scholarly journals Molar Position and Surgical Time in Lower Third Molar Extraction

2018 ◽  
Vol 1 (1) ◽  
pp. 17-20
Author(s):  
Sergio Olate ◽  
Juan Alister ◽  
David Thomas ◽  
Ricardo Alveal ◽  
Alejandro Unibazo
Keyword(s):  
Maxillofacial Surgery ◽  
Third Molar ◽  
Aggressive Periodontitis ◽  
Oral And Maxillofacial Surgery ◽  
Oral Diseases ◽  
Surgical Time ◽  
Oral Infections ◽  
Third Molar Extraction ◽  
Time Required ◽  
A Prospective Study

The aim of this research was to find the influence of lower third molar position in surgical time required for extraction of this molar. A prospective study was designed in patients at the Division of Oral and Maxillofacial Surgery at Universidad de La Frontera. Patients with ASA I and II and without oral diseases as aggressive periodontitis and oral infections were included. The third molar position was established in relation to Pedersen scale, Winter scale and Pell and Gregory scale, considering surgical time between the start of surgery and finalization of the procedure; data analyses was carried out with t test with statisticaldifferences when p<0.05. Surgical time of 12±9 minutes was registered, and this was statistically associated to dental position and difficulty observed. It is therefore concluded that the position of the molar has an influence on surgical time.

scholarly journals Submucosal administration of dexamethasone versus methyl prednisolone in management of postoperative sequelae after mandibular third molar impaction - A systematic review

2020 ◽  
Vol 11 (3) ◽  
pp. 4479-4486
Author(s):  
Janani Kandamani ◽  
Divya Sanjeevi Ramakrishnan ◽  
Sudarssan Subramaniam Gouthaman ◽  
Santhosh Kumar M P
Keyword(s):  
Sodium Succinate ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Cochrane Library ◽  
Oral And Maxillofacial Surgery ◽  
Third Molar Extraction ◽  
Methylprednisolone Sodium Succinate ◽  
Methyl Prednisolone ◽  
Mandibular Third Molar

Third molar extraction is one of the most commonly performed minor surgical procedure in any dental practice worldwide, often accompanied by various postoperative sequelae such as swelling pain and trismus which intern affects the quality of life of a patient. Over the past few decades, different methods have been proposed in the literature and were clinically evaluated to reduce the postoperative discomfort after mandibular third molar impaction and out of which corticosteroids, have shown promising results. Dexamethasone (administered either orally, submucosally, IV or IM), methylprednisolone acetate and methylprednisolone sodium succinate (IV or IM or submucosal) are most commonly preferred corticosteroids in oral and maxillofacial surgery. The main objective is to systematically review the comparison of the effectiveness of submucosal administration of dexamethasone with methylprednisolone following mandibular third molar impaction in reducing the postoperative sequelae, and its discomfort and searches were performed in the PubMed, Medline, Scopus, and Cochrane Library databases. Two articles were most relevant, and the results of the comparison of the selected articles were analysed. From this deliberate audit, it is very well may be inferred that submucosal injection of dexamethasone plays a promising role in reducing the postoperative sequelae which includes swelling, pain and trismus and its discomfort following mandibular third molar impaction when compared with that of methylprednisolone.

scholarly journals Evaluation of demographic and radiological risk factors for assessment of difficulty in surgical removal of impacted mandibular third molar – A prospective study.

2019 ◽  
Vol 6 (1) ◽  
pp. 10-13
Author(s):  
Manu R. Goel ◽  
Milind D. Shringarpure ◽  
Vasant V. Shewale ◽  
Tejasvini Dehankar ◽  
Ajit Joshi
Keyword(s):  
Risk Factors ◽  
Scientific Evidence ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Third Molars ◽  
Surgical Time ◽  
Impacted Tooth ◽  
Surgical Difficulty

The extraction of impacted third molars is among the most common surgical procedures carried out in the field of Oral and Maxillofacial Surgery. Both the patient and dentist must therefore have scientific evidence-based information concerning the estimated level of surgical difficulty of every case to consider in referring cases of impacted third molars for specialists’ handling. We have undertaken a study in which demographic and radiological variables were considered together to evaluate the risk factors for surgical difficulty in a cohort of 100 impacted mandibular third molars. There were 13 variables evaluated for surgical difficulty. Total surgical time intervention was noted at the end of each surgery. Each variable was analysed with total surgical time intervention with univariate and multiple linear regression. Out of 13 variables, 9 were found statistically significant. The most significant predictors for surgical difficulty were Body Mass Index, Depth of impacted tooth and Retromolar space. No postoperative complications were reported.

scholarly journals Anxiety Measurements among Dental Students undergoing Third Molar Removal

2011 ◽  
Vol 3 (1) ◽  
pp. 21-27
Author(s):  
Channaveer Pattanshetti ◽  
Rajendra Desai
Keyword(s):  
Dental Anxiety ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery ◽  
Female Patients ◽  
Third Molar Extraction ◽  
Anxiety Levels ◽  
The Difference ◽  
Dental Offices

Abstract Background and objective This study was conducted to quantify the anxiety associated with third molar extraction in dental students. And to compare the anxiety levels between males and females, among impacted and non-impacted groups. Methods The study included 100 dental students who reported to Department of Oral and Maxillofacial Surgery, College of Dental Sciences, requiring mandibular third molar removal. Only those patients who met the inclusion and exclusion criteria were selected. The anxiety levels were evaluated based on the scores of the Corah's Dental Anxiety Scale. Results Results showed scores among female patients was higher than males; however the difference between male and female patients was statistically not significant. Among impacted and non-impacted groups score was higher among the impacted group, but the difference between impacted and non-impacted groups was statistically not significant too. Conclusion To conclude, maxillofacial surgeons should consider patients who visit dental offices for third molar impaction surgery as most prone to anxiety which could either result from conditioning or learned responses from their peers. Noteworthy, prior awareness of the patient's psychologic makeup and susceptibility to anxiety may be of value, thus enabling appropriate therapy and improved recovery postoperatively.

scholarly journals Evaluation of efficacy of submucosal tramadol after mandibular third molar surgery: a prospective pilot study

2019 ◽  
Vol 7 (11) ◽  
pp. 4320
Author(s):  
Karan V. Panchal ◽  
Navin S. Shah ◽  
Pratik Agrawal ◽  
Parshwa N. Shah
Keyword(s):  
Pilot Study ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Mouth Opening ◽  
Analgesic Efficacy ◽  
Third Molar Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Surgical Extraction

Background: Surgical extraction of mandibular third molar is one of the most commonly performed procedure in oral and maxillofacial surgery. Its removal causes swelling, trismus, and moderate to severe pain which can be treated with various NSAID’s drugs, which have numerous side effects and gastric disturbances. In order to bypass such disturbances, Tramadol may be considered as an alternative for such patients. The aim of the study was to evaluate analgesic efficacy of submucosal tramadol and its implication over swelling and mouth opening after mandibular third molar surgery.Methods: This is a prospective study where in after post-surgical extraction of mandibular third molar, efficacy of submucosal injection of tramadol is evaluated in terms of pain and its implication over swelling and mouth opening.Results: The present study suggested there was statistically significant VAS score for pain after submucosally injecting tramadol post-surgical extraction of mandibular third molar in the following visits- 4hourly, 8hourly and 24hourly. In respect to swelling, statistically significant values was noted during 24hr and 72 h our post extraction. Also in case of mouth opening, statistically significant values were found 24 hourly.Conclusions: The present pilot study concluded that submucosal tramadol post mandibular third molar extraction has been effective in reducing pain, limiting post-extraction swelling and less impacting mouth opening by inducing less complications thereby bypassing gastric disturbances.

scholarly journals Removal of dental surgical bur from maxillary sinus: a case report

2018 ◽  
Vol 17 ◽  
pp. e18224
Author(s):  
Yeon Jung Kim ◽  
Ana Maria Barg da Silva ◽  
Mirko Dennys Ayala Perez ◽  
Heloisa F. Marão ◽  
Debora Pallos
Keyword(s):  
Maxillary Sinus ◽  
Clinical Case ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Third Molars ◽  
Third Molar Extraction

The most commonly performed surgical procedure in Oral and Maxillofacial Surgery practices are the removal of impacted third molars. Extensive training, skill and experience allow this procedure to be performed in an atraumatic approach. The aim of this study was to drawing attention to the importance of the correct management of the complications cases of foreign body inside maxillary sinus after surgical removal of maxillary third molars. This is an unusual clinical case of a dental surgical bur accidentally displacement into the maxillary sinus during an upper third molar extraction surgery. After removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical examination to achieve a correct diagnosis and an appropriate treatment plan, which is essential for a favorable prognosis.

scholarly journals Sub-Conjunctival Haemorrhage Following Maxillary Third Molar Extraction - A Rarity

2021 ◽  
Vol 10 (26) ◽  
pp. 1954-1956
Author(s):  
Karthik Ragupathy ◽  
Geetha Rajendran ◽  
Sanjay Pasupathy ◽  
Ganesh Ramakrishnan ◽  
Kiruthika Shriranjani
Keyword(s):  
Rare Case ◽  
Preoperative Planning ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Surgical Anatomy ◽  
Oral And Maxillofacial Surgery ◽  
Medical College ◽  
Third Molar Extraction ◽  
Maxillary Third Molar ◽  
Molar Extraction

Third molar extraction remains one of the most common surgical procedures performed in dentistry either by intra-alveolar or trans alveolar methods; yet such a common surgical procedure sometimes results in relatively rare complications. The incidence of complications can be reduced by proper preoperative planning, knowledge of the surgical anatomy, good surgical technique and recognition of complications. Sub conjunctival haemorrhage after maxillary third molar extraction is one such complication, which till now not more than three cases of similar findings have been reported in the literature. The purpose of this article is to present a rare case of sub conjunctival haemorrhage after maxillary right third molar extraction in a 56-year-old female reported at The Department of Oral and Maxillofacial Surgery, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.

scholarly journals Pterygoid process fracture during dental extraction – an unusual complication

2018 ◽  
Vol 32 (3) ◽  
pp. 160
Author(s):  
Gustavo Almeida Souza ◽  
Zarina Tatia Santos ◽  
Alexander Tadeu Sverzut ◽  
Luciana Asprino ◽  
Márcio De Moraes
Keyword(s):  
Maxillofacial Surgery ◽  
Third Molar ◽  
Invasive Technique ◽  
Oral And Maxillofacial Surgery ◽  
Unusual Complication ◽  
Common Procedure ◽  
Pterygoid Process ◽  
Oroantral Fistula ◽  
Facial Swelling ◽  
Upper Third

INTRODUCTION: The extraction of the upper third molar is a simple and common procedure in Oral and Maxillofacial Surgery daily practice. Infection, facial swelling, trismus, wound dehiscence, root fracture, oroantral fistula, iatrogenic displacement, fracture of the maxillary tuberosity are some of the complications that can occur during third molar extraction.CASE DESCRIPTION: In this article, an unusual fracture of the pterygoid process during upper third molar extraction and a minimally invasive technique for treatment are described.CONCLUSION: It is important to recognize the fracture and not remove the fragment before a complementary image exam, it will guide the type of treatment that should be use.

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 Automated Prediction of Extraction Difficulty and Inferior Alveolar Nerve Injury for Mandibular Third Molar Using a Deep Neural Network

2022 ◽  
Vol 12 (1) ◽  
pp. 475
Author(s):  
Junseok Lee ◽  
Jumi Park ◽  
Seong Yong Moon ◽  
Kyoobin Lee
Keyword(s):  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Oral And Maxillofacial Surgery ◽  
Third Molars ◽  
Radiographic Image ◽  
Common Procedure ◽  
Radiographic Images ◽  
Mandibular Third Molar ◽  
Mandibular Third Molars

Extraction of mandibular third molars is a common procedure in oral and maxillofacial surgery. There are studies that simultaneously predict the extraction difficulty of mandibular third molar and the complications that may occur. Thus, we propose a method of automatically detecting mandibular third molars in the panoramic radiographic images and predicting the extraction difficulty and likelihood of inferior alveolar nerve (IAN) injury. Our dataset consists of 4903 panoramic radiographic images acquired from various dental hospitals. Seven dentists annotated detection and classification labels. The detection model determines the mandibular third molar in the panoramic radiographic image. The region of interest (ROI) includes the detected mandibular third molar, adjacent teeth, and IAN, which is cropped in the panoramic radiographic image. The classification models use ROI as input to predict the extraction difficulty and likelihood of IAN injury. The achieved detection performance was 99.0% mAP over the intersection of union (IOU) 0.5. In addition, we achieved an 83.5% accuracy for the prediction of extraction difficulty and an 81.1% accuracy for the prediction of the likelihood of IAN injury. We demonstrated that a deep learning method can support the diagnosis for extracting the mandibular third molar.

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