A new caliper for assessment of facial swelling following odontectomy of mandibular third molar

2014 ◽  
Vol 5 (3) ◽  
pp. 106-111 ◽  
Author(s):  
Khairy A. Elmorsy
Keyword(s):  
Third Molar ◽  
Mandibular Third Molar ◽  
Facial Swelling

scholarly journals Comparison of twin mix and revamped twin mix in mandibular third molar surgery - A randomised controlled double blinded study

2020 ◽  
Vol 11 (4) ◽  
pp. 5821-5827
Author(s):  
Dyna Albert ◽  
Sudarssan Subramaniam Gouthaman ◽  
Muthusekhar M R
Keyword(s):  
Third Molar ◽  
Mouth Opening ◽  
Third Molar Surgery ◽  
Mandibular Third Molar ◽  
Significant Difference ◽  
Facial Swelling ◽  
Blinded Study ◽  
Mandibular Third Molar Surgery ◽  
Randomised Controlled ◽  
Double Blinded

Mandibular third molar surgery is one of the most common minor oral surgical procedures performed by oral and maxillofacial surgeons. It is vital to provide the most comfortable postoperative phase to the patient and for this reason dexamethasone, a corticosteroid, is popularly used in various routes. The intraspace injection of dexamethasone mixed with 2% lignocaine and 4% articaine named, Twin Mix and Modified Twin Mix respectively is gaining increasing popularity. 0.5% Centbucridine is a safe alternative to 2% lignocaine with more cardio stable properties. In this study we aimed to evaluate the comparability of Twin Mix(TM) and Revamped Twin Mix(RTM) (mixture of dexamethasone and centbucridine) with respect to its anesthetic properties and its effectiveness in managing postoperative sequelae following mandibular third molar surgery. For this, a randomised controlled double blinded study was conducted among patients reporting to the Out Patient Department of a dental college. The sample size of the population studied was 32, 16 in Group A (RTM) and 16 in Group B (TM). The primary outcomes measured were facial swelling and mouth opening on postoperative day(POD) 1, 3 and 7. The secondary outcomes were VAS score during the surgical procedure, duration and latency of anesthesia. The data were analysed descriptively and using Student’s t Test. Representations were given in graphical and tabular forms. The mean postoperative mouth opening and facial swelling on POD 1, 3 and 7 were comparable and did not show any statistically significant difference. Similarly, the VAS score during procedure, latency and duration of anesthesia were comparable with no statistically significant difference. In conclusion, RTM can be used as an alternative to TM due to its comparable properties.

scholarly journals Early removal of asymptomatic mandibular third molar-is it safe?

2017 ◽  
Vol 2 (3) ◽  
pp. 172
Author(s):  
Xiao F. Ling ◽  
Tee L. Heng ◽  
Ahmad F. Bin Mohamad
Keyword(s):  
Oral Surgery ◽  
Subjective Evaluation ◽  
Randomized Study ◽  
Third Molar ◽  
Surgical Removal ◽  
Safe Procedure ◽  
Early Removal ◽  
Group I ◽  
Mandibular Third Molar ◽  
Facial Swelling

Objective: The purpose of this study was to compare the incidence of complications between surgical removal of third molar and germectomy, objectively and subjectively.Material and Methods: A prospective non randomized study for all patients who were undergoing minor oral surgery of mandibular third molar was carried out in Oral & Maxillofacial Department (OMF) Sultan Abdul Halim Hospital, Malaysia (HSAH). The indication for surgery was for orthodontic reason. The patients were divided into 3 groups according to their radiographic root morphology, namely group I (root not formed), group II (root partially formed), group III (roots fully formed)Results: A total of 44 patients were enrolled into this study, 2 teeth from each patient, henceforth involving 88 teeth. There was statistically difference in age among the 3 groups (p<0.05). Germectomy was the shortest procedure. In the objective evaluation post-operative 1 week, no sign of trismus and facial swelling was observed in these 3 groups. In the subjective evaluation, there were significant differences in ability to tolerate orally (p<0.05) and ability to perform daily activities (p<0.05) among the 3 groups.Conclusion: This study shows low incidence of complications in all 3 groups. Germectomy is a simple and safe procedure, thus, this prompted the author advocate the early removal of mandibular third molar.

Investigation of infectious organisms causing pericoronitis of the mandibular third molar

2000 ◽  
Vol 58 (6) ◽  
pp. 611-616 ◽  
Author(s):  
Heidrun Peltroche-Llacsahuanga ◽  
Engelbert Reichhart ◽  
Walter Schmitt ◽  
Rudolf L[uuml ]tticken ◽  
Gerhard Haase
Keyword(s):  
Third Molar ◽  
Mandibular Third Molar

Effect of Age, Gender, Side and Impaction Types on Surgical Difficulty During Mandibular Third Molar Extraction.

2018 ◽  
Vol 17 (2) ◽  
pp. 11
Author(s):  
Krishna Gopal Bhuju ◽  
Sujita Shrestha ◽  
Riwaj Karki ◽  
Sameer Aryal
Keyword(s):  
Third Molar ◽  
Objective Measure ◽  
Operation Time ◽  
Significance Level ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Duration Of Surgery ◽  
Surgical Difficulty ◽  
Effect Of Age ◽  
Molar Extraction

<p><strong>Aim</strong>: To study the effect of age, gender, side and impaction types on surgical difficulty during mandibular third molar extraction through the data collected over a period of one year by single maxillofacial surgeon. All the extractions were performed under the same environment and conditions.</p><p><strong>Methods</strong>: Descriptive clinical study of 401 patients was carried out between the ages of 16 to 45years. Age, gender, impaction side and impaction types (according to the winter classification) were recorded on proforma. Duration of surgery for each patient was recorded after starting incision to the completion of suture which was divided into less than 10 minutes (mild), 11 to 20 minutes (moderate) and above 21 minutes (severe). Pearson’s Chi-square test was used for data analysis and significance level was less than or equal to 0.05.</p><p><strong>Results</strong>: Among 401 participants, 225 (56.1%) were male and 176 (43.9%) were female. Mean age was 31.5 years and mean operation time was 17.59 minutes. After statistical analysis there was a significant correlation among gender and side of impaction where <em>p </em>value is 0.043 0.048 respectively.</p><p><strong>Conclusion</strong>: There is a statistically significant correlation between gender and side of impaction with duration of surgery which is considered as the objective measure of surgical difficulty whereas age and impaction types didn’t show any significant correlation. </p>

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