Complications of Dentoalveolar Surgery

Louis, Patrick J.

doi:10.1016/j.coms.2020.07.003

Cited by 3 publications

(4 citation statements)

References 194 publications

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“…If there is an increased risk of postoperative complications, telemedical follow-up alone should be questioned on the basis of current data. Risk groups include patients with acute and/or chronic infections in the surgical area [ 45 , 46 , 47 ], higher age [ 40 , 47 , 48 , 49 ], incompliance [ 47 ], impacted teeth [ 45 , 46 , 50 , 51 , 52 ], poor oral hygiene [ 45 , 53 ], systemic diseases affecting wound healing (chronic renal or liver diseases, diabetes mellitus, immunosuppression, malnutrition) [ 47 , 54 ], prolonged operation time [ 43 , 48 , 49 , 51 ], history of radiation, chemotherapy or antiresorptive medication [ 47 , 55 ], bleeding disorders (e.g., hemophilia, thrombocytopenia), antiplatelet therapy or anticoagulation [ 55 ], and habits such as smoking and drinking [ 47 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Can Teledentistry Replace Conventional Clinical Follow-Up Care for Minor Dental Surgery? A Prospective Randomized Clinical Trial

Heimes

Luhrenberg

Langguth

et al. 2022

IJERPH

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(1) Background: Born out of necessity, the implementation of digital processes experienced significant increase during the COVID-19 pandemic. Here, telemedicine offered a bridge to care and now an opportunity to reinvent virtual and hybrid care models, with the goal of improved healthcare access, outcomes, and affordability. The aim of this monocentric prospective, randomized trial was to compare conventional to telephone follow-up after minor dentoalveolar surgery on the basis of special aftercare questionnaires. (2) Methods: Sixty patients who underwent dentoalveolar surgery under local anesthesia were randomly assigned to both groups. After an average of four days, either telephone follow-up (test) or conventional personal aftercare (control) was performed. Based on the questionnaire, the following subject areas were evaluated: symptoms, complications, satisfaction with practitioner, travel, and waiting time, as well as the preferred form of follow-up care. (3) Results: There was no statistically significant difference regarding frequency of symptoms or complication rate. Patients who were assigned to the test group showed a clear tendency to prefer telephone follow-up (83.3%) to conventional aftercare (16.7%, p = 0.047). (4) Conclusions: The data suggest high acceptance of telephone-only follow-up after dentoalveolar surgery. The implementation of telemedicine could be a time- and money-saving alternative for both patients and healthcare professionals and provide healthcare access regardless of time and space.

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Section: Discussionmentioning

confidence: 99%

Can Teledentistry Replace Conventional Clinical Follow-Up Care for Minor Dental Surgery? A Prospective Randomized Clinical Trial

Heimes

Luhrenberg

Langguth

et al. 2022

IJERPH

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show abstract

“…In addition, unifying the terminology used would be beneficial, as “delayed healing” falls short of an informative description of the disease processes experienced by the patient, and reporting on “infection” without defining the disease at hand, such as osteomyelitis, abscess, or facial cellulitis, lacks clarity [ 51 , 63 , 66 ]. This could be achieved by relying on individual post-operative complications with standardised descriptions of their manifestations.…”

Section: Narrative Reviewmentioning

confidence: 99%

Prevalence and Factors Influencing Post-Operative Complications following Tooth Extraction: A Narrative Review

Dignam,

Elshafey,

Jeganathan

et al. 2024

International Journal of Dentistry

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Background. Complications from dental extractions may result in multiple post-operative visits and adversely affect the patient’s life. Preventing complications may decrease post-operative morbidity for the individual as well as lower societal costs, such as lost time from work and healthcare costs. Objectives. This narrative review aims to assess the prevalence and factors influencing post-operative complications following tooth extraction, helping clinicians minimise the risk. Data Sources. Cross-sectional studies. Study Eligibility and Participants. Patients undergoing dental extractions. Our exclusion criteria included in vitro studies, animal studies, terminally ill patients, and tooth loss not due to dental extraction. Literature was collected from “PubMed” and “Web of Science” through search criteria based on the “PICO” framework. Twenty articles were used to formulate a prevalence table, and 156 articles were included for the factors influencing complications. Study Appraisal and Synthesis Methods. This narrative review was reported using the SANRA (a scale for the quality assessment of narrative review articles) checklist. Due to the scope of our narrative review and its associated objectives, the quality of cross-sectional studies (AXIS) will be conducted from the studies outlining the prevalence. Results. Alveolar osteitis appears to be the most prevalent post-operative complication following tooth extraction. Predisposing factors can be significant in their ability to alter the risk of postoperative complications, and clinicians should provide patient-centred care to mitigate this risk. Limitations. Due to the breadth of context, a systematic review was not feasible, as it may have introduced heterogeneity. Conclusion. This narrative review has highlighted an array of factors which can influence the prevalence of post-operative complications. Future research would benefit from individually reporting post-operative complications, reducing the heterogeneity in definitions of the complications, and including greater detail on the predisposing factors studied.

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“…11,12 Among other surgical approaches, the palatal-based rotational flap, recently widespread, is raised full-thickness and it includes the greater palatine artery in its width. 12,13 Albeit a good vascular supply is guaranteed to the OAC, the overall healing process is jeopardized by a wide palatal second intention healing area, which causes great discomfort and pain for the patient.…”

mentioning

confidence: 99%

“…7,8 The buccal flap approach, the oldest and most widely used procedure, finds its clinical indication in presence of small-and moderate-size defects [9][10] ; conversely, it has been suggested that wider OACs might need the adjunctive displacement of a buccal fat pad reflection. 11,12 Among other surgical approaches, the palatal-based rotational flap, recently widespread, is raised fullthickness and it includes the greater palatine artery in its width. 12,13 Albeit a good vascular supply is guaranteed to the OAC, the overall healing process is jeopardized by a wide palatal second intention healing area, which causes great discomfort and pain for the patient.…”

mentioning

confidence: 99%

Accuracy and Security Analysis of a Cranio-Maxillofacial Plastic Surgery Robot Equipped With Piezosurgery in Genioplasty

Baldini

Discepoli²,

Tortoriello³

et al. 2022

Journal of Craniofacial Surgery

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This study aims to verify that the craniofacial plastic surgery robot with piezosurgery is more accurate and safer than traditional operations in genioplasty. This study chose data from the Digital Plastic Surgery of Plastic Surgery Hospital in the Chinese Academy of Medical Sciences and Peking Union Medical College. The CT data of the patient's skull were reconstructed in the software, and the authors designed the measurement index. The surgical plan was designed as an ideal scheme (control group). Patients underwent traditional surgery according to the preoperative surgery plan (clinical group). Guided by surgical navigation, the osteotomy was operated on patients' same size plaster model using the surgery robot equipped with a piezosurgery (robot group). At last, the accuracy was calculated by CT data. There was no significant difference between the robotic group and control groups in the postoperative measurement index (P < 0.05). There was no significant difference between the robotic group and the control group (P > 0.05) in the line of osteotomy, but there was a significant difference between the clinical group and the control group in the line of the osteotomy.

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Complications of Dentoalveolar Surgery

Cited by 3 publications

References 194 publications

Can Teledentistry Replace Conventional Clinical Follow-Up Care for Minor Dental Surgery? A Prospective Randomized Clinical Trial

Can Teledentistry Replace Conventional Clinical Follow-Up Care for Minor Dental Surgery? A Prospective Randomized Clinical Trial

Prevalence and Factors Influencing Post-Operative Complications following Tooth Extraction: A Narrative Review

Accuracy and Security Analysis of a Cranio-Maxillofacial Plastic Surgery Robot Equipped With Piezosurgery in Genioplasty

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