Third molar surgery: Does low-level laser therapy reduce post-operative morbidity?

shutterstock_133048361

This review of whether low-level laser therapy (LLLT) is effective in reducing postoperative morbidity in patients undergoing surgical removal of mandibular third molars included 17 RCTs. The findings suggest a reduction in post-operative swelling but not pain or trismus.

[read the full story...]

Tooth extraction: Do antibiotics prevent complications?

The authors sought to review available literature relating to SSRI withdrawal syndromes

This Cochrane review update of the effect of systemic antibiotic prophylaxis on the prevention of infectious complications following tooth extractions included 23 studies. There was very-low certainty evidence that prophylactic antibiotics may reduce the risk of infection and dry socket following third molar extraction compared to placebo.

[read the full story...]

Top Dental Elf Blogs: Jan – Mar 2020

The Dental Elf

Our most popular blogs from January, February and March 2020 were about the FiCTION trial, local anaesthesia and factors associated with third molar surgical difficulty.

[read the full story...]

Third molars: Which local anaesthetic is most suitable for inferior alveolar nerve blocks?

shutterstock_31846396

This review comparing the efficacy and safety of currently available local anaesthetics for lower third molar extraction included 24 RCTs. The findings suggest that 4% articaine was the most effective and lidocaine the safest.

[read the full story...]

Third molars: Which surgical technique for removal?

shutterstock_133048361

This Cochrane review upate compares the relative benefits and risks of different techniques for surgical removal of mandibular wisdom teeth. While the review includes 25 new trials the quality of the studies was variable with many having biases that could have influenced the findings so no meaningful conclusions could be drawn.

[read the full story...]

Third molars: Remove or retain asymptomatic disease-free impacted teeth?

shutterstock_37849495

This Cochrane review of the effects of removal compared with retention (conservative management) of asymptomatic disease-free impacted wisdom teeth updates the 2016 version. No new studies were identified so the conclusions are unchanged.

[read the full story...]

Third molars: Envelope or triangular flap for mandibular third molar surgery?

shutterstock_119290663

This review comparing the effects of envelope and triangular flaps for mandibular third molar surgery included 20 RCTs involving 770 patients. A majority of the studies were of cross-over design with the findings suggesting no differences in teh outcomes between the two flap designs.

[read the full story...]

Third molars: Factors associated with surgical difficulty

shutterstock_31846396

This review of variables associated with surgical difficulty in the extraction of third molars included 16 prospective cohort studies suggesting a number of variable that may be associated with surgical difficulty.

[read the full story...]

Third molar extraction: Does closure technique influence post-operative complications?

shutterstock_133048361

This review to assess the influence of two suture methods on the postoperative complications of lower third molar extraction included 5 RCTs . Findings suggest the use of secondary closure has a favourable effect on pain, facial swelling, and trismus but the quality of the evidence is limited.

[read the full story...]

Platelet-rich fibrin and third molar surgery outcomes

shutterstock_133048361

This review of the effectiveness of platelet-rich fibrin (PRF) in reducing postoperative complications of third molar surgery included 10 small RCTs suggesting that PRF may reduce but not prevent some complications.

[read the full story...]