Relationship between post-extraction pain and acute pulpitis: a randomised trial using third molars

Zhang, Wei; Dai, Yong-Bo; Wan, Pengcheng; Xu, Dongdong; Guo, Yi; Zhi, Li

doi:10.1111/idj.12249

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…These symptoms can be observed particularly frequently as a consequence of surgical removal of mandibular third molars—a procedure considered to be the one of the most difficult and time-consuming among all oral surgery procedures. At the same time, it constitutes one of the most frequently performed procedures within this specialty [ 1 , 2 , 3 , 4 ]. The factors that determine the difficulty of the surgical procedure of avulsion of the third molar are depth and space available for removal of the impacted mandibular third molar, the angulation of the tooth, root spacing, size of the bone septum, presence or absence of a dilated tooth follicle, periodontal space, bone density, and the relation to the inferior alveolar nerve.…”

Section: Introductionmentioning

confidence: 99%

The Growth Factors in Advanced Platelet-Rich Fibrin (A-PRF) Reduce Postoperative Complications after Mandibular Third Molar Odontectomy

Starzyńska

Kaczoruk-Wieremczuk

López

et al. 2021

IJERPH

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Surgical removal of impacted mandibular third molars constitutes one of the most frequently performed procedures within oral surgery. This surgery procedure is associated with many post-operative complications. Advanced platelet-rich fibrin (A-PRF) belongs to the second generation of platelet concentrates and is rich in numerous growth factors. The aim of this study was to assess the influence of A-PRF on selected clinical features following the surgical removal of impacted mandibular third molars. The research was conducted on 100 generally healthy patients, who underwent a lower third molar odontectomy in Department of Oral Surgery, Medical University of Gdańsk, Poland, between 2018 and 2019. The research group consisted of 50 patients (immediate A-PRF socket filling) and control group (50 patients without A-PRF socket filling). During the study, the following clinical features were assessed: pain (visual analog scale), analgesics intake, the presence of trismus, edema, hematomas within the surrounding tissues (e.g., cheek), prevalence of pyrexia, dry socket, secondary bleeding, presence of hematomas, skin warmth in the post-operative area, and bleeding time observed by the patient were analyzed on the 3rd, 7th, and 14th day after the procedure. There was a significant association between A-PRF socket filling and pain intensity, the analgesics intake, trismus, and edema on the 3rd and the 7th day (p < 0.05). The presence of hematomas and skin warmth on the 3rd day after the surgery (p < 0.05) were also statistically associated with A-PRF use. The study showed that in reducing the incidence of postoperative complications, A-PRF was more important than the position of the tooth or the duration of the procedure. The growth factors in A-PRF reduce postoperative complications, such as pain, trismus, edema, analgesics intake, presence of hematomas, and skin warmth, after mandibular wisdom teeth odontectomy.

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Section: Introductionmentioning

confidence: 99%

The Growth Factors in Advanced Platelet-Rich Fibrin (A-PRF) Reduce Postoperative Complications after Mandibular Third Molar Odontectomy

Starzyńska

Kaczoruk-Wieremczuk

López

et al. 2021

IJERPH

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“…This finding confirms what has been found in controlled trials comparing different antibiotic administrations and the presence of pain (Bystedt, Nord, & Nordenram, 1980; Sekhar, Narayanan, & Baig, 2001). It could be hypothesized that the preoperative site inflammation is important to determine the pain's onset after tooth extraction (Zhang et al., 2016). In fact, three out of four patients who took painkillers for 7 days or more had their teeth extracted due to periodontal disease: it is reasonable to think that the site inflammation was very high.…”

Section: Discussionmentioning

confidence: 99%

Non‐impacted tooth extractions and antibiotic treatment: A RCT study

et al. 2020

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Objectives A controlled, single‐blind, randomized clinical trial was performed to evaluate usefulness of antibiotics in preventing pain and complications after tooth extractions and benefits of probiotics in reducing gastro‐intestinal symptoms associated with antibiotic therapy. Materials and methods A total of 159 patients were enrolled in this trial. After tooth extractions, patients were allocated to one of the groups: group 1 received postoperatively amoxicillin + clavulanic acid; group 2 received the same antibiotic therapy with an adjunctive probiotic treatment; and group 3 received neither antibiotics nor probiotics. Follow‐up visits were planned at 7, 14, and 21 days after tooth extractions (T1, T2, and T3), and parameters assessed were pain, presence of abscess, edema, fever, alveolitis, trismus, pain, difficulty in daily routine activities, and gastro‐intestinal symptoms. Results The number of patients reporting pain at T1 was significantly higher in the control group when compared to group 2 (p = .016), while no difference for pain intensity was observed between groups. No surgical site infection was observed in any of the groups. Intestinal symptoms seemed to be tackled by probiotic administration. Conclusions Pain was the most important symptom in the control group. Antibiotics were not necessary after non‐impacted tooth extractions, and probiotics can reduce gastro‐intestinal symptoms associated with antibiotics.

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Deep learning in cone-beam computed tomography image segmentation for the diagnosis and treatment of acute pulpitis

2021

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Relationship between post-extraction pain and acute pulpitis: a randomised trial using third molars

Abstract: The results of the present study indicate that there is more pain when third molars with acute pulpitis are directly removed compared with the pain level of the removal of third molars without acute pulpitis.

Cited by 4 publications

References 24 publications

The Growth Factors in Advanced Platelet-Rich Fibrin (A-PRF) Reduce Postoperative Complications after Mandibular Third Molar Odontectomy

The Growth Factors in Advanced Platelet-Rich Fibrin (A-PRF) Reduce Postoperative Complications after Mandibular Third Molar Odontectomy

Non‐impacted tooth extractions and antibiotic treatment: A RCT study

Deep learning in cone-beam computed tomography image segmentation for the diagnosis and treatment of acute pulpitis

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