Results: 257

For: oral and maxillofacial surgery

Little good quality evidence on whether to leave or remove impacted third molars involved in fractures of the angle of the mandible

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Fracture of the mandible often occurs through the angle where it may be closely related to, or involve an impacted third molar. There is a debate about whether they should always be extracted or retained.  The aim of this review was to measure the occurrence of postoperative infection following mandibular fixation performed in the presence [read the full story…]

Only weak evidence available of the impact of smoking on survival of implants placed in augmented areas of maxillary sinus

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Grafting to augment the floor of the maxillary sinus prior to placement of dental implants in the resorbed maxillary is an increasingly used technique. The aim of this review was to evaluate the effects of smoking on the survival rate of dental implants placed in areas of maxillary sinus floor augmentation. Searches were conducted in [read the full story…]

Small trial suggests no difference between chlorhexidine rinse and amoxicillin in reducing bacteraemia during third molar extractions

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As bacteraemia occurs during toothbrushing  (Dental Elf 5th Oct 2011) it is to be anticipated during more invasive activities such as flossing, scaling (Dental Elf 9th Jan 2013) and dental extractions.  The main aim of this study was to directly compare and determine the effect of a pre- procedure rinse of 0.12% chlorhexidine on the [read the full story…]

Absence of evidence on quality of life after different treatment options for fracture of mandibular condyles

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Fractures of the mandibular condyle account for between a quarter and a third of mandibular fractures. However, there is still controversy about the best method of treatment . A recent meta-analysis by Kyas et al ( Dental Elf 20Apr 2012)  suggested that open reduction and internal fixation (ORIF) may be as good if not better [read the full story…]

Review shows that tranexamic acid reduced blood loss in orthognathic surgery

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Significant blood loss can occur during orthognathic surgery and there are risks associated with blood transfusion so minimizing blood loss during surgery is important.  A large number of trials and reviews have shown that the antifibrinolytic agent tranexamic acid ( a synthetic amino acid lysine analog )  can effectively reduce bleeding in a number of [read the full story…]

Review finds good success rates with sialendoscopy for treating salivary gland obstruction

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About 50% of benign salivary gland disease results from obstructive sialadenitis. The majority of cases are seen in the submandibular gland (80-90%) with 10-15% in the parotid and  < 1% in the sublingual gland.  The aim of this review was to summarize the current literature and determine the efficacy and safety of sialendoscopy in the [read the full story…]

Evidence suggests that grafts are effective in preventing Freys syndrome after parotidectomy

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Freys syndrome (gustatory sweating) is frequently noted as complication of surgery to the parotid gland. It is characterized by sweating while eating and facial flushing.  It was first reported by Lucie Frey in 1923.  The aim of this review was to determine the effect and safety of different types of grafts for the prevention of [read the full story…]

Significant association between several risk factors and Inferior alveolar nerve problems after third molar extraction

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The incidence reported in the literature ranges from 0.4-8.4%third molars and in some instances the damage can be permanent. The aim of this case-control study was to investigate the specific risk factors for neurosensory deficits of inferior alveolar nerve (IAN) after third molar extraction. The cases consisted of patients showing neurosensory deficits of the lower [read the full story…]

Perioperative corticosteroid use reduces the degree of trismus and inflammation after third molar removal

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The surgical removal of third molars is a common procedure that results in varying degrees of inflammation, pain and limited mouth opening.  Non-steroidal anti-inflammatories, steroids and opiates are often prescribed to alleviate these problems.  This review aims to assess the impact of steroids on outcomes following third molars removal. Searches of the PubMed, Scopus, Med- [read the full story…]

No difference between irrigating and non-irrigating drains in the management of severe odontogenic infection

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Dental infections all too frequently result in cellulitis or abscess formation. Treatment often requires incision and draining allow with extraction of the tooth. Simple non-irrigating gravity drains have been in use for more than a century while catheter type drains which allow the possibility of daily irrigation are increasingly popular.   The aim of this trial [read the full story…]