Results: 257

For: oral and maxillofacial surgery

Trial suggests that post extraction use of warm saline mouth rinse reduces complications

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The use of warm salt water mouthrinses as part of a post extraction regimen is a commonly taught, yet as the authors of this trial found there seems to be little objective evidence for its effectiveness.  The aim of this study was to determine the beneficial effect of different warm saline rinse regimens on the [read the full story…]

Limited study suggests that use of semi-rigid plates and screws reduce mandibular fracture treatment costs

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Fractures of the mandible are a common occurrence.  Two approaches to treatment of mandibular fractures are; rigid fixation using large titanium plates and bicortical screws that function in a load-bearing manner using Arbeitsge-menschaft fur Osteosynthesefragen (AO) principles or semi-rigid fixation using small titanium plates and monocortical screws that function in a load-sharing manner placed according [read the full story…]

Longer term outcomes of biodegradable plates for maxillofacial surgery

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Yesterday I looked at a systematic review of biodegradable plates for orthognathic surgery. One of the trials included in the review  (Buijs et al) had reported outcomes at 8 weeks. Recently the authors of that study have reported 2-year results (van Bakelen et al). The original aim of the study was to compare the clinical [read the full story…]

Some evidence to suggest that bioresorbable plates may be effective for orthognathic surgery

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Internal fixation for orthognathic surgery is commonly performed using titanium plates and screws although in recent years there has been an increase in the use of bioresorbable fixation systems.  However there are concerns about the stability of fixation. The aim of this review was to include all publicly available literature on the skeletal stability of [read the full story…]

Study suggests less post-operative pain and swelling with piezosurgery for enucleation of mandibular cysts

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Piezosurgery (piezoelectric bone surgery) is considered to reduce intraoperative bleeding, creating a better visibility of the surgical field and make the cutting of hard tissue possible, through a “selective cutting” without encountering necrosis from overheating, and without damaging nerves and vessel. The aim of this study was to compare piezoelectric surgery to the conventional rotatory [read the full story…]

Open or closed surgical technique for displaced palatal canines did not affect periodontal outcomes in short term

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It is reported that around 13% of upper canines can be displaced, the majority of these being palatally displaced.  Controversy exists on whether a closed techniques of moving a canine into its correct position beneath the palatal mucosa (closed technique) is preferential to an open technique which involves moving the canine into its correct position [read the full story…]

Insufficient evidence to refute or support the effectiveness of psychosocial interventions for patients with head and neck cancer

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Worldwide there are more than 500,000 new cases of head and neck cancer annually, making it the 5th most common cancer.  A diagnosis of head and neck cancer has a significant psychosocial impact and interventions have been developed to help patients cope with the emotional and social impact of the condition. The aim of this [read the full story…]

Only poor quality evidence available on immediate versus delayed implant placement in augmented alveolar ridges

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The aim of this review was to compare, the success rate of dental implants placed simultaneously or as a second surgery following ridge augmentation by means of guided bone regeneration (GBR) or onlay graft regeneration technique. Searches were conducted in Medline and Embase and screening conducted independently by two reviewers.  Both prospective and retrospective study [read the full story…]

Inadequate evidence to support the effectiveness of treatment of mandibular fractures without condylar involvement

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Fracture of the mandible is a common facial injury with interpersonal violence and road traffic accidents being the leading causes of this type of injury.  Treatment usually involves immobilisation with intermaxillary fixation (IMF) or other external or internal devices (i.e. plates and screws) to allow bone healing and may involve surgical (open) or non-surgical (closed) [read the full story…]

Review suggests that open reduction of mandibular condyle fractures may have better outcomes

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Around a third of mandibular fractures involve the mandibular condyle. Treatment approaches involve either an open or closed approach and there is no general agreement of which method should be used.    The aim of this review was to compare open and closed treatment of moderately displaced condylar fractures. The authors searched 3 databases PubMed, Cochrane [read the full story…]