Using Patch ECG Device During Lower Third Molar Surgery

2021 ◽  
Vol 10 (4) ◽  
pp. 26-37
Author(s):  
Ana Prkic ◽  
Ivan Tomasic ◽  
Antonella Lesin ◽  
Tina Becic ◽  
Danijela Kalibovic Govorko ◽  
...  
Keyword(s):  
Tooth Extraction ◽  
Sinus Tachycardia ◽  
Statistical Significance ◽  
Dental Anxiety ◽  
Third Molar ◽  
Cardiac Activity ◽  
Heart Rhythm ◽  
Third Molar Surgery ◽  
Difficulty Score ◽  
Flap Elevation

This study aimed to evaluate cardiac activity changes during lower third molar surgery concerning gender and anxiety levels. Thirty healthy subjects who required lower third molar surgery filled out Norman Corah dental anxiety scale (DAS) before surgery. A patch ECG device (Savvy, Institute ''Jožef Stefan'', Ljubljana, Slovenia) was applied to the patient to evaluate heart rate (HR) and heart rhythm. These parameters were assessed in 8 different intervals. Periods of the highest mean HR values—incision and flap elevation compared to the period with minimal mean HR values—during suturing showed statistical significance difference (p<0.05). The most common outstanding ECG finding was sinus tachycardia, especially in anxious compared to non-anxious patients. Extraction difficulty score was correlated with the procedure duration time and with the abnormal ECG findings in the period of tooth extraction. Significant cardiac activity changes are detected during surgery. Physiological manifestations of anxiety may be evaluated successfully using a patch ECG device.

scholarly journals Anestesia transcortical em exodontias simples e complexas

2020 ◽  
Vol 9 (10) ◽  
pp. e9039108109
Author(s):  
Haline Alves da Silva ◽  
Mirelle de Sousa Soares ◽  
Paulo Ronaldo Sousa Texeira ◽  
Marcelo Bruno Meneses Mendes ◽  
Maria Cândida de Almeida Lopes
Keyword(s):  
Tooth Extraction ◽  
Oral Surgery ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Mandibular Third Molar ◽  
Intraosseous Injection ◽  
Mandibular Third Molar Surgery

Anestesia transcortical consiste no depósito da solução anestésica no osso esponjoso adjacente ao dente a ser anestesiado. O objetivo desse trabalho é apresentar um levantamento retrospectivo científico sobre a eficácia clínica da anestesia transcortical aplicada às exodontias simples e complexa através de revisão de literatura. Foi realizada uma pesquisa nas bases Pubmed, SciELO e Scopus, usando as combinações de palavras-chave “intraosseous injection AND oral surgery”, “tooth extraction AND intraosseous anesthesia”, “mandibular third molar surgery AND intraosseous injection” e “tooth extraction AND transcortical anesthesia”. Foram incluídos estudos clínicos publicados no período de 2000 a 2020, em inglês. Foram excluídos estudos laboratoriais, estudos em animais, casos clínicos e revisões de literatura. Quanto aos resultados, foram localizados 92 aplicando-se as palavras-chave, dos quais 7 foram incluídos após critérios de inclusão e exclusão, através de leitura dos títulos, resumos e textos completos. A maioria (n=6) era estudos clínicos, dos quais 5 eram randomizados. Todos os estudos avaliaram o sistema QuickSleeper, incluindo comparação a anestesia transcortical com a técnica de bloqueio do nervo alveolar inferior (n=3). A percepção dolorosa (n=3) e a eficácia (n=4) foram os fatores mais avaliados nos trabalhos. A anestesia transcortical é uma alternativa às técnicas convencionais e pode ser aplicada em casos de falhas ou insuficiências da anestesia convencional em exodontias simples e complexas.

scholarly journals Efficacy of serratiopeptidase after impacted third molar surgery: a randomized controlled clinical trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zaid Tamimi ◽  
Rola Al Habashneh ◽  
Islam Hamad ◽  
Mutasim al-Ghazawi ◽  
Ala’ Abu Roqa’a ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Outcome Measures ◽  
Statistical Significance ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Controlled Clinical Trial ◽  
Surgical Removal ◽  
Impacted Third Molar ◽  
Inflammatory Conditions ◽  
Clinical Trail

Abstract Background Serratiopeptidase has been clinically used in controlling surgical and non-surgical inflammatory conditions. This study was conducted to assess the therapeutic effect of Serratiopeptidase in patients undergoing surgical removal of impacted mandibular third molar. Methods This randomized clinical trial investigated the efficacy of Serratiopeptidase and Paracetamol after surgical removal of impacted third molar for 5 days (n = 67) as compared with an equivalent dose of placebo and Paracetamol (n = 66). Outcome measures were reported pain, trismus and swelling using Laskin method. All outcome measures were recorded on days 0, 1, 2, 4, and 5 post-surgeries. Results In this clinical trail 133 patients (mean age 23 years, 54% female) completed the study. Baseline characteristics were comparable across treatment groups. Serratiopeptidase significantly improved trismus compared with control on the 4th day (27.30 ± 7.3 mm and 32.06 ± 7.7 mm, respectively (P < 0.001) Swelling markedly improved, The distance from the lower edge of the earlobe to the midpoint of the symphysis for cases vs control were 111.49 ± 8.1 mm and 115.39 ± 9.9 mm, respectively (P < 0.001). Reported pain, showed no statistical significance difference. Conclusion Serratiopeptidase resulted in better inflammation improvement than placebo over 5 days. Further studies are warranted to assess longer-term and clinical outcomes, as well as safety. Clinical relevance Serratiopeptidase administered postoperatively helps in improving trismus and swelling after removal of impacted lower third molars. Trial registration The study was registered in ClinicalTrial.gov under the number NCT02493179. Registered 1st of June 2015, https://clinicaltrials.gov/ct2/results?cond=serratiopeptidase.

scholarly journals Retrospective Analysis on Inferior Third Molar Position by Means of Orthopantomography or CBCT: Periapical Band-Like Radiolucent Sign

2021 ◽  
Vol 11 (14) ◽  
pp. 6389
Author(s):  
Young-Sam Kim ◽  
Young-Min Park ◽  
Saverio Cosola ◽  
Abanob Riad ◽  
Enrica Giammarinaro ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Third Molar ◽  
Cortical Plate ◽  
Third Molar Surgery ◽  
Chi Square ◽  
Dental Clinics ◽  
Tooth Roots ◽  
Root Position ◽  
Chi Square Test ◽  
The Mean

Background: Orthopantomography (OPG) is usually used as a primary diagnostic radiological exam in the planning of third molar surgery because it is deeply available in dental clinics and has lower radiation doses compared to Cone-beam computed tomography (CBCT). The OPG provides a bi-dimensional image, but several radiological signs have been proposed to study the position of the lower third molar and to predict surgical risks. Methods: Patients were divided into two groups, the OPG with a radiolucent area (D-group) and the OPG without any sign (C-group) in correspondence of inferior wisdom tooth roots. Results: The mean distance between the inferior third molar root and the lingual cortical mandibular bone was −1.09 ± 1.5 mm. The nearness of the root that is less than 1 mm was more frequent in the D-group (84.85%) compared to the C-group (14.58%) with statistical significance (Odd ratio: 32.8) using the Chi-square test. Conclusions: When the root of the impacted inferior third molar is impacted into the lingual cortical plate, a periapical band-like radiolucent sign may appear in the OPG image. It could be useful for the prediction of root position and surgical risks.

scholarly journals A Comparative Study of Difficulty Prediction Indices in Lower Third Molar Surgery

2021 ◽  
pp. 1-8
Author(s):  
Jorge Arnulfo Carrillo Rivera ◽  
Javier González Bello
Keyword(s):  
Tooth Extraction ◽  
Strong Association ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Asymmetric Distribution ◽  
Test Results ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Surgical Difficulty

In third molar surgery, it is important to take into account multiple clinical and radiographic variables that, grouped into indices and classifications, allow estimating the degree of surgical difficulty. The present study proposes to evaluate the efficacy and congruence of these indices. Material and methods: a cross-sectional retrospective study in 77 patients. 123 lower third molar surgeries were performed using the Pederson, WHARFE and Parant prediction indices; to know the efficacy of the classifications, a statistical analysis with measures of central tendency, association through chi-square test and tables of frequency distribution were used, as well as non-parametric tests when determining an asymmetric distribution in the data through the Kolmogorov and Kruskall-Wallis test. Results: Analyzing the correlation between the Pederson and WHARFE indices, a strong association of P = .906 (Gamma), P = .761 (Kendall’s Tau “C”) and P = .834 (Somers “D”) was found, accepting frequency correlation through chi-square test. X2 test (P = 0.000) was performed accepting association between the Parant and Pederson scale, as well as for the WHARFE and Parant scales, resulting positive with a strong intensity and a direct association with a P = 0.796 (Gamma). Discussion: The difficulty prediction indices evaluated in the present study proved to be congruent with each other, their predictions regarding the type of surgery performed allow estimate degrees of complexity, type of surgical procedure, approximate time and possible complications, thus improving treatment planning. Keywords: Third molars; degree of difficulty; surgical tooth extraction; prediction

scholarly journals The Comparison of Dental Anxiety between Patients Treated with Impacted Third Molar Surgery and Conventional Dental Extraction

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Omur Dereci ◽  
Nesrin Saruhan ◽  
Gorkem Tekin
Keyword(s):  
Oral Surgery ◽  
Dental Anxiety ◽  
Third Molar ◽  
Dental Extraction ◽  
Third Molar Surgery ◽  
Female Patients ◽  
Impacted Third Molar ◽  
Surgery Group ◽  
Education Status ◽  
Anxiety Levels

Background. The aim of the present study is to compare the dental anxiety levels between two outpatient clinics. Methods. Two hundred and seventy patients treated in two different clinics of minor oral surgery and dental extraction polyclinic in the Dental Faculty of Eskisehir Osmangazi University were included in the study. The impacted third molar surgery group and conventional dental extraction group consisted of 101 and 169 patients, respectively. The Modified Dental Anxiety Scale (MDAS) and Dental Fear Scale (DFS) were used to measure anxiety levels in patients treated in both clinics. Tests were made in an isolated room preoperatively. The differences in anxiety levels according to education status and gender were also evaluated. Results. The impacted third molar surgery group showed a significant increase in dental anxiety measured with DFS questionnaire ( p < 0.05 ). However, MDAS revealed that there was no difference between anxiety levels between the impacted third molar surgery and conventional dental extraction groups ( p > 0.05 ). There was also no difference in anxiety levels between patients with different education status ( p > 0.05 ). Female patients demonstrated higher levels of anxiety in both MDAS and DFS indexes ( p < 0.05 ). Conclusion. Dental anxiety may be higher in patients treated with impacted third molar surgery compared with conventional dental extraction. The education status of patients may not affect dental anxiety. Female patients may show increased levels of dental anxiety in conventional dental and impacted third molar extractions.

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