Surgical extraction of mandibular third molar in pterygomandibular space: a case report

Surgical extraction of the third molar can often result in the development of a periodontal pocket distal to the second molar that could delay the healing, and the socket could be colonized by bacteria and lead to secondary abscesses, or it may cause mobility or hypersensitivity. The aim of this case report is to assess the efficacy of a dentin autograft in the prevention of periodontal dehiscences after the surgical extraction of the third molar, obtained by the immediate grinding of the extracted tooth. A healthy 18-year-old male patient underwent surgery of both impacted mandibular molars: right postextractive socket was filled with grinded dentin; then, the left one was filled with fibrin sponge. The patient was followed up for six months, and clinical and radiographic assessment were performed: measurements of plaque index (PI), bleeding on probing (BOP), gingival index (GI), clinical attachment level (CAL), and probing pocket depth (PPD) were done before surgery and repeated at 90 and 180 days after the extractions. Measurements made at six months after the surgery revealed that the grafted site was characterized by a minor depth of the pocket if compared with the nongrafted site, with no clinical/radiographic signs of complications.

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A Comparative Study on Efficacy of Amoxicillin and Azithromycin in Prevention of Postoperative Sequelae Following Third Molar Surgery

Nepal Medical College Journal ◽

10.3126/nmcj.v21i3.26467 ◽

2019 ◽

Vol 21 (3) ◽

pp. 224-229

Author(s):

Rashmi Shakya Gurung ◽

K. Bimb ◽

D. Shrestha

Keyword(s):

Maxillofacial Surgery ◽

Third Molar ◽

Controlled Study ◽

Third Molar Surgery ◽

Mandibular Third Molar ◽

Surgical Extraction ◽

Operative Complications ◽

Alternative Drug ◽

Group B ◽

Post Operative Complications

Amoxicillin is the commonly prescribed antimicrobial for prevention of post-operative complications following surgical extraction of mandibular third molar. However recently, the use of macrolideantibiotics had been encouraged in dentistry. The aim of this study was to compare the efficacy of Amoxicillin and Azithromycin in preventing post-operative sequelae following third molar surgery. An open- labeled randomized controlled study was carried out in Department of Oraland Maxillofacial surgery, college of Dental Sciences and Hospital, Nepal Medical College (CODSHNMC), Attarkhel, Kathmandu, Nepal from May 2018 to June 2019. One hundred and twenty patients undergoing surgical extraction of impacted mandibular third molar were randomized by lottery method into two groups: Group A received Amoxicillin and Group B received Azithromycin. Both the groups were assessed postoperatively on 1st, 3rd and 7th days for post-operative complications- pain, swelling, trismus and pus discharge. The present study revealed no significant differences between the efficacy of Amoxicillin and Azithromycin in preventing postoperative sequelae following surgical extraction of impacted third molar. Amoxicillin and Azithromycin were therefore found to be equally effective. Thus, Azithromycin can be used as an alternative drug to Amoxicillin in case of resistance and intolerance to Amoxicillin.

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Musical Intervention Reduces Patients' Anxiety in Surgical Extraction of an Impacted Mandibular Third Molar

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2010.02.045 ◽

2011 ◽

Vol 69 (4) ◽

pp. 1036-1045 ◽

Cited By ~ 39

Author(s):

Yu-Kyoung Kim ◽

Soung-Min Kim ◽

Hoon Myoung

Keyword(s):

Third Molar ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Surgical Extraction

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An Inverted Impacted mandibular third molar: A rare case report and literature review

Journal of Pierre Fauchard Academy (India Section) ◽

10.18311/jpfa/2018/21855 ◽

2018 ◽

Vol 32 (3-4) ◽

pp. 68-70

Author(s):

Amit Mohan ◽

Deepak Mirgan ◽

◽

Keyword(s):

Case Report ◽

Literature Review ◽

Rare Case ◽

Third Molar ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Rare Case Report

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Efficacy of 1% Betadine Mouthwash on the Incidence of Dry Socket after Mandibular Third Molar Surgery

International Healthcare Research Journal ◽

10.26440/10.26440/ihrj/0301.04.521072 ◽

2019 ◽

Vol 3 (1) ◽

pp. 35-38

Author(s):

Jyoti M Biradar ◽

Gayithri H Kulkarni ◽

Harish Srinivas Kulkarni ◽

Sudha Shidagauda Patil ◽

Ashish Shrikant Satapute ◽

...

Keyword(s):

Oral Hygiene ◽

Povidone Iodine ◽

Maxillofacial Surgery ◽

Third Molar ◽

Research Centre ◽

Control Group ◽

Dry Socket ◽

Post Surgery ◽

Mandibular Third Molar ◽

Surgical Extraction

INTRODUCTION: Dry socket (syn. Alveolar osteitis, Alveolitis sicca dolorosa) is one of the most common complications after extraction of a tooth with a high incidence after a surgical extraction, particularly seen in the mandibular third molars.AIM: To assess the efficacy of 1% betadine mouthwash in prevention of dry socket.MATERIALS AND METHODS: The study included a sample of 154 patients visiting the department of Oral and Maxillofacial Surgery at Tatyasaheb Kore Dental College and Research Centre, Kohlapur, Maharashtra, India for surgical extraction of their impacted mandibular third molar and categorized as class A and B according to Pell and Gregory classification. The case group included patients who were provided with povidone iodine 1% oral antiseptic solution (Betadine), while no intervention was provided to the control group. All patients took 400 mg Ibuprofen (oral) one hour prior to the extraction. Post-surgery, patients were recalled on the third and seventh day and the data was recorded in the pre-filled proforma, data was entered in Microsoft excel, transferred into SPSS version 21.0 and the t-test was applied to analyze the data obtained.RESULTS: It was observed that 26 patients (16.89%) had a dry socket present. The presence of dry socket was slightly higher among females 14, (53.84%) as compared to males (12, 46.6%). Mostly, fair oral hygiene was observed among the study subjects. No significant correlation was observed between oral hygiene status and incidence of dry socket (p>0.05). A statistically significant correlation between the cases and control group (p=0.047) was observed.CONCLUSION: Povidone iodine 1% mouthwash reduces the incidence of dry socket following surgical extraction and hence, it use prior to surgical extraction of impacted teeth is recommended for better topical infection control.

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