Objective: The purpose of this study was to compare the incidence of complications between surgical removal of third molar and germectomy, objectively and subjectively. Material and Methods: A prospective nonrandomized study for all patients who were undergoing minor oral surgery of mandibular third molar was carried out in the Oral & Maxillofacial Department (OMF) of Sultan Abdul Halim Hospital, Malaysia (HSAH). The indication for surgery was for orthodontic reasons. The patients were divided into three groups according to their radiographic root morphology, namely Group I (root not formed), Group II (root partially formed), and Group III (roots fully formed) Results: A total of 44 patients were enrolled into this study; 2 teeth from each patient, henceforth involving 88 teeth. There was a statistically significant difference in the age between the three groups (p < 0.05). Germectomy was the shortest procedure. In the objective evaluation conducted 1 week post-surgery, no sign of trismus and facial swelling was observed in these three groups. In the subjective evaluation, we found there were significant differences in patients' ability to tolerate orally (p < 0.05) and ability to perform daily activities (p < 0.05) among the three groups. Conclusion: This study shows low incidence of complications in all the three groups. Germectomy is a simple and safe procedure; thus, this prompted the author advocate the early removal of mandibular third molar.
aims to analyze the demographics and treatment outcomes of unilateral ZMC fractures, treated nonsurgically or surgically. Methods: This 5-year nonrandomized prospective study had included 65 cases of unilateral ZMC fractures from October 2014 until December 2019. Patients were treated and divided into nonsurgical and surgically treated group. Treatment outcomes in terms of step deformities, malar depression, diplopia, infraorbital hypoaesthesia, and mouth opening were evaluated up to six months post-trauma/intervention. Results: Road traffic accident (96.9%) was the main cause, with predominant male involvement (80%) and median age of 28 years. Significant improvements (P < 0.05) were observed for step deformities and malar depression among the surgically treated group at postoperative day 1 and week 1. Throughout the six months review, infraorbital hypoesthesia and diplopia showed no significant differences between both groups, (P > 0.05). Besides, all patients showed significant mouth opening improvement (P < 0.05) over six months period.
Conclusion:The authors found that infraorbital hypoaesthesia and limited of mouth opening should not be the absolute indications for surgical treatment of ZMC fractures. Nonsurgical treatment that included early jaw exercise and symptomatic treatment had potential value for satisfactory functional gain.
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