scholarly journals Detection of Bone Defects Using CBCT Exam in an Italian Population

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Gianluca Gambarini ◽  
Gabriele Miccoli ◽  
Gianfranco Gaimari ◽  
Deborah Pompei ◽  
Andrea Pilloni ◽  
...  
Keyword(s):  
American Association ◽  
Dental Treatment ◽  
Third Molar ◽  
Common Finding ◽  
Italian Population ◽  
Third Molar Extraction ◽  
Lower Jaw ◽  
Definition Of ◽  
Implant Treatment

Background. The aim of this study was to evaluate the in vivo incidence and the location of fenestrations in a young Italian population by using CBCT. Materials and Methods. Fifty patients who had previously performed CBCT for planning third molar extraction or orthodontic therapy were selected for the study. No previous dental treatment had been performed on these patients. Overall, 1,395 teeth were evaluated. Root fenestrations were identified according to the definition of Davies and the American Association of Endodontists. Data was collected and statistically analyzed. Results. Fenestrations were observed in 159 teeth out of 1,395 (11% of teeth). In the lower jaw, we found 68 fenestrations (5%) and 91 in the maxilla (6,5%). Incisors were the teeth with the highest incidence of fenestrations. Conclusion. The relative common finding (11%) of fenestration supports the need for CBCT exams before any surgical/implant treatment to avoid complications related to the initial presence of fenestrations. CBCT was found to be an effective and convenient tool for diagnosing fenestration.

scholarly journals Conscious sedation for the management of dental anxiety in third molar extraction surgery: a systematic review.

2020 ◽  
Author(s):  
Matteo Melini ◽  
Andrea Forni ◽  
Francesco Cavallin ◽  
Matteo Parotto ◽  
Gastone Zanette
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Meta Analysis ◽  
Dental Anxiety ◽  
Third Molar ◽  
Future Research ◽  
Third Molar Extraction ◽  
Molar Extraction

Abstract Background: Dental anxiety is a condition associated with avoidance of dental treatment and increased medical and surgical risks. This systematic review aims to summarize available evidence on conscious sedation techniques used for the management of Dental anxiety in patients scheduled for third molar extraction surgery, to identify best approaches and knowledge gaps. Methods: A comprehensive search was conducted including MEDLINE/Pubmed, EMBASE, SCOPUS, clinicaltrials.gov and the Cochrane Database of Systematic Reviews through March 2019. Only randomized controlled trials were included. PRISMA guidelines were followed. Risk of bias was appraised as reported in the Cochrane Handbook for Systematic Reviews of Interventions. Results: Seventeen RCTs with a total of 1,788 patients were included. Some aspects limited the feasibility of a meaningful meta-analysis, thus a narrative synthesis was conducted. Conscious sedation was associated with improvement in Dental anxiety in six studies. One study reported lower cortisol levels with midazolam vs. placebo, while another study found significant variation in perioperative renin levels with remifentanil vs. placebo. Conclusions: This review found inconclusive and conflicting findings about the role of Conscious sedation in managing Dental anxiety during third molar extraction surgery. Relevant questions remain unanswered due to the lack of consistent, standardized outcome measures. Future research may benefit from addressing these limitations in study design.

scholarly journals Central and peripheral nervous complications of dental treatment

1995 ◽  
Vol 53 (3a) ◽  
pp. 513-517 ◽  
Author(s):  
Eva Olovsson Rossitti
Keyword(s):  
Nerve Injury ◽  
Dental Treatment ◽  
Third Molar ◽  
Optic Nerve Injury ◽  
Third Molar Extraction ◽  
Pain Syndromes ◽  
Dental Procedures ◽  
Mandibular Third Molar ◽  
Hazardous Procedure ◽  
Chronic Pain Syndromes

This review outlines the complications involving the central or peripheral nervous system arising from dental procedures reported in the last decade. By far the commonest complications were related to intraoperative mechanical peripheral nerve injury. Trauma to branches of the mandibular nerve occuring during oral operations may potentially result in varying degrees of hypoesthesia, paresthesia, dysesthesia or in chronic pain syndromes. An increase in malpractice suits related to such a complication has been recognized in the late years. A warning of the possibility of occurrence of this complication should to be given to all patients undergoing risky procedures as part of the process of obtaining informed consent to operation. Mandibular third molar extraction seems to be alone the most hazardous procedure related to mechanical nerve injuries and also with anesthesiological accidents. Severe but rather infrequent infectious (meningitis, brain abscess and cavernous sinus thrombophlebitis) and anesthesiological complications (occular and facial palsies, optic nerve injury and complications related to general anesthesia) were also reported in this period.

scholarly journals Grados de ansiedad en la extracción de un tercer molar impactado. Diferencias de género / Anxiety Levels during Impacted Third Molar Extraction. Gender Differences

2017 ◽  
Vol 35 (75) ◽  
Author(s):  
Francisco Cázares de León ◽  
Alberto José Lozano Laín ◽  
Pedro Gutiérrez Lizardi ◽  
Alfredo Salinas Noyola
Keyword(s):  
Dental Treatment ◽  
Oral Surgery ◽  
Dental Anxiety ◽  
Third Molar ◽  
Sociocultural Factors ◽  
Dental Surgery ◽  
Dental Patients ◽  
Impacted Third Molar ◽  
Third Molar Extraction ◽  
Anxiety Levels

RESUMEN. Antecedentes: La ansiedad dental es común en los procedimientos de odontología y particularmente en los de cirugía oral Objetivo: Determinar el grado de ansiedad que se manifiesta ante la extracción quirúrgica de un tercer molar impactado y comparar los resultados de acuerdo a género. Métodos: El tipo de estudio es no experimental, con un diseño transversal, descriptivo y comparativo. La muestra estuvo conformada por 80 pacientes que acudieron a consulta odontológica de ambos géneros (28 varones y 52 mujeres) de entre 17 y 62 años de edad (media de 35.5 años). Resultados: Las mujeres tuvieron grados de ansiedad en un 56.3 %   contra un 27.5 % de los hombres, lo que indica que la proporción de ansiedad es mayor estadísticamente significativa para el género femenino. Conclusiones: la ansiedad es una emoción muy frecuente en los pacientes odontológicos particularmente en los que acuden a cirugía oral y específicamente en las extracciones de terceros molares. Existen diferencias entre géneros ya que el género femenino es el que presenta grados de ansiedad extrema, aunque hay que señalar que se deben considerar los factores socioculturales los cuales pueden determinar el comportamiento de cada individuo. Por último, es muy importante que el odontólogo haga uso de todas las técnicas y destrezas para evitar grados de ansiedad que pudieran conducir a estados críticos durante el tratamiento dental.ABSTRACT. Background: Dental anxiety is common in dental procedure and particular in dental surgery. Purpose: to determine the level of anxiety that is manifested before surgical removed of an impacted third molar and compare the results between the different gender. Methods: the type of study is not experimental design is transversal, but descriptive and comparative analysis. The sample consisted of 80 patients attending dental office of both male and female sex (28 males and 52 females) aged between 17 and 62 years old (mean 35.5 years). Results: the results showed that women anxiety levels showed at 53.4 % against 24.7 % of men, indicating that the proportion of anxiety is significantly higher for women. Conclusions: anxiety is a common emotion in dental patients particularly those who come to oral surgery and specifically in the third molar extractions. There are differences between genders and the female is the one with degrees of extreme anxiety, although it should be noted to consider the sociocultural factors which can determine the behavior of each individual. Finally, it is very important that the dentist makes use of all the techniques and skills to avoid anxiety levels that could lead to critical states during dental treatment.

scholarly journals Conscious sedation for the management of dental anxiety in third molar extraction surgery: a systematic review.

2020 ◽  
Author(s):  
Matteo Melini ◽  
Andrea Forni ◽  
Francesco Cavallin ◽  
Matteo Parotto ◽  
Gastone Zanette
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Conscious Sedation ◽  
Dental Treatment ◽  
Meta Analysis ◽  
Dental Anxiety ◽  
Third Molar ◽  
Future Research ◽  
Third Molar Extraction ◽  
Molar Extraction

Abstract Background: Dental anxiety is a condition associated with avoidance of dental treatment and increased medical and surgical risks. This systematic review aims to summarize available evidence on conscious sedation techniques used for the management of Dental anxiety in patients scheduled for third molar extraction surgery, to identify best approaches and knowledge gaps. Methods: A comprehensive search was conducted including MEDLINE/Pubmed, EMBASE, SCOPUS, clinicaltrials.gov and the Cochrane Database of Systematic Reviews through March 2019. Only randomized controlled trials were included. PRISMA guidelines were followed. Risk of bias was appraised as reported in the Cochrane Handbook for Systematic Reviews of Interventions. Results: Seventeen RCTs with a total of 1,788 patients were included. Some aspects limited the feasibility of a meaningful meta-analysis, thus a narrative synthesis was conducted. Conscious sedation was associated with improvement in Dental anxiety in six studies. One study reported lower cortisol levels with midazolam vs. placebo, while another study found significant variation in perioperative renin levels with remifentanil vs. placebo. Conclusions: This review found inconclusive and conflicting findings about the role of Conscious sedation in managing Dental anxiety during third molar extraction surgery. Relevant questions remain unanswered due to the lack of consistent, standardized outcome measures. Future research may benefit from addressing these limitations in study design.

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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