Mouthwashes and gingival healing after surgical procedures

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This review of the effect of different mouthwashes on gingival healing used after oral surgery in adults included 13 RCTs. The trials assessed 12 different products and concentrations and only one RCTs was considered to be at low risk of bias so the findings should be interpreted cautiously.

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Nocebo response in third molar analgesic trials

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This review estimating the nocebo response in dentistry from trials of analgesic treatment following third molar surgery included data from 50 RCTs. Adverse events (AEs) were roughly the same in placebo and active arms suggesting AEs may be attributed to the nocebo phenomenon.

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Acute pain management following dental extraction

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This review and network meta-analysis (NMA) of pharmacological treatments for the management of pain subsequent to simple and surgical tooth extraction included 85 RCTs. There was moderate- and high-certainty evidence that for surgical dental extractions that ibuprofen 200 to 400 mg plus acetaminophen 500 to 1,000 mg was the most effective for pain relief.

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Alveolar ridge- soft tissue preservation techniques

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In hwer first blog for the Dental Elf Aljeeta Kadam looks at a review aiming to evaluate and compare different alveolar ridge preservation techniques.

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Autogenous dentine graft for implant placement

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This review comparing autogenous dentine graft (ADG) to other bone graft materials for implant placement included 9 studies five of whihc were RCTs. The findings suggest that ADG has similar outcomes to other bone graft material howevr the limited number and quality of the availabel studies means tha findings should be interpreted cautiously.

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Listening to music to reduce the pain and anxiety of third molar surgery

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This review assess of listening to music to reduce preoperative anxiety and pain during third molar extractions included 5 RCTs. The findings suggest reducction in preoperative anxiety but the quality and number of studies is limited.

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Alveolar osteitis and oral contraceptive use

Anti-epileptic drugs can influence the effectiveness of contraceptive drugs

This review assessing the risk of alveolar osteitis (AO) in in oral contraceptive users included 17 mainly observational studies. The findings showed an increased risk of developing AO in female oral contraceptive (OCP) users, RR = 1.98 (95%CI:1.42 to 2.76) compared to female non-OCP users

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Medication-related osteonecrosis of the jaw (MRONJ): Prevention and treatment

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This Cochrane review update of interventions for the prevention or treatment of medication-relatesd osteonecrosis of the jaw (MRONJ) included 13 RCTs. However the studies provided insufficient to either claim or refute a benefit of the interventions tested for prophylaxis or treatment of MRONJ.

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Tooth extraction prior to head and neck radiotherapy and osteoradionecrosis risk

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28 mainly retrospective studies were included in this review which aimed to determine if tooth extraction prior to head and neck radiotherapy (RT )is associated with a reduced risk of developing osteoradionectosis (ORN). The findings showed a significant association of post-RT dental extractions with the risk of ORN development, odds ratio = 1.98 (95%CI: 1.17 to 3.35. However the certainty of the evidence was low to moderate.

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Third molar surgery and antibiotics to prevent infection

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This review and infection of dry socket after third molar surgery identified 58 RCTs of whihc 34 contributed to a meta-analyses. The findings indicated that metronidazle and amoxicillin did reduce infection but the findings were of low certainty.

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