Oral surgery

2020 ◽  
pp. 377-429
Keyword(s):  
Soft Tissue ◽  
Oral Surgery ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Dental Practice ◽  
Comprehensive Overview ◽  
General Dental Practice ◽  
Dental Procedures ◽  
Operative Assessment

This chapter provides a comprehensive overview of several aspects of oral surgery. It starts with some general principles that are applicable to all types of surgery and gradually includes details of common dental procedures. There is emphasis on suturing and dento-alveolar surgery including third molar surgery. More specialized procedures such as an apicectomy and a coronectomy are also described. The aim is to provide guidance that will help with the pre-operative assessment, as well as details of the specific oral surgery techniques. Clinicians in general dental practice and dental core trainees in hospitals often encounter patients with dento-alveolar infections as well as benign soft tissue or bone pathologies. This chapter provides the foundations of management of these conditions.

scholarly journals TOMOGRAFIA COMPUTADORIZADA: VANTAGENS SOBRE A RADIOGRAFIA PANORÂMICA NA AVALIAÇÃO DE TERCEIROS MOLARES INFERIORES INCLUSOS

DENS ◽  
2007 ◽  
Vol 15 (2) ◽  
Author(s):  
Carolina LAZAROTTO ◽  
Grasielle KARPSTEIN ◽  
Wilson Kenji SHIROMA
Keyword(s):  
Oral Surgery ◽  
Third Molar ◽  
Oral Pathology ◽  
Conventional Radiography ◽  
Mandibular Canal ◽  
Radiographic Evaluation ◽  
Third Molar Surgery ◽  
Oral Radiology ◽  
Conventional Tomography ◽  
Macroscopic Findings

Tomografia Computadorizada: vantagens sobre a Radiografia Panorâmica na avaliação de terceiros molares inferiores inclusos.   A cirurgia dos terceiros molares inferiores retidos pode levar a alterações sensoriais importantes, devido a trauma no nervo alveolar inferior, o qual no seu trajeto, apresenta relação intra-óssea importante com as raízes dos molares. A relação entre os ápices do terceiro molar e o canal mandibular deve ser previamente identificada à intervenção cirúrgica. O presente trabalho tem por objetivo a comparação das imagens, da relação dos terceiros molares inferiores retidos com o canal mandibular, fornecidas por radiografias panorâmicas (RP) e por tomografias computadorizadas (TC). Metodologia: Comparação de radiografias panorâmicas e suas respectivas TC, levando em consideração a relação de proximidade dos ápices dentários com o canal mandibular. Resultados: Das RP avaliadas, todas apresentaram imagem de sobreposição do canal mandibular, e uma delas, também sugeriu trajeto interradicular do mesmo. Na TC comprovou-se tridimensionalmente relação de proximidade dos mesmos e em um caso, descartou-se a possibilidade de um trajeto interradicular do canal mandibular. Conclusão: Pelo material analisado, sugere-se que a TC mostra-se superior no diagnóstico e planejamento cirúrgico de terceiros molares inclusos.  Palavras-Chave: Tomografia; Radiografia Panorâmica; Nervo Mandibular  Referências Bibliográficas 1. DÍAZ-TORRES, M. J. et al. Fatores clínicos y radiológicos de “verdadera relación” entre el nervio dentário y  el tercer molar. Revista Española de Cirurgia Oral y Maxillofacial, v. XII, n. 2, p. 51-57, 1990.2. FREDERIKSEN, N.L.; Diagnostic imaging in dental implantology. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics. v.80, 540-554, 1995.3. KINGLE, B.; PETERSSON, A.; MALY, P. Location of the mandibular canal: comparison of Macroscopic findings, conventional radiography, and computed tomography. Int J Oral Maxillofac Implants. v. 4, p. 327-332, 1989.4. LINDH, C.; PETERSON, A. Radiologic examination for location the mandibular canal: A comparision between panoramic radiography and conventional tomography. The International Journal of Oral & Maxillofacial Implants. V. 4, n. 3, p.249-253, 1989.5. SINN, D. P.; KARAS, N. D. Radiographic evaluation of facial injuries. In: FONSECA, R. J.; WALKER, R. V. Oral and Maxillofacial Trauma. 2. ed. Saunders Company, 1997. p. 391-418.6. GRAZIANI, Mario. Cirurgia bucomaxilofacial. 8. ed. Rio de Janeiro: Guanabara Koogan, c1995.7. GOMES, A. C. et al. Estudo das lesões nervosas após cirurgia dos terceiros molares inferiores retidos. Dissertação de Mestrado em odontologia – Faculdade de Odontologia de Pernambuco – Camaragibe-Pe, 2001. 123 p.8. FÉLEZ-GUTIÉRREZ, J. et al. Las lesiones Del nervio dentario inferior en el tratamiento quirúrgico del tercer molar inferior retenido: aspectos radiológicos, prognósticos y preventivos. Archivos de Odontoestomatología, v. 13, n. 2, p. 73-83, 1997.9. KINGLE, B.; PETERSSON, A.; MALY, P. Location of the mandibular canal: comparison of macroscopic findings, conventional radiography, and computedtomography. Int J Oral Maxillofac Implants, v. 4, p. 327-332, 1989.10. RUD, J. Third molar surgery: relationship of root to mandibular canal and injuries to inferior dental nerve. Tandlaegebladet, v. 87, n. 18, p. 619-630, 1983.

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

Antibiotics ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 53 ◽  
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.

scholarly journals Dexmedetomidine Sedation With and Without Midazolam for Third Molar Surgery

2014 ◽  
Vol 61 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Megann K. Smiley ◽  
Simon R. Prior
Keyword(s):  
Oral Surgery ◽  
Third Molar ◽  
The Other ◽  
Third Molar Surgery ◽  
Patient Anxiety ◽  
Discharge Time ◽  
Amnesic Effect ◽  
Clinically Significant ◽  
Prolonged Discharge ◽  
Dexmedetomidine Infusion

Abstract Twenty-four patients were randomly divided into 2 groups. Intraoperatively, one group received a continuous intravenous infusion of dexmedetomidine alone, whereas the other received a continuous dexmedetomidine infusion plus a small dose of midazolam. Early measurements of patient anxiety and psychomotor performance were lower in patients who had received midazolam. This difference was not seen later in the appointment. An amnesic effect was observed in those patients who received midazolam. This effect, however, did not translate into increased patient satisfaction in the group receiving midazolam. Our findings suggest a prolonged discharge time for patients who had been given midazolam that may be clinically significant. Overall, dexmedetomidine showed an unpredictable sedative response and may be less practical than more common alternatives for oral surgery procedures.

scholarly journals Post-COVID Strategies Based on Clinical Dentistry in South Korea

2020 ◽  
pp. 1-5
Author(s):  
John Hyunbaek Ahn ◽  
John Hyunbaek Ahn ◽  
Susan Power
Keyword(s):  
South Korea ◽  
Working Environment ◽  
Current Evidence ◽  
Protective Equipment ◽  
Dental Practice ◽  
Comprehensive Overview ◽  
Work Related ◽  
The United Kingdom ◽  
Item Questionnaire ◽  
Dental Procedures

Introduction: The United Kingdom is in the process of gradually lifting the lockdown, and a lot of uncertainties and concerns exist in the field of dentistry in terms of clinical management of patients due to the high risk of work-related transmission. Learning from the strategies of clinical dental practice in other countries may help in the development of national recommendations. Aims: South Korea managed to contain COVID-19 without full-scale lockdown. This article aims to provide a comprehensive overview of clinical practice of dentistry and orthodontics in South Korea and compare it with information from other countries throughout the world. Design: An anonymous 21-item questionnaire covering post-COVID strategies was sent to the orthodontic departments of eleven University Dental Hospitals in South Korea for completion. Results: Three of the eleven hospitals completed the survey. All hospitals provided information on their post-COVID strategies in terms of staff and patient considerations, clinical working environment, clinical arrangements, dental procedures, personal protective equipment and disinfection. Conclusion: The current evidence on COVID-19 is limited and the risk of its transmission through aerosol generating procedures is still unclear. In the meantime, robust post-COVID strategies must be in place in order to minimize the risk of spread.

The Effect of Platelet Rich Plasma on Tissue Healing after Mandibular Third Molar Surgery

2021 ◽  
Author(s):  
Negin Karimi ◽  
Behnam Khorrami ◽  
Reza Nezhadnasrollah ◽  
Yamin Haghani
Keyword(s):  
Soft Tissue ◽  
Third Molar ◽  
Test Group ◽  
Third Molar Surgery ◽  
P Value ◽  
Soft Tissue Healing ◽  
Tissue Healing ◽  
Mandibular Third Molar ◽  
The Mean ◽  
Mandibular Third Molar Surgery

Introduction: This study aimed, effect of platelet-rich plasma (PRP) on soft tissue healing after mandibular third molar surgery. Materials & Methods: In this semi-blinded clinical trial study,30 selected patients requiring surgical extraction of soft tissue impacted mandibular third molar participated from cases referred to the Department of Surgery, Faculty of Dentistry, Isfahan Azad University 2017.Patients divided into both test and control groups. PRP was placed in the extracted socket of the test group, whereas the control group had no PRP. Arzhangian standard kit utilized for preparation of PRP. The outcome variables in this study were pain, swelling, inter incisal mouth opening, wound dehiscence, dry socket, bleeding, and tissue color. The collected data analyzed using statistical tests followed independent T-test, Mann-Whitney, and fisher (p value < 0.05). Results: The mean postoperative pain score (Visual Analog Scale) lowered for the test group after several wound dehiscence on the third and seventh days after surgery which was statistically significant (p value < 0.001). Although the mean bleeding time on the third day after surgery decreased in the test group, this difference was not statistically significant (p value = 0.59). There were no statistically significant between both groups for The dry socket incidence on the seventh day and the mean of inter incisal mouth opening in the third and seventh days after surgery as well. Conclusion: The usage of topical PRP has beneficial advantages on soft tissue healing after mandibular third molar surgery. Unlike the control group, The PRP group provided reduced pain and better soft tissue healing.

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