Low risk of neurosensory dysfunction after mandibular third molar surgery in patients less than 30 years of age. A prospective study following removal of 1220 mandibular third molars

The aim of this study was to evaluate the efficacy of electro-acupuncture (EAC) on postoperative pain control after mandibular third molar surgery. Twenty four young patients (12 male and 12 female) with symmetrically impacted mandibular third molars were selected. Each patient was submitted to two separate surgical procedures under local anesthesia. At one side, extraction was carried out employing both prior (24h) and immediately postoperative application of EAC, while on the contralateral side surgery was carried out without any treatment. EAC was applied on 6 bilateral systemic and 2 auricular points with a WQ10Dl appliance using 40-60Hz frequency for 20 min and individually adjusted intensity. Postoperative pain intensity was rated on a 100 mm visual analog scale (VAS) between 2 and 72 h and recording the amount of analgesics intake after surgery. Statistical analysis was performed using theWilcoxon test. Postoperative pain VAS scores were significantly lower for the EAC group (p<0.05) and analgesic intake decreased (p<0.05) for all evaluated periods (p<0.05). Under the tested conditions EAC therapy is efficient was proved controlling postoperative pain following mandibular third molar surgical removal.

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A Comparative Study of Surgical Morbidity Associated with Mandibular Third-Molar Surgery in Young and Aging Populations

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-11-4-1 ◽

2010 ◽

Vol 11 (4) ◽

pp. 1-8 ◽

Cited By ~ 8

Author(s):

Wasiu L. Adeyemo ◽

Mobolanle O. Ogunlewe ◽

Akinola L. Ladeinde ◽

Olufemi O. Hassan ◽

Olanrewaju A. Taiwo

Keyword(s):

Third Molar ◽

Third Molar Surgery ◽

Third Molars ◽

Surgical Morbidity ◽

Surgical Extraction ◽

Aging Populations ◽

Group A ◽

Mandibular Third Molar Surgery ◽

Group B ◽

Mandibular Third Molars

Abstract Aim Prophylactic surgical extraction of impacted third molars is a common practice throughout the world justified on the presumption that the risk of surgical morbidity increases with increasing age, among other reasons. The aim of this study was to analyze and compare surgical morbidity associated with third-molar extractions in young and aging populations. Methods and Materials A review of records for all patients who underwent the surgical extraction of impacted third molars between April 2001 and June 2006 at the Lagos University Teaching Hospital was carried out. Results A total of 506 patients had surgical extractions of impacted third molars under local anaesthesia during the period of the study. Of these, 470 (92.9 percent) patients were below the age of 40 years (Group A) and 36 (7.1 percent) patients were 40 years of age and older (Group B). No incidences of severe intraoperative complications (excessive bleeding or mandibular fractures) were recorded in either group, but other postoperative complications were reported in 70 (13.8 percent) patients. Of these 70 patients, 65 (92.9 percent) were from Group A and 5 (7.1 percent) were from Group B, and their complications included infected socket, dry socket, paraesthesia, and buccal space abscess. Conclusions No significant difference in postoperative complications following surgical removal of mandibular third molars was found between patients 40 years old and greater and those below age 40. Prophylactic surgical extraction of impacted mandibular third molars, based on the assumption that surgical morbidity increases with age, may not be justifiable. Clinical Significance Age does not predispose patients who had surgical extraction of mandibular third molars above 40 years of age to any additional surgical complications when compared to patients below the age of 40 years receiving comparable treatment. Citation Adeyemo WL, Ogunlewe MO, Ladeinde AL, Hassan OO, Taiwo OA. A Comparative Study of Surgical Morbidity Associated with Mandibular Third-Molar Surgery in Young and Aging Populations. J Contemp Dent Pract [Internet]. 2010 July; 11(4):001-008. Available from: http:// www.thejcdp.com/journal/view/volume11-issue4- adeyemo

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Mandibular third molar surgery – a study of factors predictive of difficulty

BDJ ◽

10.1038/sj.bdj.4801049a ◽

2001 ◽

Vol 190 (11) ◽

pp. 599-599

Author(s):

Ameeta Joshi

Keyword(s):

Third Molar ◽

Third Molar Surgery ◽

Mandibular Third Molar ◽

Mandibular Third Molar Surgery

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Mesial Migration Effect on Root Morphology of Mandibular Third Molars

The Angle Orthodontist ◽

10.2319/021006-53r.1 ◽

2007 ◽

Vol 77 (1) ◽

pp. 73-76 ◽

Cited By ~ 2

Author(s):

A. Altuğ Bıçakçı ◽

Oral Sökücü ◽

Hasan Babacan ◽

H. Hüseyin Köşger

Keyword(s):

Third Molar ◽

Root Apex ◽

Central Line ◽

Occlusal Plane ◽

Third Molars ◽

Migration Effect ◽

Mandibular Third Molar ◽

Root Curvature ◽

History Of ◽

Mandibular Third Molars

Abstract Objective: To test the hypothesis that there is a relationship between forward mandibular third molar migration and root curvature of the mandibular third molars. Materials and Methods: The study is comprised of 64 patients who had a history of unilateral mandibular first molar extraction before 16 years of age with no other missing teeth or prosthetic restorations in the mandible. The extraction space was fully or partly closed. The mean remaining space was 1.1 ± 0.41 mm. The root angles for the mesial and distal roots of the mandibular third molars were measured on the panoramic radiographs by calculating the differences between the angle formed by the long axis drawn perpendicular to the occlusal plane of the crown of mandibular third molar and the central line of the lower one ninth of the root through the root apex. The differences between the extracted and nonextracted sides for mesial and distal roots were analyzed using a paired sample t-test. Results: Both mesial and distal roots were approximately 8° more vertical on the extraction sides than on the nonextraction sides. The differences were statistically significant. Conclusion: Mesial tooth migration of mandibular third molars reduces the amount of root curvature developing on this tooth.

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