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.

scholarly journals A preoperatív antibiotikus és antiszeptikus kezelés hatása a műtéti úton eltávolított alsó bölcsességfogak sebgyógyulására – prospektív randomizált vizsgálat

2017 ◽  
Vol 158 (1) ◽  
pp. 13-19 ◽  
Author(s):  
István Kaposvári ◽  
Kinga Körmöczi ◽  
Zsuzsa Beáta László ◽  
Ferenc Oberna ◽  
Ferenc Horváth ◽  
...  
Keyword(s):  
Antibiotic Therapy ◽  
Third Molar ◽  
Control Group ◽  
Surgical Removal ◽  
Group Iii ◽  
Prophylactic Dose ◽  
Group I ◽  
Mandibular Third Molar ◽  
Amoxicillin Clavulanate ◽  
Group 2

Abstract: Introduction and aim: The study compares the antibiotic prophylaxis combined with postoperative antibiotic therapy to preoperative chlorhexidine rinse combined with postoperative antibiotic therapy in preventing complications after surgical removal of a mandibular third molar. Method: 71 healthy patients in four groups were enrolled in the study: I. prophylactic dose of 2000 mg of amoxicillin clavulanate, continued with amoxicillin clavulanate postoperatively; II. prophylactic dose of 600 mg of clindamycin, continued with clindamycin postoperatively; III. prophylactic chlorhexidin rinsing, continued randomized amoxicillin clavulanate or clindamycin postoperatively; IV. control, with clindamycin postoperatively. Results: The pain was smaller in the prophylaxis groups. Alveolitis occurred only in the control group: 2 patients. Wound opening occurred in 22,2 % in group IV., 14,2 % in group II, 10 % in group I., 5 % in group III. Conclusion: We consider completing the indicated postoperative antibiotic prescription with antibiotic or antiseptic prophylaxis. Chlorhexidin prophylaxis could have the same positive effect. Orv. Hetil., 2017, 158(1), 13–19.

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.

scholarly journals Comparison of Efficacy of Oral Bromelain and Serratiopeptidase for the Control of Postoperative Sequelae Following Third Molar Surgery - A Comparative Study

2021 ◽  
Vol 10 (31) ◽  
pp. 2476-2480
Author(s):  
Subhashini Ramasubbu ◽  
Abdul Wahab P. U.
Keyword(s):  
Conventional Treatment ◽  
Diclofenac Sodium ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Surgical Removal ◽  
Impacted Third Molar ◽  
Group I ◽  
Facial Swelling ◽  
Comparative Clinical Study ◽  
Inflammatory Action

BACKGROUND Surgical removal of impacted third molar is widely carried out in general dental practice and is usually associated with postoperative inflammatory sequelae like pain, swelling, and trismus. The objective of the study was to assess and compare the efficacy of oral bromelain and Serratiopeptidase for the control of post-operative sequelae following surgical removal of impacted third molar. METHODS A randomized, comparative clinical study was conducted on sixty patients who were undergoing impacted third molar surgery, and were allocated into two groups each comprising 30 patients. Conventional drugs included Cap amoxicillin 500 mg bid, Tab. metronidazole 200 mg tid, and Tab. diclofenac sodium 50 mg bid that were given to both the groups. Group I was treated with Tab. bromelain 200 mg tid along with conventional treatment for 5 days. Group II received a combination of conventional treatment and Tab. Serratiopeptidase 10 mg bid for 5 days. The parameters such as measurement of pain, facial width and trismus were analysed on postoperative days 1, 2 and 7. RESULTS The study comprised of totally 60 otherwise healthy patients. The group of patients who received bromelain along with diclofenac sodium seemed to be effective in controlling post-operative sequelae like pain (P < 0.05), swelling (P < 0.05) but not trismus (P < 0.05) when compared to the group who received Serratiopeptidase with diclofenac sodium. CONCLUSIONS The intensified anti-inflammatory action of bromelain, was possibly by inhibiting the generation of bradykinin and negative action on the prostaglandin pathway. The present study assessed the clinical effect of bromelain and serratiopeptidase on pain, facial swelling and trismus. KEY WORDS Bromelain, Oral Bromelain, Serratiopeptidase, Proteolytic Enzyme, Third Molar Surgery

scholarly journals The Pattern of Mandibular Third Molar Impaction and Assessment of Surgery Difficulty: A Retrospective Study of Radiographs in East Baltic Population

2021 ◽  
Vol 18 (11) ◽  
pp. 6016
Author(s):  
Aleksandra Jaroń ◽  
Grzegorz Trybek
Keyword(s):  
Oral Surgery ◽  
Third Molar ◽  
Surgical Removal ◽  
Impacted Tooth ◽  
Panoramic Radiographs ◽  
Mandibular Third Molar ◽  
Tooth Impaction ◽  
Baltic Population ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Classifications of impacted teeth allow defining the type and degree of retention, as well as assessing the degree of difficulty of the procedure. The aim of this study was to conduct retrospective analysis of the degree of retention and difficulty in the surgical removal of impacted mandibular third molars in the clinical material of the Department of Oral Surgery in 2013–2018. This study included 1585 dental panoramic radiographs of patients of the Department of Oral Surgery, who reported in 2013–2018, in order to perform surgical removal of the impacted mandibular third molar. Based on dental panoramic radiographs, the degree of retention was determined based on classifications according to Winter, according to Pell and Gregory, according to Tetsch and Wagner, and according to Asanami and Kasazaki. The difficulty of the procedure was also assessed based on the Pederson index. The most common types of lower wisdom tooth impaction are as follows: in Winter’s classification, mesial-angular impaction; in Tetsch and Wagner’s classification, oblique medial-angular impaction; in Pell and Gregory’s classification, impaction grade 2A; and in Asanami and Kasazaki’s classification, 3A and anterior inclination. In most cases of surgical removal of an impacted tooth, the anticipated difficulty of the procedure was rated as very difficult.

Effect of Preoperative Single Dose Dexamethasone Injection in Masseter Muscle on Postoperative Sequelae Following Lower Impacted Third Molar Surgery

2021 ◽  
Author(s):  
Mehrzad Moghadasi ◽  
Arash Golestaneh ◽  
Arash Ghodosi ◽  
Shayan Golestani
Keyword(s):  
Masseter Muscle ◽  
Third Molar ◽  
Control Group ◽  
P Value ◽  
Surgical Removal ◽  
Third Molars ◽  
Bony Tissue ◽  
Oral Aperture ◽  
Significant Difference ◽  
Facial Swelling

Introduction: The surgical removal of impacted lower third molars involves trauma to soft and bony tissue and can result in pain, swelling and trismus. The purpose of this study was to evaluate the efficacy of dexamethasone, as a single 4 mg dose injected into the masseter muscle prior to extraction of impacted lower third molars on theses postoperative sequelae.   Materials & Methods: This prospective, randomized clinical research consisted of 43 healthy patients. The study group received 4 mg dexamethasone into the masseter muscle via intrabuccal approach immediately before starting the procedure while the control group received no corticoid. 7 days after surgery. Data were analyzed using t-test (α = 0.05).   Results: The patients administered dexamethasone showed superior results after surgery in terms of oral aperture, pain and all the facial swelling parameters, with statistically significant differences versus the controls (p value<0.001). Also there was statistically significant difference in terms of patients trismus between case and controlgroups (p value<0.001).   Conclusion: The results obtained showed that 4 mg of dexamethasone injected into the masseter muscle in the immediately before starting the procedure significantly reduces swelling, trism us and pain.  

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