Orthognathic surgery: Are perioperative steroids beneficial?

Bariatric surgery and marked weight loss is likely to improve knee complaints but there is a need for high quality studies

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.

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Third molar extraction – does platelet-rich fibrin improve outcomes?

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6 studies were identified for this review of platelet-rich fibrin to improve outcomes after third molar extraction. The studies were small with contradictory findings so further high quality studies are needed.

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Third molar removal: conventional or piezoelectric device for osteotomy?

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Fifteen studies (5 RCTs) were included in this review of piezoelectric surgery for third molar removal. The findings suggest better outcomes with piezoelectric surgery however the limited quality of the available evidence means that the findings should be viewed with caution.

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Cryotherapy to reduce pain and swelling after facial surgery

Bariatric surgery and marked weight loss is likely to improve knee complaints but there is a need for high quality studies

This review of postoperative hilothrarpy (cryotherapy) in facial surgery included 6 RCTs none of which were at low risk of bias. The findings suggest that it reduces swelling and pain in the early postoperative period. However more high quality studies from a broader range of researches are needed to confirm the findings.

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Third molar removal – does piezoelectric surgery improve outcomes?

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This review of piezoelectric surgery for third molar removal included 9 studies, 6 of which were RCTs. The findings suggest that outcomes were better for piezoelectric surgery but these findings should be viewed cautiously.

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Dexamethasone reduced pain and swelling following third molar surgery

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This review included 8 RCTs involving a total of 476 patients and found that submucosal dexamethasone reduced postoperative pain and swelling. Although only one of the studies was at low risk of bias and there was a possibility of publication bias, the findings should be considered with caution.

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Hilotherapy improved levels of facial pain and oedema after maxillofacial surgery suggests review

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5 studies were included in this review of hilotherapy. While the studies suggest that hilotherapy might provide patients with a significant reduction in postoperative facial pain and oedema, the quality of the studies is low.

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Small study suggests positive effect for hyaluronic acid spray on swelling and trismus after third molar removal

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Postoperative pain, swelling and trismus are common postoperative problems following the removal of impacted third molars. Hyaluronic acid (HA) is a major carbohydrate component of the extracellular matrix and can be found in many tissues and has been introduced as a bio-material with potential to enhance wound healing. It has been used in ophthalmology, dermatology, [read the full story…]

Submucosal dexamethasone reduced pain, swelling and trismus following surgical removal of third molars

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Surgical removal of lower third molars is one of the most commonly performed operations.  It is associated with inflammation, pain and limited mouth opening. The aim of this study was evaluate the effectiveness of submucosal injection of dexamethasone on swelling, pain, trismus, neurological complaints and patient satisfaction after third molar surgery. Adult Patients with Pell [read the full story…]

Not enough evidence to support the use of low-level laser to minimize pain,swelling, and reduced mouth-opening after third molar removal

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The removal of third molars is one of the commonest surgical procedures undertaken and the majority of patients develop some degree ofpain, swelling, and trismus after the surgery. Some investigators have stated that low-level laser energy irradiation (LLEI) decreases pain and swelling after surgery, and that it would contribute to a faster recovery. The aim [read the full story…]