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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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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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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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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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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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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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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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…]
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…]
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…]
