Results: 257

For: oral and maxillofacial surgery

Limited evidence supports some clinical benefit of alveolar ridge preservation procedures

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Alveolar bone remodelling follows tooth extraction and traumatic extraction is associated with additional bone loss. Prior to extraction periodontal disease, periapical pathology and mechanical trauma can also lead to loss of bone. In order to maintain a good alveolar ridge a range for preservation procedures have been investigated. The aim of this review was to [read the full story…]

Study suggests there may be no difference between char-free and continuous-wave carbon dioxide lasers for oral mucosal biopsy

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Animal studies have suggested that there is less thermal damage when excisional biopsies are performed using a carbon dioxide (CO2) laser in a char-free (CF) mode than in a continuous-wave (CW) mode. The aim of this study was to and compare the clinical and histopathologic characteristics of excisional biopsies performed with CW or CF CO2 [read the full story…]

Some limited evidence to support the use of chlorhexidine to prevent dry socket

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Dry socket (alveolar osteitis) socket is a painful complication of  tooth extraction that occurs in about  5%  of  extractions of permanent tooth. It is more common following the extraction of wisdom teeth. That aim of this review was to assess whether chlorhexidine, when compared to placebo and/or other interventions, reduced the incidence of alveolar osteitis [read the full story…]

No differences in the surgical outcomes between open and closed exposure for palatally displaced maxillary canines

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The upper permanent canine normally erupts between 11-12 years of age. However, for between 1-3% of children this does not occur and in 50% of the cases it is due to the tooth being displaced palatally. Two surgical approaches are used to allow orthodontic alignment. An open procedure  where  a palatal flap is raised ,overlying [read the full story…]

Plating fractures of the angle of the mandible via a transbuccal approach may result in lower infection rates

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The aim of this study was to investigate whether fixation of fractures of  the mandibular angle  using miniplates placed through a transbuccal approach  resulted in lower infection rates that those placed on the mandibular external oblique ridge using an intra-oral approach. What did they do Patients were randomised (by year of birth) to having their [read the full story…]

Should we use antibiotics to prevent complications from the removal of third molars?

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The use of antibiotics to prevent complications from the removal of third molars is a cause of debate. The aim of this review was to assess the efficacy of antibiotics in preventing infectious complications after third molar surgery What did they do The Medline Embase, ,and Cochrane databases were searched together with the references in [read the full story…]

Coronectomy or total removal of third molars which approach give better outcomes

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One of the complications of the removal of lower third molars ( wisdom teeth) is inferior alveolar nerve injury (IANI) .  This has resulted in the use of a new extraction procedure coronectomy (partial odontectomy or root retention) a technique whereby the crown of a tooth is removed but parts of the roots are untouched.  [read the full story…]

Still insufficient evidence to support or refute routine prophylactic removal of asymptomatic impacted wisdom teeth

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Third molars (wisdom teeth) generally erupt between the ages of 17-24 years. Often they fail to erupt or only erupt partially. When they do not reach their normal functional position they are considered to be impacted, this can be due to lack of space, obstruction by another tooth, or development in an abnormal position.   An [read the full story…]

Surgical advancement of the maxilla in cleft lip and palate patients appears to show a moderate relapse rate in the horizontal plane and a high relapse rate in the vertical plane

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More than 25% of patients with cleft lip and palate (CLP) develop hyperplasia of the maxilla that requires surgical correction. This surgery is usual occurs in the final phase of their CLP treatment and is typically a Le Fort I osteotomy. The aim of this review was to assess the long term stability of this [read the full story…]

Taking ibuprofen before wisdom tooth removal does not appear to be more effective for controlling post operative pain

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The removal of lower third molars is one of the commonest surgical procedures. The effective management of post operative pain is an important consideration and it has been suggested that preoperative administration of non-steroidal anti-inflammatory drugs (NSAIDs) may be more effective than post operative administration. The aim of this study was therefore to compare the [read the full story…]