scholarly journals Treatment of Osseous Defects after Mandibular Third Molar Removal with a Resorbable Alloplastic Grafting Material: A Case Series with 1- to 2-Year Follow-Up

Materials ◽  
2020 ◽  
Vol 13 (20) ◽  
pp. 4688
Author(s):  
Minas Leventis ◽  
Efstathia Tsetsenekou ◽  
Demos Kalyvas
Keyword(s):  
Radiological Finding ◽  
Third Molar ◽  
Case Series ◽  
Surgical Removal ◽  
Pocket Depth ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Distal Surface ◽  
Osseous Defects

Mandibular third molar (M3) surgical extraction may cause periodontal complications on the distal aspect of the root of the adjacent mandibular second molar (M2). Patients older than 26 years with periodontal pathology on the distal surface of the M2 and a horizontal/mesioangular impacted M3 may benefit from bone regenerative therapy at the time of surgery. In this prospective case series, an alloplastic fully resorbable bone grafting material, consisting of beta-tricalcium phosphate (β-TCP) and calcium sulfate (CS), was used for the treatment of the osseous defects after the removal of horizontal or mesioangular M3s in 4 patients older than 26 years. On presentation, the main radiological finding in all patients, indicating periodontal pathology, was the absence of bone between the crown of the M3 and the distal surface of the root of the M2. To evaluate the treatment outcome, bone gain (BG) was assessed by recording the amount of bone defect (BD) at the time of surgical removal (T0) and at the time of final follow-up (T1) 1 or 2 years post-operatively. The healing in all cases was uneventful, with no complications associated with the use of the alloplastic grafting material. Clinical and radiological examination at T1 revealed that all extraction sites were adequately restored, with significant BG of 6.07 ± 0.28 mm. No residual pathological pockets on the distal surface of the M2 were detected. Pocket depth (PD) at T1 was 2 ± 0.71 mm. Within the limitations of this case series, the results suggest that β-TCP/CS can support new bone formation at M3 post-extraction sites where bone regeneration methods are indicated, thus reducing the risk of having persistent or developing new periodontal problems at the adjacent M2.

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.

Comparison of Wound Healing Using Envelope and Triangular Flap for Impacted Mandibular Third Molar Surgery

2021 ◽  
Vol 15 (10) ◽  
pp. 2811-2813
Author(s):  
Atiq ur Rahman ◽  
Muhammad Junaid Hashmi ◽  
Muhammad Shairaz Sadiq ◽  
Fareed Ahmad ◽  
Muhammad Anwaar Alam ◽  
...  
Keyword(s):  
Wound Healing ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Surgical Removal ◽  
Post Surgery ◽  
Triangular Flap ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Significant Difference

Objective: To compare the wound healing with triangular flap versus envelope flap techniques among patients undergoing surgical removal of the impacted mandibular third molar (IMTM). Study Design: An open label randomized controlled trial. Place and Duration of the Study: The Department of Oral & Maxillofacial Surgery, Bakhtawar Amin Medical and Dental College, Multan from January 2021 to June 2021. Material and Methods: A total of 70 patients (35 in each group) of both genders aged 20 to 50 years requiring surgical removal of IMTM were included. Patients were asked to follow up on third and seventh day while observations regarding wound healing and pain were noted on 7th day among all cases completing the final follow up. Chi square was applied to compare data between both study groups taking p-value below 0.05 as significant. Results: In a total of 70 patients, there were 42 (60.0%) female and 28 (40.0%) female. Majority of the patients, 36 (51.4%) were above 30 years of age while mean age was noted to be 32.4+9.1 years. Sixty two patients completed the follow up so they were included in the final analysis for the assessment of wound healing and pain. Overall, wound healing was observed to be in 55/62 (88.7%) patients while wound healing was found to be 30/32 (93.8%) patients in envelope flap group in comparison to 25/30 (83.3%) in triangular flap group (p=0.1953). Overall, there was no statistically significant difference in between both study group with regards to evaluation of pain (p=0.3271) Conclusion: Both envelop flap and triangular flap techniques resulted in similar outcomes regarding wound healing among patients undergoing surgical removal of IMTM. Both flap techniques resulted in relatively similar degrees of post-surgery pain. Keywords: Third molar, pain, wound healing.

scholarly journals Comparison of Post-Operative Symptom Severity (PoSSe) Scores in patients undergoing Mandibular Third Molar surgery in Ile-Ife, Nigeria

2019 ◽  
Vol 5 (1) ◽  
pp. 29-35
Author(s):  
Olufemi Ogundipe ◽  
Azuka Ralph Njokanma
Keyword(s):  
Symptom Severity ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Surgical Removal ◽  
Subjective Feeling ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Significant Difference ◽  
The Mean ◽  
A Prospective Study

Background: The Post-Operative Symptom Severity (Posse) score is useful in the assessment of patients after third molar surgery. Objective: To evaluate patients' perceptions of quality of life after surgical extraction of an impacted mandibular third molar by comparing their Post-operative Symptom Severity (PoSSe) scores at Post-operative Weeks (POW) 1 and 4. Methods: Seventy patients (age 18 to 35 years) at the Out-Patient Department were enrolled in a prospective study prior to surgical removal of third molars. Each patient was given a PoSSe questionnaire to be completed at POW 1 and POW 4. The scale assessed recovery in seven key domains on patients’ subjective feeling about pain, eating, speech, sensation, appearance, sickness and interference with daily activities. Results: All but one patient returned completely filled questionnaires. The mean age of the study population was 25.7 ± 4.5 years. The mean PoSSe score at POW 1 and POW 4 were 35.0 ± 7.2 and 33.2 ± 6.9 respectively with statistically significant difference (p = 0.010). The PoSSe score was higher among males compared to females at POW 1 (37.2 ± 7.6 vs 33.5 ± 6.6) and also higher among males at POW 4 (33.8 ± 9.4 vs 32.7 ± 4.6). Conclusion: The severity of symptoms was perceived to be worse at POW 1 when compared to POW4 but the symptoms were still severe at POW4. There is a need for surgeons need to pay more attention to management of symptoms in the post-operative intermediate period.

scholarly journals Coronectomy of Mandibular Third Molar: Four Years of Follow-Up of 130 Cases

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 654
Author(s):  
Saverio Cosola ◽  
Young Sam Kim ◽  
Young Min Park ◽  
Enrica Giammarinaro ◽  
Ugo Covani
Keyword(s):  
Correct Diagnosis ◽  
Extraction Procedure ◽  
Third Molar ◽  
Case Series ◽  
Mandibular Third Molar ◽  
Wisdom Teeth ◽  
Oral Surgical Procedure ◽  
Teeth Extraction

Inferior wisdom teeth extraction surgery may have some complications that, in some cases, could be prevented by a correct diagnosis and minimal surgery. Coronectomy is a technique used for wisdom teeth surgery where only the crown is extracted and the root/roots are left in situ. This procedure may be controversial, but it could limit the common risks of the extraction procedure. Nowadays, the indication and contraindication of this technique are debated, and clinicians normally extract the entire tooth. The following case series includes the data and follow-up radiographs of 130 patients who received a coronectomy, reporting the safety of the procedure. After a mean follow-up period of four years, no complications occurred. A total of 13 patients showed mobile roots but had no complications or symptoms. The roots migrated in a mesial or coronal direction in 31 patients; in 4 cases, they were removed because of patient preference. Coronectomy is a useful oral surgical procedure in certain complicated cases of mandibular wisdom tooth extraction.

scholarly journals Postoperative Assessment of Gustatory Activity Following Surgical Removal of Mandibular Third Molars

2021 ◽  
Vol 10 (20) ◽  
pp. 1489-1495
Author(s):  
Siddhartha Dhanda ◽  
Soumi Samuel
Keyword(s):  
Third Molar ◽  
Surgical Removal ◽  
Class Iii ◽  
Postoperative Assessment ◽  
Third Molar Extraction ◽  
Taste Changes ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Significant Difference ◽  
Difficulty Index

BACKGROUND The study focused on prospectively determining the incidence and severity of taste changes after surgical removal of mandibular third molar and correlating difficulty index of impaction and incidence of gustatory changes. METHODS 96 patients who required lower third molar extraction were included in the study. Their difficulty of impaction was measured using Pell and Gregory Difficulty Index and their gustatory activity was measured using a spatial taste test and a whole mouth wash test. The tests were carried out using 5 different stimuli, i.e., sweet, salt, bitter, umami and sour, in different concentrations and the subjects were asked to identify the stimuli preoperatively, postoperatively on day 7 and after 1 month.Tastes were scored from 1 - 9 for decreasing and altered taste sensations. RESULTS The results of our study showed that with increased difficulty index, taste sensation was altered. While most patients belonged to the Class II and Class I group as well as position A and B, taste changes were still noted due to difficulty in impaction, especially in the patients belonging to Class III and position C groups. The taste changes felt at POD - 7 were similar and unresolved in the one month follow up. The scores had a statistically significant difference (P < 0.05). CONCLUSIONS With a higher difficulty score, gustatory changes are felt due to the increased surgical manipulation required to remove the tooth from its socket. This is indicative of nerve damage during surgical extraction. KEY WORDS Postoperative, Assessment, Gustatory, Mandibular, Third Molar

scholarly journals A new flap design compared with other flap designs on postoperative pocket depth following surgical removal of mandibular third molar

2020 ◽  
Vol 12 (1) ◽  
pp. 42
Author(s):  
Kamaraj Loganathan ◽  
Jayashree Mohan ◽  
Bindu Vaithilingam ◽  
Riddhi Chawla ◽  
NimalRam Gandhi ◽  
...  
Keyword(s):  
Third Molar ◽  
Surgical Removal ◽  
Pocket Depth ◽  
Mandibular Third Molar ◽  
Flap Design

scholarly journals An Unconventional Approach for Distoangular Mandibular Third Molar Extraction- Case Series

2019 ◽  
Author(s):  
Archana H Dhusia ◽  
Samar Salim Shemna ◽  
Prita Abhay Dhaimade ◽  
Prerana N. Dubey ◽  
Hetal N. Patel
Keyword(s):  
Soft Tissue ◽  
Third Molar ◽  
Case Series ◽  
Soft Tissue Trauma ◽  
Third Molar Extraction ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Tissue Trauma ◽  
Molar Extraction

Background: The classical technique of surgical extraction of a distoangular impacted mandibular third molar results in significant amount of bone and soft tissue trauma. Aim: We aim to describe an alternative, intra-alveolar approach to extraction of distoangular impacted mandibular third molar by presenting a series of 30 cases recorded. Materials And Methods: In appropriate cases, beaks of cowhorn forceps were engaged in the interdental space between mandibular second and third molar and pressure applied by closing the beaks, while simultaneously maintaining digital pressure on the occlusal surface of the mandibular second molar. In majority of cases, the third molar would pop out in the arc of rotation. Conclusion: This alternative technique if applied in cases where indicated, could substantially reduce bone and soft tissue trauma, and also required lesser armamentarium. Keywords: distoangular mandibular third molar, third molar extraction, mandibular cowhorn extraction forceps

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.

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