Reevaluation of the lingual split-bone technique for removal of impacted mandibular third molars

Rud, Jörgen

doi:10.1016/0278-2391(84)90323-9

Cited by 44 publications

(31 citation statements)

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“…4 Factors which appear to be associated with post-operative infection include full or partial bony impaction, rather than the routine extraction of teeth, 5 and the presence of preoperative infection. 6 The reported incidence of postoperative infection varies between 1-12.6% [7][8][9][10][11][12][13][14][15][16][17][18] (Table 3) There was also variation in the reported rate of alveolar osteitis ranging from 1% to 6.3%. 16,[19][20] Post-operative complications and prophylactic antiobiotics There is a considerable volume of evidence that advocates antibiotics for the prevention of infection following third molar surgery.…”

Section: Complications After Third Molar Surgerymentioning

confidence: 99%

“…45 Antibiotic administration is not without risks including anaphylaxis, development of resistant bacteria and unjustified medical costs. 37,46 Other undesirable consequences include Hochwald et al 7 1.0 Rud 8 4.0 Curran et al 9 8.2 Goldberg et al 10 4.2 Osborne et al 11 3.4 Sisk et al 12 1.2 Mitchell et al 13 11.0 Happonen et al 14 11.8 Loucota 15 1-5.0 Chiapasco et al 16 1.5 Piecuch et al 17 3.5 Nordenram et al 18 12.6 OPINION the interaction with other medical products and therefore an indirect effect in the management of other medical conditions. Direct toxicity may affect the gastrointestinal tract with nausea, vomiting, diarrhoea and abdominal pain.…”

Section: Antibiotic Choice and Dose And Parenteral Prophylaxismentioning

confidence: 99%

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Antibiotic prophylaxis and third molar surgery

Martin

Kanatas²,

Hardy³

2005

Br Dent J

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Section: Complications After Third Molar Surgerymentioning

confidence: 99%

Section: Antibiotic Choice and Dose And Parenteral Prophylaxismentioning

confidence: 99%

Antibiotic prophylaxis and third molar surgery

Martin

Kanatas²,

Hardy³

2005

Br Dent J

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“…22 Using these criteria, in whole or in part, the incidence of reported wound infection, whether using antibiotic prophylaxis or not, is reported in the range of 1-27 per cent (Table 1). [23][24][25][26][27][28][29][30][31] However, the reported incidence is around 3-5 per cent.…”

Section: The Nature and Incidence Of Bacterial Wound Infection In Denmentioning

confidence: 99%

Antibiotic prophylaxis for dentoalveolar surgery: is it indicated?

Lawler

Sambrook

Goss

2005

Australian Dental Journal

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Usually dentists in Australia give patients oral antibiotics after dentoalveolar surgery as a prophylaxis against wound infection. When this practice is compared to the principle of antibiotic prophylaxis in major surgery it is found to be at variance in a number of ways. In major surgery, the risk of infection should be high, and the consequences of infection severe or catastrophic, before antibiotic prophylaxis is ordered. If it is provided then a high dose of an appropriate spectrum antibiotic must be present in the blood prior to the first incision. Other factors which need to be considered are the degree of tissue trauma, the extent of host compromise, other medical comorbidities and length of hospitalization. Standardized protocols of administration have been determined and evaluated for most major surgical procedures. Dentoalveolar surgery is undoubtedly a skilled and technically challenging procedure. However, in contrast to major surgical procedures, it has a less than five per cent infection rate and rarely has severe adverse consequences. Dentoalveolar surgery should be of short duration with minimal tissue damage and performed in the dental chair under local anaesthesia. Controlled studies for both mandibular third molar surgery and placement of dental implants show little or no evidence of benefit from antibiotic prophylaxis and there is an adverse risk from the antibiotic. This review concludes that there is no case for antibiotic prophylaxis for most dentoalveolar surgery in fit patients. In the few cases where it can be considered, a single high preoperative dose should be given.

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“…In 1 Fall (0,1%) wurden noch 2 1/2 Jahre postoperativ rezidivierende Parästhesien berichtet. Erwäh-nenswert ist, dass bei dieser Untersuchung das linguale Mukoperiost generell abpräpariert und durch ein Raspatorium geschont wurde [22]. Bei Verwendung eines neuartigen Hakens zum Abheben des lingualen Mukoperiosts wurden bei 1001 Weisheitszahnentfernungen nach Abhebung des Mukoperiosts lingual in 0,5% der Fälle (n=5) temporä-re, dagegen keine bleibenden Lingualisschäden beobachtet [30].…”

Section: Lingual-split-technikunclassified

Risiko und Vermeidung von Läsionen des N. lingualis bei der Weisheitszahnosteotomie

Hägler

Reich

2002

Mund Kiefer GesichtsChir

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The literature review revealed insufficient data quality for a sound data-based decision on whether and when to use an instrument to protect the lingual nerve. In any case, the statistical risk of a temporary disturbance of the lingual nerve seems to be higher with use of the lingual split (0.5%-19.8%) than with the lateral osteomtomy technique (0%-1.9%). In contrast to widespread opinion, even in anatomically difficult cases, there seems to be no statistical advantage of the standardized use of a protective instrument either in respect to temporary or permanent nerve damage. Yet, a slight increase of temporary lesions seems to be documented when the instrument is used. According to the current literature data, the subperiosteal insertion of an instrument to protect the lingual nerve cannot be considered an essential standard procedure in each case.

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Reevaluation of the lingual split-bone technique for removal of impacted mandibular third molars

Cited by 44 publications

References 0 publications

Antibiotic prophylaxis and third molar surgery

Antibiotic prophylaxis and third molar surgery

Antibiotic prophylaxis for dentoalveolar surgery: is it indicated?

Risiko und Vermeidung von Läsionen des N. lingualis bei der Weisheitszahnosteotomie

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