The contemporary management of third molars

Hyam, Dylan

doi:10.1111/adj.12587

Cited by 23 publications

(20 citation statements)

References 17 publications

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“…Indications of third molars extraction include caries (in partially-erupted third molars and/or in their adjacent second molars), periapical pathology, recurrent pericoronitis, infection (i.e. abscess or osteomyelitis), internal and/or external root resorption (of third molar or adjacent tooth), fracture of mandibular angle, trauma and fracture of tooth, extraction for dental autotransplantation, orthodontic reasons, and periodontal disease ( 4 - 6 ). Although great controversy exists about prophylactic removal of third molars, there is now considerable evidence supporting the extraction of symptom-free impacted molars ( 4 , 7 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Hassan¹,

Al‐Khanati²,

Bahhah³

2020

Med Oral

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Background The extraction of third molars is one of the most common procedures in oral and maxillofacial surgery clinic. Surgical extraction involves the manipulation of both soft and hard tissues, so the patient usually experiences pain, swelling, and trismus in the immediate post-operative period. Several studies have been conducted using different types of surgical flaps to provide access with the least possible damage of soft tissues. Designing and implementing an optimum flap, which provides easier technique, better visibility, minimal post-operative complications, and best healing, is an aspired goal of every oral surgeon. This study aimed to compare lingual-based four-cornered flap with conventional triangular flap, and to evaluate its effect on post-operative pain after surgical extraction of impacted lower third molars. Material and Methods Seventeen patients (age ranged from 19 to 26 years) with bilateral, symmetrical impacted lower third molars (n=34) were included in the study. This was a randomized clinical trial with a split-mouth design. The impacted molars were assigned randomly, by coin flipping, to two groups: Case side with lingual-based four-cornered flap (Group A), and control side with conventional triangular flap (Group B). Away from the incision, the prognosis, surgical intervention, and postoperative procedures were exactly the same for the two groups. Postsurgical pain was assessed for 5 days using visual analogue scale (VAS) and by recording patients need for analgesics on a daily basis. Patients were also evaluated via a self-reporting questionnaire, i.e. Postoperative Symptoms Severity (PoSSe) scale, administered on the seventh postoperative day. Results Pain scores recorded in Group A were found to be significantly lower as compared to pain scores in Group B in the 5 postoperative days ( P <0.05). Total analgesic intake in Group B was significantly higher ( P <0.05). PoSSe scores were lower in Group A, however, this difference was insignificant ( P >0.05). Conclusions According to the data of the current study and within its limits, it appeared that lingual-based four-cornered flap design was superior to the conventional triangular flap regarding the postsurgical discomfort and pain. Key words: Impaction, third molar surgery, flap design, pain, PoSSe scale, split-mouth, RCT.

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Section: Introductionmentioning

confidence: 99%

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Hassan¹,

Al‐Khanati²,

Bahhah³

2020

Med Oral

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“…Care and maintenance of the alveolus is paramount. Other dentoalveolar procedures are discussed in the papers on impacted teeth, 29 and single tooth replacement implants. 30…”

Section: Antibiotic Prophylaxismentioning

confidence: 99%

Contemporary exodontia

Sambrook

Goss

2018

Australian Dental Journal

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Exodontia is a cardinal skill of all dentists. Patients expect extractions to be skillfully and painlessly accomplished every time. It's not necessarily so simple and can be challenging. In this paper we explore contemporary issues of the full process of exodontia including diagnosis, technique, complication minimization as well as management of medically compromised patients with appropriate post-operative care, including pharmacotherapy.

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“…Most adults have 32 teeth (including third molar teeth, which are frequently removed because of insufficient space and associated morbidity). 4 Naturally, teeth in the maxilla and mandible must occlude to ensure adequate masticatory function.…”

Section: Tooth Loss and Chewing Problemsmentioning

confidence: 99%

Surgical solutions to orofacial problems

Sherring

2020

Aust J Gen Pract

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Background Orofacial problems present frequently to primary care providers. Many of these problems have a surgical solution. Some may require minor procedures, while others require major maxillofacial surgery. Objective The purpose of this article is to illustrate how some common orofacial presentations can be investigated and solutions found in conjunction with oral and maxillofacial surgeons. Discussion This article outlines a method of approach for some of the issues with which patients present to their primary healthcare provider that may be resolved using skills and techniques of maxillofacial surgery. THE LITERATURE SUGGESTS that many patients will seek advice from their primary healthcare providers for non-dental orofacial symptoms rather than from a dentist. 1-3 The problems may range from 'simple' dental problems to complex issues requiring medical investigation and multidisciplinary management. Patients (or their carers) may present with a number of different problems such as: • 'I have trouble chewing food.' • 'I don't like the way my face looks.' • 'My snoring at night keeps my partner awake; I have to sleep in another room.' • 'I am having a problem with my mouth and jaws that requires an operation.' These problems require thoughtful orofacial investigation.

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The contemporary management of third molars

Cited by 23 publications

References 17 publications

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery: Split-mouth randomized clinical trial

Contemporary exodontia

Surgical solutions to orofacial problems

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