This review of the diagnostic accuracy of ultrasound in differentiating periapical lesions of endodontic origin in comparison with histopathology included 12 studies. While the findings suggest good levels of sensitifity and specificity for diagnosing periapical cysts and granulomasthere are concerns regarding the quality of the evidence.[read the full story...]
Third molars: Remove or retain asymptomatic disease-free impacted teeth?
This Cochrane review of the effects of removal compared with retention (conservative management) of asymptomatic disease-free impacted wisdom teeth updates the 2016 version. No new studies were identified so the conclusions are unchanged.[read the full story...]
Study suggests less post-operative pain and swelling with piezosurgery for enucleation of mandibular cysts
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…]
Limited evidence for use of bone substitutes in treating jaw cysts
Jaw cysts are common in the maxillofacial area. Enucleation of the cyst and primary watertight closure has been a preferred approach but in recent decades a range of agents have been used. The aim of this review was to compare the outcomes of simple enucleation and closure in comparison to the use of bone substitutes. [read the full story…]