This review of coronectomy reoperation rates. included 15 studies with 14 being at high or medium risk of bias. The finding suggest a reoperation rate of 5.1%.
[read the full story...]Coronectomy: reoperation rates
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Articaine or Lidocaine for third molar removal?
This review of anaesthetic efficiency of articaine for lower third molar extraction included 9 RCTs ( 493 patients -770 lower molars). The findings suggest that 4% articaine with 1:100,000 epinephrine possesses superior anaesthetic efficiency relative to lidocaine.
[read the full story...]Third molars: Regenerative techniques for preventing periodontal defects
This review of the effectiveness of regenerative periodontal treatment for preventing periodontal defects following third molar surgery included 21 RCTs and suggested that these approaches were effective. However a majority of the included studies were at high risk of bias so the findings should be interpreted cautiously.
[read the full story...]Third molar surgery: Steroids had a beneficial effect on pain, swelling and trismus
This review of effectiveness of corticosteroids in the post-operative control of pain, swelling and trismus after third molar surgery included 17 RCTs suggesting that corticosteroid use had beneficial effects on pain swelling and trismus.
[read the full story...]Mandibular angle fractures – Do third molars have an influence?
16 observational studies were included in this review of the association between the presence of a lower third molar and the occurrence of a mandibular angle fracture in adults. The findings suggest that the odds of fracture are 3.16 (95%CI; 2.2- 4.54) higher in the presence of third molars
[read the full story...]Third molar extraction – does platelet-rich fibrin improve outcomes?
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.
[read the full story...]Mandibular fractures: the influence of third molars
This review of the effect of presences of third molars on mandibular fractures includes 35 observational studies. The findings suggest that the presence of third molars increases the change of mandibular angle fractures.
[read the full story...]Orthodontic extractions and third molar angulation
This review of the effect of orthodontic extractions on the angulation of third molars included only 14 retrospective studies. This provides very low quality evidence of any effect
[read the full story...]Third molar removal: flap design and periodontal outcomes
8 small RCTs were identified for this review of the effect of flap design on periodontal outcomes following third molar removal. The available evidence did not favour any particular flap design.
[read the full story...]Third molars: insufficient evidence for removal of impacted asymptomatic disease-free teeth
This update of an earlier Cochrane review comparing retention or extraction of of asymptomatic disease-free impacted third molars only identified 2 studies of low to very low quality evidence providing insufficient evidence to inform practice.
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