scholarly journals A New Multi-Ingredient Recipe for the Treatment of Localized Advanced Periodontal Disease following the Surgical Removal of Impacted Wisdom Teeth

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Nabil Khzam ◽  
Adam Fell ◽  
Anthony Fisher ◽  
Paul Kim ◽  
Usman A. Khan ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Third Molar ◽  
Surgical Removal ◽  
Synthetic Bone ◽  
Second Molar ◽  
Surgical Access ◽  
Hygiene Measures ◽  
Wisdom Teeth ◽  
Distal Aspect ◽  
Supporting Structures

Periodontal disease is a chronic inflammation of the tooth supporting structures. It leads to bone and attachment loss which is irreversible. Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M). We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar. We showed that oral hygiene measures, surgical access, mixture of autogenous and synthetic bone graft, and guided tissue regeneration (GTR) were enough to control the problem.

scholarly journals Assessment of Electrosensitivity of the Pulp of the Mandibular Second Molar after Surgical Removal of an Impacted Mandibular Third Molar

2021 ◽  
Vol 10 (16) ◽  
pp. 3614
Author(s):  
Grzegorz Trybek ◽  
Magda Aniko-Włodarczyk ◽  
Olga Preuss ◽  
Aleksandra Jaroń
Keyword(s):  
Oral Surgery ◽  
Clinical Status ◽  
Third Molar ◽  
Surgical Removal ◽  
Second Molar ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Wisdom Teeth ◽  
Mandibular Second Molar ◽  
And Control

Despite the frequent discussion of complications associated with surgical removal of wisdom teeth in the scientific literature, increased mobility of the second molar, which can affect the clinical status of the pulp, is often downplayed or overlooked. This study aimed to evaluate surgical removal of an impacted third molar on the change in the electrosensitivity of the pulp of the mandibular second molar. Sixty patients consecutively presenting to the Department of Oral Surgery to remove an impacted mandibular third molar were included in the study. Clinical examinations of pulp sensitivity of second molars in both the study and control groups were evaluated before the procedure, seven days after the procedure, and eight weeks after the procedure. The surgical removal of an impacted mandibular third molar significantly affected the pulp sensitivity of the second molar.

Effects of surgical removal of mandibular third molar on the periodontium of the second molar

2008 ◽  
Vol 6 (2) ◽  
pp. 123-128 ◽  
Author(s):  
AJP Chaves ◽  
LR Nascimento ◽  
MEG Costa ◽  
M Franz-Montan ◽  
PA Oliveira-Júnior ◽  
...  
Keyword(s):  
Third Molar ◽  
Surgical Removal ◽  
Second Molar ◽  
Mandibular Third Molar

scholarly journals Age features of the teething of wisdom at persons of military age

2018 ◽  
Vol 20 (1) ◽  
pp. 121-126
Author(s):  
N V Korovin ◽  
G A Grebnev ◽  
A K Iordanishvili
Keyword(s):  
Military Service ◽  
Orthodontic Treatment ◽  
Third Molar ◽  
Molar Tooth ◽  
Second Molar ◽  
Essential Value ◽  
Wisdom Teeth ◽  
Molar Teeth ◽  
Age Features ◽  
The Military

Pathology of an eruption of wisdom teeth is importance for a military odontology because the vast majority of the military contingents on age coincides with time of their physiological eruption (16-40 years). In work, on the basis of clinic-radial methods of a research, features of a teething of wisdom at young people of military age are studied and analyzed 3D-tomograms and orthopantomograms of 325 servicemen aged from 18 up to 27 years. During work estimated existence of wisdom teeth on top and lower jaws, extent of their eruption, existence of a retention (or dystopias) and also an adentia or loss of wisdom teeth. It was established that most often eruption of the third molar teeth of jaws at recruits occurs at the age of 23-27 years, at the same time at a series of recruits eruption of the lower wisdom teeth usually is followed by various complications, such as pericoronitis, an acute purulent periostitis of a mandible, a false «acute periodontitis» of the lower second molar tooth that becomes perceptible at mesial shift of a wisdom tooth and dense contact of its coronal part with a distal root of the second molar tooth. The essential value for a full-fledged teething of wisdom has their situation in an alveolar process (part) of a jaw, and further - in dentition. It in many respects defines a clinical picture of the shown eruption complications and also tactics of stomatologic treatment - orthodontic treatment, surgical treatment or their combinations. The infectious and inflammatory complications bound to the complicated their eruption (85,93% of cases) served as the reasons of an exodontia of wisdom. In 14,07% of cases wisdom teeth on both jaws were extracted in a planned order in connection with the forthcoming orthodontic treatment on elimination of dentoalveolar anomalies. Thus, terms and features of a teething of wisdom at recruits need to be considered in clinical practice of a military odontology as their military service can pass in specific living conditions and activity of troops and health service, and at complications of a teething of wisdom the acute stomatologic surgical management, including stationary is in most cases necessary.

scholarly journals COMPARISON BETWEEN DEXAMETHASONE AND COOL JAW WRAP ON POSTOPERATIVE PAIN AFTER SURGICAL REMOVAL OF LOWER WISDOM TEETH

2017 ◽  
Vol 9 (4) ◽  
pp. 33
Author(s):  
Nasma M. Al-fahad ◽  
Wael Sheet Shallawe
Keyword(s):  
Quality Of Life ◽  
Postoperative Pain ◽  
Third Molar ◽  
Control Group ◽  
Surgical Removal ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
Surgical Extraction ◽  
Wisdom Teeth

Objective: The aim is to compare between the effect of cool jaw wraps and dexamethasone injection on postoperative pain and evaluate the quality of life after surgical removal of lower wisdom tooth.Methods: Extraction of impacted lower third molar will surgically operate (by the same difficulty of surgical extraction and same operator) on 30 patients, which divide into three groups, each group have 10 patients.We will instruct the patients in cool jaw wrap group to put cool jaw wrap after the operation. While the second group give dexamethasone injection after the operation. The last group which is the control group will left them with the usual instruction postoperatively.This study evaluates the facial pain, swelling, and trismus on days 1,2 and 7 postoperatively. Objective measurements of swelling, pain, and trismus were undertaken at days 1, 2 and 7. The quality of life questionnaire was estimated at day 7 postoperatively.Results: Cool jaw wrap showed no significant differences on the postoperative pain when it used after surgical removal of the lower third molar BUT have significant differences on the Quality of life of patients.Conclusion: Cool jaw face wrap can be recommended as a safe method that participates in some degree to reduce postoperative pain, it easy to handle, comfort, avoiding damage by freezing due to the barrier between cool jaw and skin and the patient can avoid the side effect of dexamethasone and the phobia from the injection.

scholarly journals Coronectomy of the wisdom teeth: the dental extraction alternative

2021 ◽  
Vol 3 (59) ◽  
pp. 12-17
Author(s):  
Sergiu Beliniuc ◽  
◽  
Gabriela Motelica ◽  
Keyword(s):  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mandibular Canal ◽  
Surgical Removal ◽  
Third Molars ◽  
Close Proximity ◽  
Wisdom Teeth ◽  
Low Incidence ◽  
Upper Third ◽  
Surgical Separation

Background. Coronectomy of the wisdom teeth is an alternative surgical procedure to tooth extraction, which aims to preserve the roots of the wisdom teeth in the dental socket after surgical separation of the crown, in order to avoid the injury of the inferior alveolar vascular-nervous bundle. Purpose. Minimizing the damage to the inferior alveolar nerve when extracting lower third molars caused by the intimate relationship between the nerve and the roots of the teeth, by using the technique of coronectomy, or intentional root retention. Material and Methods. Patients who reported to University Dental clinic during the period 2020–2021 for surgical removal of impacted L3M were screened for nerve–root relationship with OPG or CBCT. 15 patients underwent coronectomy as a procedure to remove the crown and upper third of the roots of a lower third molar to reduce the risk of damage to the inferior alveolar nerve. Results. 15 patients were enrolled in this study, with a total of 17 lower third molars. Sixteen sites healed primarily, but in 1 case the sockets on both sides opened and failed to close secondarily. In this case, the root fragments were later removed and found to be mobile. Conclusion. Coronectomies are safer to perform than complete extractions in situations in which the third molar is in close proximity to the mandibular canal. The technique appears to be associated with a low incidence of complications and the removal of remaining roots is required in around 6-7% of cases due to the mesial migration of the fragment and not any symptoms or reinfection.

The prevention and management of distal cervical caries of the mandibular second molar

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 406-410
Author(s):  
Louis W McArdle
Keyword(s):  
Third Molar ◽  
Direct Consequence ◽  
Third Molars ◽  
Second Molar ◽  
Impacted Third Molar ◽  
Simple Question ◽  
Wisdom Teeth ◽  
Molar Teeth ◽  
Mandibular Second Molar ◽  
Disease Free

Distal Cervical Caries (DCC) of the mandibular second molar has become a more frequent complication of third molar impaction as a direct consequence of the introduction of NICE's guidance on the management of wisdom teeth. NICE's tenet that disease free impacted third molars can be retained is contradicted by the development of DCC on the second molar as its diagnosis asks the simple question of why the impacted third molar was not removed before DCC occurred. This paper aims to address the features of DCC associated with the second molar and outlines how dentists should address its diagnosis but, more importantly, how to recognize those at risk and how patients should be managed. CPD/Clinical Relevance: Clinical management of impacted third molar teeth.

scholarly journals A Pilot Retrospective Study on the Effect of Bone Grafting after Wisdom Teeth Extraction

Materials ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 2844
Author(s):  
Luigi Canullo ◽  
Giampiero Rossi-Fedele ◽  
Francesca Camodeca ◽  
Maria Menini ◽  
Paolo Pesce
Keyword(s):  
Soft Tissue ◽  
Bone Loss ◽  
Statistical Significance ◽  
Test Group ◽  
Control Group ◽  
Graft Material ◽  
Paired Data ◽  
Second Molar ◽  
Wisdom Teeth ◽  
Distal Aspect

This study aimed to retrospectively investigate the effect of bone graft after extraction of wisdom teeth impacting with the distal aspect of the second molar, on soft tissue wound healing, bone loss, and periodontal parameters. Sixteen patients treated an for impacted mandibular wisdom tooth at least one year ago were re-called (18 teeth). Dental panoramic tomography and periodontal parameters were assessed. A graft material was used to fill the post-extractive sockets in the test group (GUIDOR easy-graft CRYSTAL), whereas in the control group, the socket was filled using a collagen sponge and blood clot (Hemocollagene, Septodont, Matarò, Spain). The radiographic bone loss was measured at the distal aspect of the second molar. The Wilcoxon singed-rank test for paired data was performed to evaluate statistical differences. In the test group, only two cases out of nine showed bone loss, with an average of 0.55 ± 1.30 mm. Conversely, in the control group, five teeth out of nine showed bone resorption with an average of 1.22 ± 1.30 mm. However, the differences were not statistically significant. Periodontal parameters at the second molar demonstrated similar behavior between the test and control groups. Soft tissue healing complications were lower in the grafted compared to the comparator sites without reaching statistical significance. Within the limitations of the present study, no difference was found between the two groups.

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