scholarly journals Clinical Indications to Germectomy in Pediatric Dentistry: A Systematic Review

2022 ◽  
Vol 19 (2) ◽  
pp. 740
Author(s):  
Marta Mazur ◽  
Artnora Ndokaj ◽  
Beatrice Marasca ◽  
Gian Luca Sfasciotti ◽  
Roberto Marasca ◽  
...  
Keyword(s):  
Third Molar ◽  
Pediatric Dentistry ◽  
Google Scholar ◽  
Cochrane Library ◽  
Surgical Removal ◽  
Stage Of Development ◽  
Clinical Indications ◽  
Literature Searches ◽  
Developmental Age ◽  
Specific Stage

Germectomy is a procedure often required in patients at developmental age. It is defined as the surgical removal of the third molar at a very specific stage of development. The aim of this study was to systematically analyze the literature in terms of clinical indications for germectomy in patients at developmental age. Literature searches were performed using PubMed, Google Scholar, Cochrane Library and Scopus from 1952 to 30 June 2021. The study protocol was registered after the screening stage (PROSPERO CRD42021262949). The search strategy identified 3829 articles: 167 from PubMed, 2860 from Google Scholar, 799 from Cochrane Library and 3 from Scopus. Finally, eight full-text papers were included into the qualitative analysis. Based on the included studies, clinical indications for germectomy were mainly related to orthodontic causes, infectious and cariogenic causes and prophylaxis. Based on these results, it is not possible to present evidence-based clinical indications for germectomy in patients at developmental age. Clinical trials on this subject focused specifically on patients at developmental age are awaited.

scholarly journals The Effectiveness of the Cold Therapy (cryotherapy) in the Management of Inflammatory Parameters after Removal of Mandibular Third Molars: A Meta-Analysis

2019 ◽  
Vol 23 (02) ◽  
pp. 221-228 ◽  
Author(s):  
Ighor Andrade Fernandes ◽  
Anna Catharina Vieira Armond ◽  
Saulo Gabriel Moreira Falci
Keyword(s):  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Third Molar ◽  
Cochrane Library ◽  
Control Group ◽  
Surgical Removal ◽  
Third Molars ◽  
Cold Therapy ◽  
Mandibular Third Molar

Introduction Cold therapy (cryotherapy) is a common procedure recommended by dental surgeons after surgical removal of third molars, which is an invasive intervention that often deals with an expressive inflammatory response. Objective To investigate whether cryotherapy interferes with clinical outcomes such as pain, edema, and trismus in the postoperative period of mandibular third molar surgeries. Data Synthesis An electronic search was conducted in the OVID, PubMed, VHL, Science Direct, Cochrane Library, and Web of Science databases, through March 2018. The eligibility criteria included clinical trials that evaluated the effect of cryotherapy in at least one of the following variables: pain, swelling, and trismus.Two independent reviewers assessed the studies. The methodological quality of each article was analyzed. The search strategy resulted in 1,088 articles. Following the selection process, 11 studies were included in the systematic review and 4 of them in the meta-analysis. High risk of bias was found in most of the studies according to the Cochrane Handbook assessment. Patients receiving cryotherapy had less edema than patients in the control group at second day follow-up (mean difference [MD]: -0.94; 95%CI [-1.49; -0.39]). There were no statistically significant results when comparing trismus between experimental and control group (MD: 0.43; 95%CI [-0.34;1.20]). There were insufficient available data to support influences in postoperative pain. Conclusions Cryotherapy applied on the first day after mandibular third molar removal can manage edema in the patients. Well-designed randomized clinical trials to test the efficacy of cryotherapy after surgical removal of third molars are needed to justify its indication.

scholarly journals Primary Dysmenorrhea: pathophysiology

2021 ◽  
Vol 62 (4) ◽  
pp. 378-406
Author(s):  
José Núñez-Troconis ◽  
Daniel Carvallo ◽  
Elizabeth Martínez-Núñez
Keyword(s):  
Lower Abdominal Pain ◽  
Google Scholar ◽  
Cochrane Library ◽  
Primary Dysmenorrhea ◽  
Uterine Blood Flow ◽  
Literature Searches ◽  
Basal Tone ◽  
Menstruating Women ◽  
The Cochrane Library

The present study was conducted to investigate and analyze the recent and relevant studies about primary dysmenorrhea and its pathophysiology. Literature searches were performed electronically in PubMed, Medline, ISI, DOAJ, Springer, Embase. Web of Knowledge, DOAJ, Google Scholar and the Cochrane Library for original articles written in English and in Scielo, Lantidex, Imbiomed-L, Redalyc and Google Scholar for original articles written in Spanish. The searches included the key words (Mesh): menstruation, menstrual period, menstrual cycle, dysmenorrhea, primary dysmenorrhea, inflammatory substance and inflammatory markers. Publications from January 1980 to February 2021 were reviewed. Dysmenorrhea is the most common gynecologic condition experienced by menstruating women. It is characterized by crampy lower abdominal pain that can range widely in severity, and associated to others symptoms. Its overall impact often has significant medical and psychosocial implications. The hallmark of primary dysmenorrhea is painful menses in the absence of any associated macroscopic pathologic process, and it occurs in up to 50% of menstruating females and causes significant disruption in quality of life and absenteeism. An excessive or imbalanced amount of prostanoids and possibly eicosanoids released from the endometrium during menstruation have been mentioned as the main cause of primary dysmenorrhea. The uterus is induced to contract frequently and dysrhythmically, with increased basal tone and increased active pressure. Uterine hypercontractility, reduced uterine blood flow and increased peripheral nerve hypersensitivity induce pain. Diagnosis rests on a good history with negative pelvic evaluation findings. This narrative review investigated and analyzed the pathophysiology of primary dysmenorrhea and the implications of other chemical substances.

scholarly journals Evaluation of Panoramic Radiographs in Relation to the Mandibular Third Molar and to Incidental Findings in an Adult Population

2020 ◽  
Author(s):  
Josefine Cederhag ◽  
Nina Lundegren ◽  
Per Alstergren ◽  
Xie-Qi Shi ◽  
Kristina Hellén-Halme
Keyword(s):  
Incidental Findings ◽  
Adult Population ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Patient Positioning ◽  
Vertical Position ◽  
Surgical Removal ◽  
Third Molars ◽  
Panoramic Radiographs ◽  
The Third

Abstract Objectives The aim was to evaluate the characteristics of the mandibular third molars, especially in relation to the inferior alveolar nerve. Further aims were to investigate incidental findings in panoramic radiographs in an adult population, and to investigate image quality related to patient positioning. Materials and Methods From a previous study with 451 randomly selected adult participants who lived in Sweden, 442 panoramic radiographs from four dental public health clinics were used. The third molars’ characteristics and relation to inferior alveolar nerve were evaluated. Incidental findings and patient positioning were recorded. Statistical Analysis Frequency analysis was used to investigate the occurrence of all findings and their possible interconnections. Whether the patients’ age or gender had an impact or not was also analyzed. Results The third molars were erupted in vertical position among 73% regardless of age. When retained or semi-retained, they were most commonly in mesioangular positions. The inferior alveolar nerve was located inferior to the roots in 52%, whereas an overlapped position was most common if the third molar was retained (90%), semi-retained (83%) or the age was less than 30 years (66%). Common incidental findings were apical radiolucencies, idiopathic osteosclerosis, and tooth fragments. Suboptimal patient positioning was found in one-third of the radiographs. Conclusions Panoramic radiography is a useful method to evaluate third molar prior to surgical removal and may be the only image required. Most incidental findings on panoramic radiographs does not seem to require any further odontological management.

scholarly journals Comparison of Piezosurgery and Conventional Rotary Instruments for Removal of Impacted Mandibular Third Molars: A Randomized Controlled Clinical and Radiographic Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Hani Arakji ◽  
Mohamed Shokry ◽  
Nayer Aboelsaad
Keyword(s):  
Statistical Significance ◽  
Third Molar ◽  
Test Site ◽  
Surgical Removal ◽  
Third Molars ◽  
Randomized Controlled ◽  
Surgical Extraction ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Bone Quantity

The purpose of this study was to test the effect of the surgical removal of impacted mandibular third molars using piezosurgery versus the conventional surgical technique on postoperative sequelae and bone healing.Material and Methods.This study was carried out as a randomized controlled clinical trial: split mouth design. Twenty patients with bilateral mandibular third molar mesioangular impaction class II position B indicated for surgical extraction were treated randomly using either the piezosurgery or the conventional bur technique on each site. Duration of the procedure, postoperative edema, trismus, pain, healing, and bone density and quantity were evaluated up to 6 months postoperatively.Results.Test and control sites were compared using pairedt-test. There was statistical significance in reduction of pain and swelling in test sites, where the time of the procedure was statistically increased in test site. For bone quantity and quality, statistical difference was found where test site showed better results.Conclusion.Piezosurgery technique improves quality of patient’s life in form of decrease of postoperative pain, trismus, and swelling. Furthermore, it enhances bone quality within the extraction socket and bone quantity along the distal aspect of the mandibular second molar.

scholarly journals Google Scholar Could Be Used as a Stand-Alone Resource for Systematic Reviews

2015 ◽  
Vol 10 (2) ◽  
pp. 147
Author(s):  
Saori Wendy Herman
Keyword(s):  
Systematic Reviews ◽  
Recall Rate ◽  
Biomedical Literature ◽  
Google Scholar ◽  
Cochrane Library ◽  
Bibliographic Database ◽  
Predictive Values ◽  
Advanced Search ◽  
Search Tool ◽  
Meta Analyses

A Review of: Gehanno, J. F., Rollin, L., & Darmoni, S. (2013). Is the coverage of Google Scholar enough to be used alone for systematic reviews. BMC Medical Informatics and Decision Making, 13(1): 7. doi: 10.1186/1472-6947-13-7 Abstract Objective – To determine if Google Scholar (GS) is sensitive enough to be used as the sole search tool for systematic reviews. Design – Citation analysis. Setting – Biomedical literature. Subjects – Original studies included in 29 systematic reviews published in the Cochrane Library or JAMA. Methods – The authors searched MEDLINE for any systematic reviews published in the 2008 and 2009 issues of JAMA or in the July 8, 2009 issue of the Cochrane Database of Systematic Reviews. They chose 29 systematic reviews for the study and included these reviews in a gold standard database created specifically for this project. The authors searched GS for the title of each of the original references for the 29 reviews. They computed and noted the recall of GS for each reference. Main Results – The authors searched GS for 738 original studies with a 100% recall rate. They also made a side discovery of a number of major errors in the bibliographic references. Conclusion – Researchers could use GS as a stand-alone database for systematic reviews or meta-analyses. With a couple improvements to the rate of positive predictive values and advanced search features, GS could become the leading medical bibliographic database. Conclusion – Researchers could use GS as a stand-alone database for systematic reviews or meta-analyses. With a couple improvements to the rate of positive predictive values and advanced search features, GS could become the leading medical bibliographic database.

scholarly journals Współczesne kierunki rehabilitacji w zespołach bólowych kręgosłupa lędźwiowo-krzyżowego – przegląd systematyczny

2018 ◽  
Vol 64 (3) ◽  
Author(s):  
Wioletta Łubkowska ◽  
Bożena Mroczek
Keyword(s):  
Evidence Based Medicine ◽  
Google Scholar ◽  
Cochrane Library ◽  
Evidence Based ◽  
Based Medicine

ABSTRAKT Wstęp: Zespoły bólowe kręgosłupa lędźwiowo-krzyżowego ze względu na powszechność zjawiska oraz coraz młodszy wiek pacjentów uznaje się za schorzenie cywilizacyjne. Celem artykułu była krytyczna analiza dostępnych wytycznych, raportów i dowodów dostarczających argumentów dotyczących postępowania diagnostyczno-terapeutycznego w bólach krzyża. W pracy przedstawiono epidemiologię, etiologię, diagnozę oraz wybrane metody leczenia i profilaktyki bólu krzyża. Materiały i metody: Dokonano przeglądu danych literaturowych w oparciu o bazę komputerową Polska Bibliografia Lekarska oraz anglojęzyczną bazę danych PubMed i Cochrane Library. Dodatkowo wykorzystano wyszukiwarkę Google Scholar. Prezentowane prace przeanalizowano pod względem ich referencyjności naukowej i zgodności z zasadami Evidence-Based Medicine. W celu uzyskania rekomendacji na najwyższym poziomie w przeglądzie zostały uwzględnione aktualne dowody naukowe oparte na recenzowanych publikacjach naukowych, przeglądach systematycznych, metaanalizach i przeprowadzonych randomizowanych badaniach kontrolnych. Wyniki: Według licznych badań leżenie w łóżku jest nieskuteczne i nie powinno być zalecane. Literatura w odniesieniu do wpływu akupunktury, TENS, terapii zimnem i trakcji (wyciąg) na leczenie bólu krzyża jest zbyt niejednorodna i potrzebne są dalsze wysokiej jakości badania, zanim jakikolwiek końcowy wniosek zostanie postawiony. Mocno rekomendowane w leczeniu objawów bólu krzyża są: ćwiczenia fizyczne, terapia manualna oraz edukacja. Wnioski: Konieczne są dalsze badania w celu zidentyfikowania skutecznych niefarmakologicznych metod leczenia bólu krzyża oraz zrozumienia dodatkowych korzyści wynikających z łączenia poszczególnych interwencji, a także tego, które kombinacje leczenia i sekwencje są najbardziej skuteczne.

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