The surgical removal of third molars is a common procedure that results in varying degrees of inflammation, pain and limited mouth opening. Non-steroidal anti-inflammatories, steroids and opiates are often prescribed to alleviate these problems. This review aims to assess the impact of steroids on outcomes following third molars removal. Searches of the PubMed, Scopus, Med- [read the full story…]
Dry socket (alveolar osteitis) socket is a painful complication of tooth extraction that occurs in about 5% of extractions of permanent tooth. It is more common following the extraction of wisdom teeth. That aim of this review was to assess whether chlorhexidine, when compared to placebo and/or other interventions, reduced the incidence of alveolar osteitis [read the full story…]
Classic wound closure following removal of impacted this molars involved the surgeon covering and hermitically closes the socket with a flap, allowing primary wound healing. Proponents of this approach suggest that it decreases the risk of post operative infection. the alternative approach is to allow healing by secondary intention. Those who prefer this approach suggest [read the full story…]
The use of antibiotics to prevent complications from the removal of third molars is a cause of debate. The aim of this review was to assess the efficacy of antibiotics in preventing infectious complications after third molar surgery What did they do The Medline Embase, ,and Cochrane databases were searched together with the references in [read the full story…]
One of the complications of the removal of lower third molars ( wisdom teeth) is inferior alveolar nerve injury (IANI) . This has resulted in the use of a new extraction procedure coronectomy (partial odontectomy or root retention) a technique whereby the crown of a tooth is removed but parts of the roots are untouched. [read the full story…]
Third molars (wisdom teeth) generally erupt between the ages of 17-24 years. Often they fail to erupt or only erupt partially. When they do not reach their normal functional position they are considered to be impacted, this can be due to lack of space, obstruction by another tooth, or development in an abnormal position. An [read the full story…]
The removal of lower third molars is one of the commonest surgical procedures. The effective management of post operative pain is an important consideration and it has been suggested that preoperative administration of non-steroidal anti-inflammatory drugs (NSAIDs) may be more effective than post operative administration. The aim of this study was therefore to compare the [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…]
The merits of the lingual split techniques verses the surgical bur for the extraction of impacted mandibular third molars have been debated for many years. The aim of this review was to compare the post-operative outcomes of the lingual split and the surgical bur techniques. The authors searched the PubMed, Ovid MEDLINE, and Cochrane CENTRAL [read the full story…]
The sagittal split osteotomy (SSO) is a common procedure for the correction of mandibular deformities. It was first introduced Schuchardt in 1942 the current technique which has been refined an popularised in subsequent years. Overall it is a safe procedure the an important intra-operative complication being an unfavourable fracture with incidences varying between 0.7-20% being [read the full story…]
