Results: 257

For: oral and maxillofacial surgery

Conservative management of fractured condyles in children gives better clinical results than using same approach in adolescents.

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Last  Friday we looked at a review that looked at the evidence for the management of fractured condyles in adults.  The aim of this review was to give a comprehensive overview of the international literature, including case reports and clinical studies, focusing on management and outcome of CFs in children and adolescents. What did they [read the full story…]

Available evidence for best treatment approach for fractured mandibular condyles is of poor quality

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Fractured mandibular condyles are common representing 25-35% of all mandibular fractures.  They are treated by conservative management (CM) or open reduction/internal fixation (ORIF) but the evidence to support superiority of one method over the other has not been assessed. The aim of this review is to evaluate the current evidence regarding the interventions that can [read the full story…]

Changes to the mouth following tooth extraction

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Tooth extraction is the most common surgical procedure and is associated with changes to the supporting structures. The aim of this review was to assess the magnitude of dimensional change of both the hard and soft tissues of the alveolar ridges after tooth extraction. The Medline and Cochrane Central databases were searched and a selection [read the full story…]

Tranexamic acid is effective in controlling blood loss in orthognathic surgery

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Conservation of blood is important in all forms of surgery and approximately 30% of patietns undergoing bimaxillary osteotomies require a transfusion. The aim of this trial was to assess the effect of tranexamic acid on blood loss, quality of surgical field and duration of surgery compared to the effect of nitroglycerin induced moderate hypotension alone [read the full story…]

Limited evidence suggests no difference between lingual split and surgical bur techniques for wisdom tooth extractions

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The merits of the lingual split techniques verses the surgical bur for the extraction of impacted mandibular third molars have been debated for many years. The aim of this review was to compare the post-operative outcomes of the lingual split and the surgical bur techniques. The authors searched the PubMed, Ovid MEDLINE, and Cochrane CENTRAL [read the full story…]

Four types of orthognathic patient; metamorphosizers, pragmatists, shedders, and evolvers

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Abnormalities of the jaws and dentition that may constitute a hazard to the maintenance of oral health, and interfere with general well-being of the individual by adversely affecting dentofacial aesthetics, mandibular function, or speech can be defined as dentofacial deformities.  Treatment ( orthognathic ) usually involves combination of orthodontic and surgical treatment.  Satisfaction rates are [read the full story…]

Presence of mandibular third molars during sagittal split osteotomies did not increase complications

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The sagittal split osteotomy (SSO) is a common procedure  for the correction of mandibular deformities.  It  was first introduced Schuchardt in 1942  the current technique which has been refined an popularised in subsequent years.   Overall it is a safe procedure the  an important intra-operative complication being  an unfavourable fracture with incidences  varying between  0.7-20% being [read the full story…]

Traumatic extraction carries a high risk of a painful dry socket

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Alveolar osteitis or dry socket is a common and painful complication of tooth extraction, occurring following about 5% of all tooth extractions.  The aetiology of this complication is unclear and it has been associated with a wide range of risk factors. the aim of this study was to assess the relation between 8 risk factors [read the full story…]

Bone substitutes with autogenous bone show similar short term results to autogenous bone alone for maxillary sinus floor elevation

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Maxillary sinus floor elevation is commonly performed to create sufficient bone fraction to enable the placement of dental implants. The aim of this review was to assess the bone fraction and implant survival rate and to determine whether the bone fraction is affected by the grafting material or growth factor applied. The Medline and the [read the full story…]

Some evidence that early neck surgery reduces recurrence of the cancer

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There were more than 404,000 new cases of oral cancers worldwide in 2002.  Oral cancer is  the are the sixth most common cancer worldwide, accounting for an estimated 4% of all cancers. Incidence and mortality varies geographically.  Surgery plays an important part of the management of oral cavity cancer with regard to both the removal [read the full story…]