scholarly journals Septic arthritis of multiple native joints following tooth extraction

2021 ◽  
Vol 7 (12) ◽  
pp. 1937
Author(s):  
Chidambar Siddegowda ◽  
Nalina Nanjundappa ◽  
Sharanbasappa Japatti ◽  
Akshaya Subramanian
Keyword(s):  
Septic Arthritis ◽  
Tooth Extraction ◽  
Joint Infection ◽  
Third Molar ◽  
Limited Range ◽  
The Body ◽  
Third Molar Extraction ◽  
Limited Range Of Motion ◽  
Mandibular Third Molar ◽  
Molar Teeth

<p>Infection of the distant parts of the body especially the joints after a tooth extraction is uncommon, but when it occurs due to the virulence of the organism or due to the risk factors, it may cause severe joint infection with abscess formation and may limit the movements. We report a case of arthritis of the knee joint along with involvement of other joints following mandibular third molar teeth extraction one week postoperatively. The patient had swelling and limited range of motion of the involved joints, pain over other multiple joints. The patient had two episodes of postoperative septic arthritis following each mandibular third molar extraction. He was diagnosed of having septic arthritis and treated with antibiotics, analgesics, and steroids, that resolved after 3 weeks. </p>

scholarly journals Pre-Operative Oral Health-Related Quality of Life in Patients Attending Surgical Removal of Mandibular Third Molar Teeth

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 85
Author(s):  
Itzhak Abramovitz ◽  
Evgeny Zakopay ◽  
Avraham Zini ◽  
Harry Chweidan ◽  
Daniel Balakirski ◽  
...  
Keyword(s):  
Oral Health ◽  
Third Molar ◽  
Surgical Removal ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Health Related Behaviors ◽  
Related Quality ◽  
Health Related ◽  
Molar Teeth

The study aimed to measure the pre-operative oral health-related quality of life (OHRQoL) and to identify patient and teeth pathologies associated with worse OHRQoL among patients attending mandibular third molar tooth extraction. Data were collected preoperatively from 199 patients attending surgical removal of their mandibular third molar. To that end, we measured the Oral Health Impact Profile-14 (OHIP-14) and analyzed its association with: (1) demographics; (2) health-related behaviors such as smoking, alcohol consumption, physical activity, and dietary habits; (3) Plaque Index (PI); (4) Decay, Missing, and Filled Teeth (DMFT); and (5) clinical characteristics related to third molar extraction, such as the indication for extraction, tooth angulations, and radiographic pathology. The mean age of the study population was 21.5 ± 3.2 years and the mean OHIP-14 global score was 22.5 ± 8.3. The present study identified patient and teeth profiles that are associated with worse pre-operative OHRQoL in patients attending mandibular third molar extraction. The “vulnerable patient” profile includes poor health-related behaviors, particularly the performance of physical activity less than once a week (p = 0.028). The “disturbing teeth” profile includes higher plaque scores (p = 0.023) and specific characteristics of the third molar teeth, such as pericoronitis (p = 0.027) and radiolucency around third molars in panoramic radiography (p < 0.001). These findings support the hypothesis that OHRQoL is a complex phenomenon which is associated with the patient’s health-related behaviors as well as with specific tooth pathologies.

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>

scholarly journals Conduction of Third Molar Extraction with the Presence of Retromolar Canal: A Case Report

2021 ◽  
Vol 15 (1) ◽  
pp. 547-550
Author(s):  
Lara Jaiane Norbert Furlan ◽  
Caroline De Freitas Conceição ◽  
Eduardo Martinelli Santayana de Lima ◽  
Roberto Ferreira Zanin ◽  
Alexandre Weber
Keyword(s):  
Third Molar ◽  
Radiographic Examination ◽  
Prevention Measures ◽  
Anatomical Structures ◽  
Third Molar Extraction ◽  
Dental Procedures ◽  
Mandibular Third Molar ◽  
Santa Maria ◽  
Molar Region ◽  
Retromolar Canal

Introduction: The retromolar canal is a structure rarely identified in clinical practice. The content of this canal is composed of nerves, arteries and venous plexus that give innervation and irrigation to the third molar region and the vestibular mucosa of molars and lower premolars. Thus, knowledge of the presence of this structure is important in dental procedures, due to the complications that damage to this structure can cause. Methods: In this report, a 19-year-old patient sought dental care at a clinic, Dentistry course at the Federal University of Santa Maria for the extraction of third molars due to hygiene difficulties. On radiographic examination, a retromolar canal was identified at the distal of the left mandibular third molar. With the identification of this structure, preventive measures were performed during the procedure to avoid complications. Results: With adequate planning and prevention measures, the trans and postoperative periods occurred without any complications. Conclusion: The foramen and the retromolar canal may occasionally appear in the clinic radiographic routine of the Dentist, and the professional should be attentive to the management of these anatomical structures during surgical procedures to avoid accidents and complications.

scholarly journals Submucosal administration of dexamethasone versus methyl prednisolone in management of postoperative sequelae after mandibular third molar impaction - A systematic review

2020 ◽  
Vol 11 (3) ◽  
pp. 4479-4486
Author(s):  
Janani Kandamani ◽  
Divya Sanjeevi Ramakrishnan ◽  
Sudarssan Subramaniam Gouthaman ◽  
Santhosh Kumar M P
Keyword(s):  
Sodium Succinate ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Cochrane Library ◽  
Oral And Maxillofacial Surgery ◽  
Third Molar Extraction ◽  
Methylprednisolone Sodium Succinate ◽  
Methyl Prednisolone ◽  
Mandibular Third Molar

Third molar extraction is one of the most commonly performed minor surgical procedure in any dental practice worldwide, often accompanied by various postoperative sequelae such as swelling pain and trismus which intern affects the quality of life of a patient. Over the past few decades, different methods have been proposed in the literature and were clinically evaluated to reduce the postoperative discomfort after mandibular third molar impaction and out of which corticosteroids, have shown promising results. Dexamethasone (administered either orally, submucosally, IV or IM), methylprednisolone acetate and methylprednisolone sodium succinate (IV or IM or submucosal) are most commonly preferred corticosteroids in oral and maxillofacial surgery. The main objective is to systematically review the comparison of the effectiveness of submucosal administration of dexamethasone with methylprednisolone following mandibular third molar impaction in reducing the postoperative sequelae, and its discomfort and searches were performed in the PubMed, Medline, Scopus, and Cochrane Library databases. Two articles were most relevant, and the results of the comparison of the selected articles were analysed. From this deliberate audit, it is very well may be inferred that submucosal injection of dexamethasone plays a promising role in reducing the postoperative sequelae which includes swelling, pain and trismus and its discomfort following mandibular third molar impaction when compared with that of methylprednisolone.

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