This review of success and survival rates and complications of autotransplantation of teeth with incomplete root formation included 32 observational studies only 5 of which were considered to be of high quality. Good success rates were noted but findings should be interpreted cautiously
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This review of effectiveness of corticosteroids in the post-operative control of pain, swelling and trismus after third molar surgery included 17 RCTs suggesting that corticosteroid use had beneficial effects on pain swelling and trismus.
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This Cochrane review update of the effects and long-term results of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only includes 1 small RCT. The trial suggests that distraction osteogenesis may produce more satisfactory results however the trial is considered to be at very high risk of bias so the findings should be viewed cautiously.
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This Cochrane review of antifibrinolytic agents for preventing bleeding in people on oral anticoagulants undergoing dental extractions or minor oral surgery included 4 RCTs. Topical tranexamic acid was effective in reducing post-operative bleeding following dental procedures.
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Only one small study comparing compared pedicled buccal fat pad and buccal flap for the management of oro-antral communications and fistulae was found for this Cochrane review update of this clinical question.
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This review of perioperative systemic corticosteroids on clinically important outcomes in patients undergoing orthognathic surgery identified 8 small RCTs. A reduction in facial oedema was seen in those receiving systemic corticosteroids. However the quality of the studies is limited and there is lack of evidence on other outcomes or adverse effects.
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This review of the post oral surgery bleeding risk for patients on direct oral anticoagulants (DOACs) included 13 observational studies. The findings suggest a three-fold increase in bleeding for those patients on DOACs although the quality of the available evidence is limited.
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This review of the effect of bicycle helmet use on facial injuries included 9 observational studies involving 23,461 patients. Those wearing helmets were less likely to sustain a facial injury (OR = 0.69, 95%CI; 0.63– 0.75)
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This review of canine autotransplantation included 6 low quality studies are suggests good survival although both resorption and ankylosis increase after 5 years
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This review of the link between the presence of third molars and mandibular angle fractures included 7 retrospective studies suggesting an increased risk of fracure when third molars were present RR= 1.90(95%CI; 1.47-2.46).
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