimed to identify (1) the predilection site of postoperative infection after third molar extraction surgery, (2) risk factors associated with postoperative infection, and (3) the cause of the difference between delayed- and early-onset infections. MATERIALS AND METHODS: This retrospective study included 1010 patients (396 male, 614 female) who had ≥1 third molars extracted (2407; 812 maxilla, 1595 mandible). The risk factors were classified as attributes, general health, anatomic, and operative...
December 20, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
L-D Martins, M Rezende, A-D Loguercio, M-C Bortoluzzi, A Reis
BACKGROUND: This study compared the efficacy of ketorolac alone versus its combination with tramadol/acetaminophen for pain control after mandibular third molar surgery. MATERIAL AND METHODS: A randomized, triple-blind clinical trial was carried out with 52 patients divided into 2 groups: Group K+T+A (1 tablet of Ketorolac 10 mg plus and 1 capsule of Tramadol 37.5 mg/acetaminophen 325 mg) and Group K (1 tablet of Ketorolac 10 mg plus and 1 placebo capsule). The treatments were given 1 h before the surgery and was repeated 4 times per day, for 48 h...
December 20, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
G Srikanth, Abhay T Kamath, Adarsh Kudva, Anupam Singh, Komal Smriti, Sunitha Carnelio
The orocutaneous fistulous tract of odontogenic origin is often a diagnostic challenge, due to its rare manifestation and absence of dental signs and symptoms. The odontogenic cutaneous fistula is often misdiagnosed as a superficial skin lesion of non-odontogenic origin delaying the treatment. The diagnosis and treatment must be precise and swift to improve the clinical outcome and minimize the complications. This article presents a rare case of odontogenic keratocyst involving a linguoverted impacted third molar presenting as orocutaneous fistula...
October 2018: Clujul Medical (1957)
Burak Gumustas, Soner Sismanoglu
Objectives: The specific objective of this in vitro study was to determine whether the current flowable resin composites can establish an effective seal in repairing noncarious amalgam margin defects. Material and Methods: A total of 30 freshly extracted caries-free human third molars were used for this investigation. Class I preparations with a standardized 160-μ marginal defect were made by condensing amalgam against a Mylar strip. Accelerated aging and corrosion protocols were then applied to simulate oral conditions...
November 2018: Journal of Conservative Dentistry: JCD
Amrik Singh Gill, Hana Morrissey, Ayesha Rahman
Background and objectives: The use of antibiotic prophylaxis in extraction and implant dentistry is still controversial, with varying opinions regarding their necessity. The overuse of antibiotics has led to widespread antimicrobial resistance and the emergence of multi drug resistant strains of bacteria. The main aim of this work was to determine whether there is a genuine need for antibiotic prophylaxis in two common dental procedures; dental implants and tooth extractions. Methods: Electronic searches were conducted across databases such as Cochrane Register of Controlled Trials, the UK National Health Service, Centre for reviews, Science Direct, PubMed and the British Dental Journal to identify clinical trials of either dental implants or tooth extractions, whereby the independent variable was systemic prophylactic antibiotics used as part of treatment in order to prevent postoperative complications such as implant failure or infection...
December 1, 2018: Medicina
A G Dellovo, L M A Souza, J S de Oliveira, K S Amorim, F C Groppo
Anxiety is common and still represents a barrier to appropriate professional care for patients requiring dental treatment. The aim of this study was to compare the effects of auriculotherapy and midazolam for the control of anxiety in patients submitted to third molar extractions. This was a randomized, double-blind, controlled, crossover clinical trial. Thirty healthy volunteers requiring bilateral third molar extraction received midazolam 15mg (oral) and sham auriculotherapy during one session, and a placebo tablet (oral) and auriculotherapy during the other; the sessions were randomized...
November 12, 2018: International Journal of Oral and Maxillofacial Surgery
Fabio-Abreu Alves, Marianna-Sampaio Serpa, Wilson Delgado-Azañero, Oslei-Paes de Almeida
Background: Coronectomy involves the section of the tooth crown leaving the roots in the socket. Possibility of inferior alveolar nerve injury and mandibular fracture are the main indications for this approach. Herein, we describe a case series of coronectomy to highlight its indication in normal and oncological patients. Material and Methods: A total of 9 patients were submitted to coronectomy, 6 of them were oncological. Three patients were evaluated before head and neck radiotherapy (HNRT), 2 after HNRT and 1 before bone marrow transplantation...
October 2018: Journal of Clinical and Experimental Dentistry
A Coello-Gómez, S Navarro-Suárez, J-M Diosdado-Cano, F Azcárate-Velazquez, P Bargiela-Pérez, M-A Serrera-Figallo, D Torres-Lagares, J-L Gutiérrez-Pérez
BACKGROUND: The main objective of the present study is to evaluate the effects and possible benefits with regard to the postoperative period of lower third molar extractions, comparing the intraalveolar application of a bioadhesive gel of 0.2% chlorhexidine (CHX) to the use of a mouthwash with a super-oxidized solution, (SOS) Dermacyn® Wound Care (Oculus Innovative Sciences lnc., California, USA). MATERIAL AND METHODS: A randomized double-blind study was carried out in 20 patients with a split-mouth design, with a total of 40 extractions of symmetrically impacted bilateral lower third molars...
November 1, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
Gaetano Isola, Marco Matarese, Luca Ramaglia, Vincenzo Iorio-Siciliano, Giancarlo Cordasco, Giovanni Matarese
OBJECTIVES: This study investigated and compared the effectiveness of a phytotherapeutic drug composed of herbal extracts on postsurgical discomfort after mandibular third molar surgery. MATERIALS AND METHODS: Eighty-two patients requiring the surgical removal of a mandibular third molar were randomly assigned to receive placebo (group 1), ibuprofen (group 2), and a phytotherapeutic drug (composed of baicalin, 190 mg; bromelain, 50 mg; escin, 30 mg) (group 3)...
October 11, 2018: Clinical Oral Investigations
Riccardo Guazzo, Egle Perissinotto, Sergio Mazzoleni, Sara Ricci, David Peñarrocha-Oltra, Stefano Sivolella
OBJECTIVE: The study aimed to assess the effect of topical applications of an amino acid and sodium hyaluronate gel after mandibular third molar extraction. METHOD AND MATERIALS: 136 patients requiring mandibular third molar extraction were enrolled. An amino acid and sodium hyaluronate gel was applied to the sockets of patients in the test group immediately following the extraction. The sockets of controls were simply flushed with a sterile saline solution. Patients' outcomes and postoperative complications were assessed 7 and 14 days after surgery...
2018: Quintessence International
Carlos Alberto Tenis, Manoela Domingues Martins, Marcela Leticia Leal Gonçalves, Daniela de Fátima Teixeira da Silva, João Júlio da Cunha Filho, Marco Antonio Trevizani Martins, Raquel Agnelli Mesquita-Ferrari, Sandra Kalil Bussadori, Kristianne Porta Santos Fernandes
BACKGROUND: In dentistry, one of the most common surgical procedures is the removal of retained third molars. This surgery generates great morbidity to the participants for causing pain, edema, and trismus due to surgical trauma. The objective of the present study is to evaluate the efficacy of photobiomodulation with light emitting diode (LED) in the control of pain, facial edema, trismus, and quality of life resulting from the extraction of retained lower third molars. METHODS: A randomized, double-blind, placebo-controlled clinical trial involving 38 adult participants, who meet the criteria of eligibility and agree to participate in the study...
September 2018: Medicine (Baltimore)
Mayara Terenzi, Tayná Gomes Botan, Guilherme José Pimentel Lopes de Oliveira, Daniela Leal Zandim-Barcelos, José Eduardo Cezar Sampaio
PURPOSE: To evaluate the efficacy of Clinpro XT in reducing dentin permeability and the stability of this effect after different acid challenges. MATERIALS AND METHODS: Sixty-five roots of extracted human third molars were used. From each tooth, one dentin specimen was prepared and connected to a fluid filtration system to measure the dentin permeability after each of the following steps: sample preparation; treatment with 37% phosphoric acid; application of Clinpro XT; three acid challenges...
2018: Oral Health & Preventive Dentistry
Giuseppe Lizio, Lorenzo Ferraioli, Matteo Melini, Claudio Marchetti
BACKGROUND: Clinicians sometimes use decompression for secondary, low-risk cyst enucleation. The authors explored whether the decompression of dentigerous cysts associated with third molars is a reliable, long-term, definitive treatment option. METHODS: The authors monitored 25 mandibular cysts associated with impacted third molars in adults after surgical decompression without the extraction of the related tooth for a mean (standard deviation) time of 37 (15) months (range, 12-71 months)...
August 30, 2018: Journal of the American Dental Association
R K Menon, D Gopinath, K Y Li, Y Y Leung, M G Botelho
The objectives of this systematic review were to investigate the efficacy of amoxicillin/amoxicillin-clavulanic acid for reducing the risk of postoperative infection after third molar surgery and to evaluate the adverse outcomes in these patients, as well as in healthy volunteers. A systematic search of four databases was performed on May 26, 2017. Eleven studies qualified for the qualitative analysis and eight were found suitable for meta-analysis. The results suggest that both amoxicillin-clavulanic acid and amoxicillin significantly reduce the risk of infection after third molar extraction (overall relative risk (RR) 0...
February 2019: International Journal of Oral and Maxillofacial Surgery
Y Wang, C Chen, H L Zang, Y H Liang
AIM: To evaluate the recovery effect of proanthocyanidin (PA) on microtensile bond strength (μTBS) to sodium hypochlorite (NaOCl)-treated dentine. METHODOLOGY: Fifty-five freshly extracted third molars with intact dental crowns, no caries or restorations were sectioned to expose a sound middle layer of dentine and were randomly divided into 11 groups. In the blank control group, dentine surfaces were immersed in deionized water for 20 min. In the negative control group, dental surfaces were immersed in 5...
August 25, 2018: International Endodontic Journal
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