Results: 191

For: oral and maxillofacial surgery

Alveolar ridge preservation: which grafting material?

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This review of grafting materials for alveolar ridge preservation included 38 small RCTs. 34 different materials were investigated with the findings suggesting that no grafting material increased new bone formation between 3 and 6 months after tooth extraction.

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Top Dental Elf Blogs Jul – Sep 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

Pulpotomy of permanent teeth with irreversible pulpitis, the management of direct anticoagulant agents for invasive dental treatments and laser preparation of tooth surfaces for fissure sealant placement were out most popular blogs in July, August and September.

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Mandibular angle fractures: Does presence of third molars in fracture line affect postoperative complications?

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This review of whether the presence of the lower third molar in the mandibular angle fracture line is associated with postoperative complications included 34 studies. The quality of teh included studies was low to very low so the findings should be viewed cautiously.

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Third molar extraction: Does closure technique influence post-operative complications?

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This review to assess the influence of two suture methods on the postoperative complications of lower third molar extraction included 5 RCTs . Findings suggest the use of secondary closure has a favourable effect on pain, facial swelling, and trismus but the quality of the evidence is limited.

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Dual antiplatelet therapy and post-operative bleeding following minor oral surgery

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This review of bleeding complications in patients on dual antiplatelet therapy compared to patients on single antiplatelet or no antiplatelet therapy for patients undergoing oral surgery included 16 studies but no randomised trials. Findings suggest that dual antiplatelet therapy should not be discontinued but the evidence is of low quality.

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Platelet-rich fibrin and third molar surgery outcomes

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This review of the effectiveness of platelet-rich fibrin (PRF) in reducing postoperative complications of third molar surgery included 10 small RCTs suggesting that PRF may reduce but not prevent some complications.

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Mandibular angle fractures: 1 or 2 miniplates?

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This review of the use of 1 or 2 miniplates for the treatment of mandibular angle fractures included 13 studies 3 of which were RCTs. The findings suggest fewer complications with single miniplate fixation.

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Direct anticoagulant agents: management before invasive dental procedures

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This review of the evidence of bleeding events following invasive oral procedures in patients using direct anticoagulant agents (DOACs) identified 21 studies but no RCTs. The review found no important differences in bleeding events in patients who continued versus patients who discontinued DOAC therapy.

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COX-2 inhibitors for pain management after third molar removal

Many drugs are licensed for use in Generalised Anxiety Disorder (GAD), but it is unclear what works best.

This review comparing the efficacy of Cox-2 inhibitors with ibuprofen after third molar removal included 12 RCTs suggesting that COX-2 inhibotors and Ibuprofen provide similar pain relief at 6, 8, and 12 h after third molar removal.

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Cleft lip and palate: Autologous or alloplastic secondary alveolar bone grafting?

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This review of the effectiveness of autologous versus alloplastic bone for secondary alveolar bone grafting in patients with cleft lip and palate included 4 small RCTs suggesting no difference between the approaches.

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