Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: A systematic review

2019 ◽  
Vol 46 (6) ◽  
pp. 563-573 ◽  
Author(s):  
Marie Kjærgaard Larsen ◽  
Thomas Kofod ◽  
Thomas Starch‐Jensen
2018 ◽  
Vol 6 (12) ◽  
pp. 2395-2401
Author(s):  
Mamdouhh Ahmed ◽  
Mariam Kamel Salah ◽  
Nesrine Khairy

AIM: To evaluate a new technique for surgical removal of deeply impacted mandibular third molars (DIMTM), using computer-guided cutting guide to maintain inferior alveolar nerve (IAN) integrity and the covering buccal bone. PATIENTS AND METHODS: Eighteen cases indicated for removal of DIMTM. Cone-beam Computed Tomography (CBCTs) used to determine the tooth’s relation to the IAN. Computer-guided software used for fabrication of surgical cutting guide stent to expose the impacted tooth and repositioning of bone after odontectomy without fixation. Clinical assessment included a neurosensory deficit of IAN, pain using a visual analogue scale (VAS), facial swelling, and maximal mouth opening (MMO). CBCTs were taken immediately and six months postoperatively to evaluate position and healing of bone. RESULTS: None of the patients showed a permanent neurological deficit of IAN while all patients showed normal parameters of pain, facial swelling and MMO. CONCLUSION: this technique has shown the accurate determination of the bony window cuts with subsequent preservation of IAN and external oblique ridge.


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