scholarly journals EFFICACY OF INTRA-MASSETERIC AND SUBMUCOSAL DEXAMETHASONE INJECTION IN SURGICAL EXTRACTION OF IMPACTED LOWER THIRD MOLAR.

2019 ◽  
Vol 26 (07) ◽  
pp. 1141-1146
Author(s):  
Raza Ali ◽  
Tahira Shaikh ◽  
Mahwish Memon ◽  
Salman Shams
Keyword(s):  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mouth Opening ◽  
Cross Sectional Study ◽  
T Test ◽  
P Value ◽  
Cross Sectional ◽  
Surgical Extraction ◽  
Facial Swelling

Objectives: To determine the efficacy of intra-masseteric and submucosal dexamethasone injection to minimize the postoperative discomfort after the surgical extraction of impacted lower third molar. Study Design: Cross sectional study (Comparative). Setting: Department of Oral & Maxillofacial Surgery, Institute of Dentistry, Liaquat University of Medical & Health Sciences Jamshoro / Hyderabad. Period: January 2017 to June 2017. Subjects and Methods: All surgical extractions were done under local anaesthesia by giving conventional inferior alveolar nerve block. An envelope mucoperiosteal flap was raised to expose the third molar. Then tooth was extracted. After the removal of tooth any sharp bone was smoothened by bone filer and the socket was washed and sutured. The severity of pain was recorded by using Visual Analogue Scale from 0 (no pain) to 10 (worst pain) described as mild, moderate or severe. Degree of swelling was measured by facial size through Amin and laskin criteria which was measured in millimeters. Mouth opening was measured by interincisal distance through ruler (35-45mm normal value). Results: From sixty four patients it was observed that the minimum age was 28.03+6.12 years. There were 35 male patients and 29 female patients. When Chi square test was applied, there was a significant association found between Groups (A and B). By using independent sample t-test, it was observed that there was a significant association found in both groups concerning facial swelling (Facial size in mm) having p-value 0.00. When the independent t-test was applied on the data, there was a significant association found in Group A and B regarding mouth opening (in mm) having p-value 0.001. Conclusions: Dexamethasone has a good efficacy for reducing the postoperative symptoms including severe pain, facial swelling and trismus after the surgical extraction of impacted lower third molar. The better outcomes perceived when it was administered submucosally.

scholarly journals Effect of Dexamathasone in Surgical Extraction of Mandibular Impacted Third Molar

2021 ◽  
pp. 8-13
Author(s):  
Abdul Hayee Shaikh ◽  
Kashif Ali Channar ◽  
Ajeet Kumar ◽  
Naveed Iqbal ◽  
Junaid Shakeel ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Third Molar ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Surgical Extraction ◽  
Facial Swelling ◽  
Group B

Objective: The objective of this study was to determine the role of dexamethasone in mandibular third molar surgical extraction. Methodology: This cross sectional study was conducted in Oral & Maxillofacial surgery department, Liaquat University of Medical & Health sciences Hyderabad / Jamshoro. 50 cases were included in this study by using simple random sampling technique. All patients were divided into two groups. Patients in Group-A were given dexamethasone (DM)8 mg intramuscularly (IM) before surgery and 4 mg 24 hours after surgery and Augmentin tablet 625mg Q12 hrs. and Brufen 400 mg Q8 hrs. and patients in group-B were given Augmentin 625 mg BD and Brufen 400 mg  TDS post operatively only. The facial swelling was checked before and after surgery.All information was collected and entered in a proforma. Results: The study sample was consisted of 62% men and 38% women. Mean age was 26.9±6.64.The mean preoperative swelling was 109.20 ± 1.190 mm in control group and 109.44 ± 1.083 in DM group. After 48 hours of surgery, post extraction swelling increased in both group with mean swelling 114.28± 1.242 mm in control group and 114.64± 1.350 in DM group, after a week of surgery more swelling was reduced in DM group as compared to control group. Conclusion: It is found that Dexamethasone group showed decrease in swelling as compared to control group.

scholarly journals MANDIBULAR IMPACTED THIRD MOLAR;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Sohail Fareed ◽  
Noorul Ain Arshad ◽  
ZAHID Qayyum
Keyword(s):  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Controlled Clinical Trial ◽  
P Value ◽  
Impacted Third Molar ◽  
Surgical Extraction ◽  
The Mean ◽  
The Difference ◽  
Group B

Objectives: To compare the difference in mean trismus by giving two doses of Dexamethasone after surgical extraction of impacted mandibular third molar. Study Design: Randomized controlled clinical trial. Period: 1st Jan 2016 to 30thJune 2017. Setting: Out Patient Department of Oral & maxillofacial Surgery, Nishtar Institute of Dentistry Multan. Methodology: Data was entered on SPSS version 23 and mean ± SD were calculated for quantitative variables like age and mouth opening in mm. Similarly frequency and percentage of qualitative variables were calculated and presented like gender and incidence of trismus. P value ≤ 0.05 was considered as significant. Results: There were 60 patients in total. Males were 31 (51.7%) while females were 29 (48.3%) (Graph-1). Mean age of the patients was 37.25 + 9.04 years ranging from a minimum of 20 to a maximum of 50 years. When students t-test was applied to compare the means of two groups, in group A the mean trismus was found to be 25.77 + 3.58 mm while in group B the mean trismus was found to be 35.53 + 5.11 mm. The t-value was found to be 8.56 and df 58. The p-value was found to be < 0.0001 which was clinically significant. Conclusion: The dosage of 8 mg of dexamethasone was statistically more significant in the reduction of trismus as compare to 4mg (p-value =0.000). So it is recommended that Dexamethasone with dosage of 8mg should be used to control postoperative trismus after surgical extraction of mandibular impacted third molar.

scholarly journals Coronectomy versus Extraction of Third Molar with Inferior Alveolar Nerve Proximity: A Cross-sectional Study

2021 ◽  
Author(s):  
Bhavesh Maheshwari ◽  
Ram Parshad ◽  
Kashif Ali Channar ◽  
Ajeet Kumar Rathi ◽  
Rajesh Mali ◽  
...  
Keyword(s):  
Nerve Injury ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mouth Opening ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Impacted Teeth ◽  
Impacted Third Molar

Introduction: A tooth that failed to erupt in its expected time of eruption is called impacted tooth. Mandibular impacted teeth are common than any other tooth. Management of impacted teeth depends upon depth, angulations and type of impaction. Certain factors may increase the complications of tooth extraction. One of them is Inferior Alveolar Nerve (IAN) approximation with third molar roots. Coronectomy is surgical procedure through which crown of tooth can be removed at cementoenamel junction level and leaving the root part is a new procedure to avoid nerve injury. Aim: To compare outcome of extraction of lower third molar and coronectomy in management of impacted third molar with close proximity to inferior alveolar nerve. Materials and Methods: This cross-sectional study was conducted at Oral and Maxillofacial Surgery Department at Liaquat University of Medical and Health Science Jamshoro/Hyderabad, Pakistan. Ethical approval was sought from the ethical review committee of university. The written informed consent was taken from the patients. Total 36 patients were included in this study, divided into two groups using random number table. Patients with mandibular impacted third molar, with inferior alveolar nerve approximation diagnosed clinically and radiographically were included in this study. Group A was treated with surgical extraction and group B with Coronectomy. The data was analysed by Statistical Package for the Social Sciences (SPSS) statistical software version 20.0. The Chi-square test and Independent t-test was applied to check the statistical difference in outcomes of both treatment procedures. Results: Total 36 patients were included in two groups and the mean age of patients were 25±2 years with male to female ratio as 1.1:1. Preoperatively, all patients were having normal mouth opening and no neurosensory deficit. Postoperatively neurosensory deficit seen in both groups at follow-up visits but, at six weeks follow-up, all patients were recovered from IAN deficit in coronectomy group with statistically significant p-value <0.001. Conclusion: With this small sample size, it cannot be concluded which technique is better than other. With this single centre study, it was observed that coronectomy appears to be simple, easier and better procedure and more effective technique for minimising the risk to inferior alveolar nerve injury, limited mouth opening and dry socket that corresponds to impacted molar extraction.

scholarly journals Evaluation of the Relationship between Mandibular Third Molar and Mandibular Canal by Different Algorithms of Cone-beam Computed Tomography

2014 ◽  
Vol 15 (6) ◽  
pp. 740-745
Author(s):  
Mojdeh Mehdizadeh ◽  
Navid Ahmadi ◽  
Mahsa Jamshidi
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mandibular Canal ◽  
Cross Sectional Study ◽  
Cone Beam ◽  
Cross Sectional ◽  
Mandibular Third Molar ◽  
The Relationship

ABSTRACT Objectives Exact location of the inferior alveolar nerve (IAN) bundle is very important. The aim of this study is to evaluate the relationship between the mandibular third molar and the mandibular canal by cone-beam computed tomography. Study design This was a cross-sectional study with convenience sampling. 94 mandibular CBCTs performed with CSANEX 3D machine (Soredex, Finland) and 3D system chosen. Vertical and horizontal relationship between the mandibular canal and the third molar depicted by 3D, panoramic reformat view of CBCT and cross-sectional view. Cross-sectional view was our gold standard and other view evaluated by it. Results There were significant differences between the vertical and horizontal relation of nerve and tooth in all views (p < 0.001). Conclusion The results showed differences in the position of the inferior alveolar nerve with different views of CBCT, so CBCT images are not quite reliable and have possibility of error. How to cite this article Mehdizadeh M, Ahmadi N, Jamshidi M. Evaluation of the Relationship between Mandibular Third Molar and Mandibular Canal by Different Algorithms of Cone-beam Computed Tomography. J Contemp Dent Pract 2014;15(6):740-745.

scholarly journals PERBANDINGAN HASIL KUESIONER GERD-Q DAN GEJALA GERD PADA KELOMPOK YANG MENJALANKAN PUASA RAMADHAN DAN TIDAK

2020 ◽  
Vol 4 (2) ◽  
pp. 413
Author(s):  
Ivan Buntara ◽  
Yohanes Firmansyah ◽  
Hendsun Hendsun ◽  
Ernawati Su
Keyword(s):  
Reflux Disease ◽  
Stomach Contents ◽  
Cross Sectional Study ◽  
Mean Value ◽  
T Test ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Ramadan Fasting ◽  
Alternative Test

Gastroesophageal Reflux Disease (GERD) is a form of gastrointestinal motility disorder, where stomach contents reenter the esophagus and oral cavity, causing symptoms and complications. GERD is a condition that is quite often experienced, where the prevalence estimated at 8 - 33% worldwide. One of the suspected cause of  GERD is Ramadan fasting, which has been routinely carried out by Muslim groups. This study aims to prove whether Ramadan fasting triggers GERD. A cross-sectional study (survey) conducted online via Google form on the last three days of the fasting month (21 May 2020 - 23 May 2020). The variables in this study were respondents who fasted Ramadan and those who did not fast, also the total value of the GERD-Q questionnaire along with the final conclusions. Statistical analysis using Chi square with Yates Correction and Independent T-test with Mann Whitney Alternative Test. 311 respondents met the inclusion criteria. The results of Mann Whitney statistical test found that there was no difference in the mean value of the total GERD-Q questionnaire between the fasting and non-fasting groups (p-value: 0.313). Pearson Chi Square with Yates Correction results found no significant relationship between fasting and incidence of GERD (p-value: 0.552), although clinically there was a possibility of fasting had a risk of 1,228 (95% CI: 0.772 -2,088) times to trigger GERD incident.as Conclusion, Ramadan fasting has not been shown to improve GERD symptoms. Further research needs to be done through longitudinal studies. Keywords: GERD; digestion; Ramadan fastingABSTRAKGastroesophageal Reflux Disease (GERD) merupakan suatu bentuk gangguan motilitas saluran cerna, dimana isi lambung masuk kembali ke dalam esofagus dan rongga mulut, sehingga menyebabkan gejala dan komplikasi. GERD merupakan kondisi yang cukup sering dialami, dimana prevalensinya diperkirakan mencapai 8 – 33% di seluruh dunia. Salah satu faktor yang diperkirakan sebagai penyebab GERD adalah puasa Ramadhan yang selama ini rutin dijalankan oleh kelompok Muslim. Penelitian ini bertujuan untuk membuktikan apakah puasa Ramadhan mencetuskan kejadian GERD. Penelitian potong lintang (survei) yang dilaksanakan secara online melalui google form pada tiga hari terakhir bulan puasa Ramadhan 2020 (21 Mei 2020 – 23 Mei 2020). Variabel dalam penelitian ini adalah responden yang berpuasa Ramadhan maupun yang tidak berpuasa Ramadhan dan nilai total kuesioner GERD-Q beserta kesimpulan akhir dari kuesioner GERD-Q. Analisis statistik menggunakan uji statistik Chi square with Yates Correction dan Independent T-test dengan Uji Alternatif Mann Whitney. 311 responden memenuhi kriteria inklusi. Hasil uji statistik Mann Whitney tidak terdapat perbedaan rerata nilai total kuesioner GERD-Q antara kelompok yang berpuasa dan tidak berpuasa (p-value : 0,313). Hasil uji statistik Pearson Chi Square with Yates Correction didapatkan hubungan yang tidak bermakna antara berpuasa dengan kejadian GERD (p-value : 0,552), walaupun secara klinis ditemukan adanya kemungkinan yang berpuasa lebih berisiko 1,228 (CI 95% : 0,772 -2,088) kali untuk mencetuskan kejadian GERD. Sebagai kesimpulan, Puasa Ramadhan tidak terbukti meningkatkan gejala-gejala GERD. Perlu dilakukan penelitian lebih lanjut melalui studi longitudinal untuk tindak lanjut hasil penelitian ini.

scholarly journals Efficacy of platelet rich plasma (PRP) on mouth opening and pain after surgical extraction of mandibular third molars

2020 ◽  
Vol 27 (1) ◽  
pp. 9
Author(s):  
Maidah Hanif ◽  
Muhammad Azhar Sheikh
Keyword(s):  
Platelet Rich Plasma ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Third Molar Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Molar Teeth

Introduction: Surgery of mandibular third molar teeth for removal is one of the most common procedures undertaken in oral and maxillofacial surgery departments. The complications created by the post extraction wound healing and physiological consecution of third molar surgery can affect patients' quality of life. Platelet rich plasma (PRP) is an autologous concentrate of platelets suspended in the Plasma that accelerates healing by concentration of growth factors which lessen the inflammation and as a result pain and trismus. Materials and methods: A Study was conducted on 130 patients at the department of Oral and Maxillofacial Surgery, FUCD Islamabad, for a period of 6 months after ethical approval. The patients with impacted mandibular wisdom teeth were selected and divided equally into two equal groups. The pain score was measured using the visual analogue scale (VAS) and trismus was measured using Vernier caliper before the surgery, immediately after surgery, on 3rd and 7th follow up visits. Results: The mean postoperative pain on 7th day was significantly lower in the PRP group with statistically significant P-value <0.0001. Trismus was also less reported in the PRP group with P-value <0.00065. Conclusion: Platelet Rich Plasma is effective to lessen trismus and pain after surgical removal of mandibular third molar teeth.

scholarly journals Correlation Between the Maturation Stages of Mandibular Third Molars and Chronological Age in Patients Visiting Sardar Begum Dental College, Peshawar

2019 ◽  
Vol 5 (2) ◽  
pp. 3-7
Author(s):  
Muhammad Ilyas ◽  
Asma Khan ◽  
Syed Murad Ali Shah ◽  
Salman Khan ◽  
Junaid Nadeem Malik
Keyword(s):  
Pearson Correlation ◽  
Third Molar ◽  
Cross Sectional Study ◽  
Chronological Age ◽  
P Value ◽  
Third Molars ◽  
Cross Sectional ◽  
Mandibular Third Molar ◽  
Maturation Stages ◽  
Mandibular Third Molars

OBJECTIVES: The objective of this study was to determine the correlation of chronological age with the maturation stages of mandibular third molar. METHODOLOGY: This descriptive, cross-sectional study was conducted at Sardar Begum Dental College, Gandhara University Peshawar on 384 patients from January 2018 to June 2018 and included patients having age 11-26 years with good quality Orthopantomogram showing mandibular third molar tooth germs bilaterally. Data were analyzed using SPSS version 22. p ≤ 0.05 was considered as statistically significant. RESULTS: Females 286 (74.5%) were predominant than males 98 (25.5%) with mean age presentation of 18.12±3.03 years. The most frequent stage of Demirjian’s stages of mandibular third molar was stage F (24.7%). Pearson correlation showed that maturation stages of mandibular third molars were significantly related to the chronological age ( r=0.446, p value=0.00). CONCLUSION: A correlation between maturation stages of mandibular third molars and chronological age existed.

scholarly journals Comparison of Two Different Doses of Dexamethasone to Control Swelling and Trismus following Mandibular Third Molar Surgery

2021 ◽  
Vol 1 (2) ◽  
pp. 1-6
Author(s):  
Pranay Ratna Sakya ◽  
Dipti Shrestha ◽  
Reena Shrestha ◽  
Dhiraj Khadka Khadka ◽  
Ratina Tamrakar ◽  
...  
Keyword(s):  
Third Molar ◽  
Third Molar Surgery ◽  
P Value ◽  
Third Molars ◽  
Surgical Extraction ◽  
Facial Swelling ◽  
Degree Of Swelling ◽  
Interincisal Distance ◽  
Mandibular Third Molar Surgery ◽  
Different Doses

Introduction: Third molar surgery is one of the most common procedures performed by dental surgeons in clinical practice, where postoperative sequelae like pain, trismus, and swelling are often encountered. Thus, in this study, we compared medications employed to reduce such complications. Objective: To compare the effect of two different doses (4 and 8 mg) of dexamethasone in the control of swelling and trismus after the surgical extraction of mandibular impacted third molars. Methods: An experimental study consisted of twenty-seven (27) healthy adult patients of both genders with bilateral impacted lower third molars, where surgical extraction was indicated, 4 mg and 8 mg of dexamethasone were given orally to the patients 1 hour before the surgical procedure at both the surgeries. The swelling was recorded by measuring the length of 3 facial planes using a measuring tape. Trismus was evaluated by measuring the maximum interincisal distance. Recording of facial swelling and maximum interincisal distance was done preoperatively and on the 1st and 2nd days postoperatively. Results: Based on statistical analysis (Independent T-test), the results showed a difference in the measurements of the degree of swelling and trismus of the treated sample. 8 mg of dexamethasone promoted a greater reduction of symptoms than 4mg of dexamethasone though there was no statistically significant (p-value >0.05) difference between the two doses. Conclusions: 8 milligrams of the dexamethasone had better effectiveness than 4 milligrams of the dexamethasone in reducing the degree of swelling and trismus. Keywords: Dexamethasone; impacted third molars; swelling; trismus.

scholarly journals IMPACTED MANDIBULAR THIRD MOLAR SURGERY;

2014 ◽  
Vol 21 (06) ◽  
pp. 1272-1278
Author(s):  
Muhammad Ilyas Shaikh ◽  
Safia Khatoon ◽  
Fozia Rajput, ◽  
Syed Yousif Ali Shah
Keyword(s):  
Social Life ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Third Molar Surgery ◽  
Control Group ◽  
Random Allocation ◽  
Significant Difference ◽  
Facial Swelling ◽  
And Gender

Objective: The objective of this study was to evaluate the therapeutic effect of dexamethasone in post-operative edema and trismus after impacted third molar surgery. Materials & Methods: It was a prospective randomized control study carried in Department of Oral & Maxillofacial surgery, BADC, Larkana from March 2012 to Feb 2013. Patients age between 20-45 years of either gender; unilateral mandibular impacted third molars (right or left) were included. Patients divided in two groups by using random allocation number. Patients in Group-A were given intramuscular 8 mg dexamethasone 1 hour before surgery and four tablets (2mg) dexamethasone orally immediate postoperatively and 24 hours after surgery. The facial swelling was checked before surgery, after 24 hours (1st day), after 48 hours (2nd day), after 72 hours (3rd day) and on 7th postoperative day Inter-incisor distance was checked on every follow up. Data was analyzed by SPSS version 17. Mean and standard deviation was calculated for age and gender. Mean and SD of facial swelling and mouth opening was calculated before extraction, on 1st, 2nd, 3rd and on 7th post-operative day in both groups. Results: The dexamethasone group showed significant reduction in swellingcompared with control group at all intervals. Dexamethasone resulted in significantly less trismus than controls on day 2 postoperatively, but there was no significant difference among the groups at 7thday. Conclusions: Dexamethasone is effective in minimizing swelling and trismus after removal of impacted lower third molar and improves the social life of individual.

scholarly journals Efficacy of Temporalis Myofascial Flap in Maxillofacial Reconstruction

2015 ◽  
Vol 32 (2) ◽  
pp. 78-83
Author(s):  
Muhammad Sohag Shikder ◽  
Md Mokerrom Hasan ◽  
Abdullah Al Masud ◽  
Ismat Ara Haider ◽  
Mohiuddin Ahmed
Keyword(s):  
Oral Cavity ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Cross Sectional Study ◽  
Great Promise ◽  
Oral And Maxillofacial Surgery ◽  
Maxillofacial Region ◽  
Large Defect ◽  
Cross Sectional ◽  
Temporalis Myofascial Flap

Temporalis myofascial flap holds great promise for the reconstruction of various defects of the maxillofacial region for its dependable blood supply, proximity to the maxillofacial region, possibility to mobilize it to the oral cavity and its fanned out nature. The purpose of the study was to evaluate the efficacy of temporalis myofascial flap in maxillofacial reconstruction.This cross sectional study was carried out in the Department of Oral and Maxillofacial Surgery, Dhaka Dental College and Hospital from January 2011 to December 2011. Nineteen patients (10 male and 9 female), age ranging from 19 to 55 years with medium to large defect (>8cm)were selected for this study. After surgical resection of the pathological lesion, the TMF was exposed by a hemicoronal incision with a preauricular extension. The muscle was rotated to oral cavity and sutured with defect margin. Post-operatively the patient were clinically evaluated at 1, 2, 3 weeks and 1 and 3 months. Complete flap take was observed in 84% cases where as partial flap take was seen in 16% cases. Mouth opening restriction were 2-3 mm in 10 cases and 5-8 mm in 5 cases.Temporalis myofascial flap is a useful, reliable and versatile option for reconstruction of moderate to large sized defects. This flap provide abundant tissue, with minimum to no functional morbidity or esthetic deformity in donor site.J Bangladesh Coll Phys Surg 2014; 32: 78-83

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