This is a critical summary prepared by ADA Centre for Evidence-Based Dentistry of a systematic review originally published in 2010. The original review looked at which surgical modifications of the upper airway were most effective in reducing the apnoea-hypopnoea index (AHI) for patietns suffering with obstructive sleep apnoea (OSA). OSA is relatively common occurring in [read the full story…]
The trigeminal nerve is the fifth cranial nerve and one of the largest in the head. It provides sensation to the face and is called trigeminal because it splits into three main branches. When neuralgia (nerve pain) occurs in the trigeminal nerve it causes severe and sudden face pain. It has an incidence rate of [read the full story…]
This review was first published in 2009 . The American Dental Association Centre for Evidence-based Dentistry has now published a critical summary of this review. The original review included 12 clinical trials involving 1818 patients and concluded that a twice-daily regimen of Chlorhexidine gel (0.2 percent) applied every 12 hours for seven consecutive days can [read the full story…]
Choi in a trial in 2009 found that an intravenous bolus administration of tranexamic acid at 20 mg/kg reduces blood loss compared with placebo during bimaxillary osteotomy. The aim of this trial was to test whether the use of tranexamic acid in an irrigant fluid would decrease blood loss during orthognathic surgery Forty patients undergoing [read the full story…]
The use of illicit drugs or alcohol(substance using) is a most common precipitator of facial injuries among socioeconomically disadvantaged populations. Reducing these risky behaviours could improve outcomes and reduce potential for reinjury. The aim of this study was to assess whether a culturally competent, personalized motivational intervention incorporated into surgical care could significantly reduce existing [read the full story…]
Skeletal movements and changes in the position of the hyoid bone as a result of orthognathic surgery may have on the oropharyngeal airway. The aim of this article was to report the results from a meta-analysis of the scientific literature concerned with changes in the airway in human clinical trials in adult subjects submitted to [read the full story…]
This systematic review was first published in 2008. The American Dental Association Center for Evidence-based Dentistry has now published a critical summary of the review. They highlighted as number of methodological issues with the review and all of the included studies were retrospective studies. They found that the review was :- unable to demonstrate a [read the full story…]
