This review investigating whether the presence of third molars during sagittal split osteotomy of the mandible increases the risk of complications included 15 studies. The findings suggests no statistically significant relationship between the presence of 3Ms and complications. However a majority of the studies were retrospective with 13 studies being considered to be at high risk of bias so the certainty of the evidence is considered to be very low.[read the full story...]
Titanium or biodegradable osteosyntheses in orthognathic surgery?
This review assessing the efficacy and morbidity of biodegradable vs. titanium osteosyntheses in orthognathic surgery included 33 studies 11 of which were RCTs. The findings suggest that biodegradable osteosyntheses is a valid alternative to titanium osteosyntheses for orthognathic surgery, but the quality of evidence is low.[read the full story...]
Dentofacial deformity: the effect of combined orthodontic-surgical treatment on oral health–related quality of life
This review of the impact of conventional combined orthodontic-surgical treatment (COST) and the surgery-first approach on oral health–related quality of life (OHRQoL)included 24 prospective studies showing an inital decrease tfollowed by an improvement in OHRQoL[read the full story...]
Platelet Rich Fibrin as a biomaterial in oral surgery
This blog on a review of the efficacy of platelet rich fibrin (PRF) in oral surgery procedures was prepared by MSc Students from @UClanDentistry during a workshop with the @TheDentalElf. The review includes 30 small studies of limited quality more high quality studies are needed to assess effectiveness.[read the full story...]
Orthognathic surgery: Are perioperative steroids beneficial?
This review of perioperative systemic corticosteroids on clinically important outcomes in patients undergoing orthognathic surgery identified 8 small RCTs. A reduction in facial oedema was seen in those receiving systemic corticosteroids. However the quality of the studies is limited and there is lack of evidence on other outcomes or adverse effects.[read the full story...]
Orthognathic surgery: limited evidence on antibiotic prophylaxis?
2 reviews and 2 RCTs were discussed in this review of the effect of antibiotics on postoperative infections in orthognathic surgery. There is a lack ofclarity on the preferred antibiotic and the optimal duration of administration.[read the full story...]
Titanium or resorbable plates for orthognathic surgery
This Cochrane review compared titanium & bioresorbable fixation systems for orthognathic surgery. Only 2 RCTS were identified providing insufficient evidence to determine if titanium plates or resorbable plates are superior.[read the full story...]
Hypotensive anaesthesia: effective in reducing blood loss in orthognathic surgery
The potential use of hypotensive anaesthesia for maxillofacial surgery was first noted in the 1950s. Since then a number of studies have been reported on the effects of hypotensive anaesthesia in relation to blood loss operating time and surgical field quality producing conflicting results. The aim of this review was to evaluate the efficacy of [read the full story…]
Distraction osteogenesis or orthognathic surgery for hypoplastic maxilla in cleft lip and palate
This Cochrane review of maxillary distraction osteogenesis compared to orthognathic surgery for the treatment of hypoplastic maxilla in people with cleft lip and palate only identified a single small trial providing very low quality evidence. Further high quality research is needed.[read the full story...]
Patient satisfaction with combined orthodontic treatment and orthognathic surgery
This review of patient satisfaction with combined orthodontic treatment and orthognathic surgery included 8 studies and identified a number of factors associated with patients’ satisfaction or dissatisfaction. However, the quality of the available evidence was limited.[read the full story...]