scholarly journals Pathological fracture of the jaw due to osteomyelitis after a third molar extraction

2021 ◽  
Vol 10 (4) ◽  
pp. 637-640
Author(s):  
Thais Pimentel ◽  
Henrique Hadad ◽  
Laís Kawamata Jesus ◽  
Luara Teixiera Colombo ◽  
Albertino Gomes Alcantara ◽  
...  
Keyword(s):  
Pathological Fracture ◽  
Third Molar ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Bone Fragility ◽  
Genetic Condition ◽  
Limited Mouth Opening ◽  
Third Molar Extraction ◽  
Local Bone ◽  
Molar Extraction

The osteomyelitis is an inflammatory process in bone tissue caused by an infection, commonly related to anaerobic pathogens, frequently Staphylococcus aureus and Streptococcus sp. Several causes have been related such as dentoalveolar infection, trauma, radiation and genetic condition, but it is not common after surgery for third molar extractions, especially in healthy patients. The symptoms of chronic osteomyelitis usually include signs and symptoms such as pain, edema, suppuration, areas of bone sequestration, and limited mouth opening. Among the complications associated with this condition, pathological fracture may occur due to local bone fragility. This paper aimed to report a rare case of pathological mandible fracture due to osteomyelitis after third molar extraction in a healthy male patient treated by a surgical procedure. The procedure consisted of decortication and resection of the sclerotic bone followed by reduce and fixation of mandibular fracture with one 2.4 reconstructive plate and one 2.0 plate with standard screws.

Comparative Effectiveness of the Homeopathic Preparation Traumeel S in Third Molar Extraction Surgery: A Preliminary Triple-Blind Clinical Trial

Homeopathy ◽  
2021 ◽  
Author(s):  
Glaciele Maria de Souza ◽  
Ighor Andrade Fernandes ◽  
Marcos Luciano Pimenta Pinheiro ◽  
Saulo Gabriel Moreira Falci
Keyword(s):  
Clinical Trial ◽  
Null Hypothesis ◽  
Third Molar ◽  
Mouth Opening ◽  
Surgical Removal ◽  
Linear Measurements ◽  
Significance Level ◽  
Third Molar Extraction ◽  
Homeopathic Preparation ◽  
Molar Extraction

Abstract Background and Aim This preliminary study aimed to evaluate whether a homeopathic preparation (Traumeel S) might be a good option to control post-operative outcomes (pain, edema and trismus) associated with surgical removal of mandibular third molar teeth. The null hypothesis was that Traumeel S is not different from dexamethasone (gold standard) in controlling these post-operative inflammatory complications. Methods A randomized, “split-mouth”, triple-blind clinical trial was conducted. Seventeen healthy patients with a mean age of 20.94 ( ± 5.83) years had their lower asymptomatic bilateral third molars removed. Patients were randomized to receive Traumeel S or dexamethasone pre-operatively by injection into the masseter muscle; each patient acted as his/her own control. At 24, 48, 72 hours and 7 days after the surgery, the pain was evaluated according to a visual analog scale, edema through linear measurements of the face, and trismus through the maximum buccal opening. Wilcoxon statistics or paired t-test were used, and a significance level of 95% was adopted. Results For pain, the results for Traumeel S were not different (p > 0.05) from those of dexamethasone after 24 hours, 72 hours, and 7 days. For edema, the results for Traumeel S were not different (p > 0.05) from those of dexamethasone at all post-operative evaluations. For mouth opening, the results for Traumeel S were not different (p > 0.05) from those of dexamethasone at 72 hours and 7 days after third molar extraction. Conclusion With the exception of some early post-operative findings, the null hypothesis is not rejected. Traumeel S might be a good alternative approach to dexamethasone for controlling pain, edema and trismus after third molar removal.

scholarly journals The effect of zinc lozenge on pain, oedema, and trismus after impacted third molar surgery: A prospective randomized, double-blinded, placebo-controlled study

2021 ◽  
Vol 9 (1) ◽  
pp. 13-18
Author(s):  
Tejashree Rajanna ◽  
Hemalatha B R
Keyword(s):  
Third Molar ◽  
Mouth Opening ◽  
Controlled Study ◽  
Third Molar Surgery ◽  
Control Group ◽  
Chi Square ◽  
Third Molar Extraction ◽  
Scale Scores ◽  
Immune System Modulation ◽  
Molar Extraction

The postoperative sequelae after third molar surgery include pain, swelling and trismus, Zinc acts as anti-inflammatory agent, can promote wound healing, immune system modulation, tissue repair, and significant reduction in the use of analgesics for oral pain. This study was aimed to evaluate the efficacy of oral zinc lozenge given 30 min before surgery on reducing postoperative sequelae.s: We recruited 70 patients, randomly assigned to two groups: Zinc and Control group, groups received 40mg Zinc lozenge, placebo lozenge 30 min before surgery respectively and every 6h till 72h after surgery. Third molar extraction was performed under local anesthesia. After extraction, pain, swelling, and mouth opening in both groups observed till 72h.Preoperative and postoperative measurement of visual analog scale scores for pain, edema, interincisal opening, was analyzed using Student t test or ANOVA, Chi-square or Mann-Whit­ney U test was performed for non-parametric samples. P < 0.05 was considered as statistically significant: The overall incidence of Pain in the Zinc group was 18% compared to 43% in the Control group (P = .003) Incidence of Pain, swelling, and mouth opening at different time intervals 6h, 24h, 48h and 72h were significantly (P >0.05) better in Zinc group oral zinc lozenge administered 30 minutes preoperatively can significantly reduce complications like pain, swelling, and limited mouth opening after third molar extraction.

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 Parasympathetic effect of deep pressure input on third molar extraction in adolescents

2019 ◽  
Vol 118 (9) ◽  
pp. 1317-1324 ◽  
Author(s):  
Hsin-Yung Chen ◽  
Hsiang Yang ◽  
Huang-Ju Chi ◽  
Hsin-Ming Chen
Keyword(s):  
Third Molar ◽  
Third Molar Extraction ◽  
Deep Pressure ◽  
Molar Extraction

Cervicothoracic Subcutaneous Emphysema and Pneumomediastinum After Third Molar Extraction

2015 ◽  
Vol 73 (12) ◽  
pp. 2286.e1-2286.e3 ◽  
Author(s):  
Maxime Picard ◽  
Nathalie Pham Dang ◽  
Jean Michel Mondie ◽  
Isabelle Barthelemy
Keyword(s):  
Subcutaneous Emphysema ◽  
Third Molar ◽  
Third Molar Extraction ◽  
Molar Extraction
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