Results: 160

For: oral and maxillofacial surgery

Orthognathic surgery: Are perioperative steroids beneficial?

Bariatric surgery and marked weight loss is likely to improve knee complaints but there is a need for high quality studies

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.

[read the full story...]

Anticoagulants and post-operative bleeding following oral surgery

shutterstock_75626410

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.

[read the full story...]

Bicycle helmets and facial injuries

Get on your bikes kids!

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)

[read the full story...]

Canine tooth transplantation

shutterstock_128457734

This review of canine autotransplantation included 6 low quality studies are suggests good survival although both resorption and ankylosis increase after 5 years

[read the full story...]

Third molars and mandibular angle fractures: Are they associated?

3D_CT_of_bilateral_mandible_fracture

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).

[read the full story...]

Keratocysts: conservative treatment approaches?

Classic_keratocystic_odontogenic_tumour

29 mainly retrospective studies were included in this review of conservative management approaches for odontogenic keratocysts. While the findings suggest use of decompression followed by enucleation data for recurrence were lower than those found in previous reviews of the topic. High quality prospective studies are needed.

[read the full story...]

Bleeding after dental extraction: no evidence from randomised trials

shutterstock_42218782

This update of a 2016 Cochrane Oral Health Group review of interventions for post extraction bleeding was unable to identify any published or ongoing trials assessing interventions. Well conducted and reported randomised controlled trials are needed on this question.

[read the full story...]

Orthognathic surgery: limited evidence on antibiotic prophylaxis?

The authors sought to review available literature relating to SSRI withdrawal syndromes

2 reviews and 2 RCTs were discussed in this review of the effect of antibiotics on postoperative infections in orthognathic surgery. There is a lack ofclarity on the preferred antibiotic and the optimal duration of administration.

[read the full story...]

Mandibular angle fractures – Do third molars have an influence?

shutterstock_128576303

16 observational studies were included in this review of the association between the presence of a lower third molar and the occurrence of a mandibular angle fracture in adults. The findings suggest that the odds of fracture are 3.16 (95%CI; 2.2- 4.54) higher in the presence of third molars

[read the full story...]

Third molar extraction – does platelet-rich fibrin improve outcomes?

shutterstock_133048361

6 studies were identified for this review of platelet-rich fibrin to improve outcomes after third molar extraction. The studies were small with contradictory findings so further high quality studies are needed.

[read the full story...]