Update on the use of corticosteroids in third molar surgery: systematic review of the literature

Objectives: The aim of this systematic review was to verify whether CBCT in comparison with panoramic radiography reduced the cases of temporary paresthesias of the inferior alveolar nerve (IAN) associated with third molar extractions. Methods: The literature search included five databases (PubMed, Scopus, Web of Science, Cochrane, SciELO), in addition to gray literature and hand search of reference list of included studies. Two reviewers independently screened titles/abstracts, and full texts according to eligibility criteria, extracted data and evaluated risk of bias through Revised Cochrane Risk of Bias Tool for Randomized Trials (RoB 2.0). Data were meta-analyzed by comparing CBCT versus panoramic radiographs for number of events (temporary paresthesia after third molar surgery). Fixed effect model was used for non-significant heterogeneity; relative risk (RR) and 95% CI were calculated. The certainty of evidence was evaluated by Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results: Four randomized controlled trials (RCTs) were included in meta-analysis, and for the majority of domains they presented low risk of bias. RR was 1.23 (95% IC: 0.75–2.02; I2: 0%; p = 0.43) favouring panoramic radiography, but without significant effect, and with moderate certainty of evidence. Conclusions: We concluded that both interventions had a similar ability to reduce temporary paresthesia of the IAN after third molar surgery with moderate certainty of evidence.

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Does the Use of Articaine Increase the Risk of Hypesthesia in Lower Third Molar Surgery? A Systematic Review and Meta-Analysis

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2020.08.036 ◽

2021 ◽

Vol 79 (1) ◽

pp. 64-74

Author(s):

Emerson Filipe de Carvalho Nogueira ◽

Fábio Andrey da Costa Araújo ◽

Tatiane Fonseca Faro ◽

Renata de Albuquerque Cavalcanti Almeida ◽

Ricardo José de Holanda Vasconcellos

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Third Molar ◽

Third Molar Surgery

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Antibiotic Prophylaxis on Third Molar Extraction: Systematic Review of Recent Data

Antibiotics ◽

10.3390/antibiotics8020053 ◽

2019 ◽

Vol 8 (2) ◽

pp. 53 ◽

Cited By ~ 23

Author(s):

Gabriele Cervino ◽

Marco Cicciù ◽

Antonio Biondi ◽

Salvatore Bocchieri ◽

Alan Scott Herford ◽

...

Keyword(s):

Systematic Review ◽

Oral Surgery ◽

Third Molar ◽

Health Conditions ◽

Drug Misuse ◽

Third Molar Surgery ◽

Inclusion Criteria ◽

Third Molar Extraction ◽

Wisdom Teeth ◽

High Predictability

The aim of this paper was to highlight the most widely antibiotic protocols applied to the dental field, especially in the surgical treatment of impacted wisdom teeth. Once these protocols were screened, all the possible advantages or disadvantages for each drug and each posology were recorded in this review. In recent years, the need to use these protocols has been debated in the literature. The data obtained by this review underlined how antibiotic protocols applied to oral surgery treatments only included surgeries performed on patients who did not present other systemic pathologies. The first literature review obtained 140 results, and then after the application of the inclusion criteria, 12 papers were selected. The results showed that the most commonly used protocol involved the use of penicillin and clavulanate, obtaining safe clinical and prophylactic results in the management of infections. This widely used protocol seems to guarantee high predictability and safety. The presented review highlights the current possibility of antibiotic resistance affecting patients due to drug misuse. Further clinical studies are required to state specific guidelines; however, oral surgeons involved in third molar surgery should evaluate the local and general health conditions of the patients before suggesting any drug measures for patients.

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