Results: 257

For: oral and maxillofacial surgery

Third molar removal – does piezoelectric surgery improve outcomes?

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This review of piezoelectric surgery for third molar removal included 9 studies, 6 of which were RCTs. The findings suggest that outcomes were better for piezoelectric surgery but these findings should be viewed cautiously.

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Dexamethasone reduced pain and swelling following third molar surgery

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This review included 8 RCTs involving a total of 476 patients and found that submucosal dexamethasone reduced postoperative pain and swelling. Although only one of the studies was at low risk of bias and there was a possibility of publication bias, the findings should be considered with caution.

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Medication related osteonecrosis of the jaw

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Thirteen studies were included in this review of medication related osteonecrosis of the jaw. The majority were case series ( 9) with the risk of osteonecrosis after tooth extraction being higher in those taking IV bisphosphonates ( 3.2% (95% CI: 1.7–4.7%) than those on oral bisphosphonates 0.15% (95% CI: 0.0–0.36%).

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No high quality evidence of treatments for keratocyst

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While there are a number of reviews of treatment options for the keratocystic odontogenic tumour (KCOT), this update of a Cochrane review could identify no relevant RCTs of treatment options. So there is a clear need for well designed and conducted randomised controlled trials to evaluate treatments for KCOTs.

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Hilotherapy improved levels of facial pain and oedema after maxillofacial surgery suggests review

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5 studies were included in this review of hilotherapy. While the studies suggest that hilotherapy might provide patients with a significant reduction in postoperative facial pain and oedema, the quality of the studies is low.

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Wealth of reliable evidence on efficacy of single dose oral analgesics

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This overview includes 39 Cochrane reviews with data from around 460 studies and about 50,000 patients providing a wealth of reliable evidence on the analgesic efficacy of single dose oral analgesics.

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Few adverse events with single dose oral analgesics for acute postoperative pain

This overview of adverse event rates associated with single dose oral analgesics includes data from 39 Cochrane reviews, and provides evidence that adverse events rates are generally similar with active drug and placebo.

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Patient satisfaction with combined orthodontic treatment and orthognathic surgery

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This review of patient satisfaction with combined orthodontic treatment and orthognathic surgery included 8 studies and identified a number of factors associated with patients’ satisfaction or dissatisfaction. However, the quality of the available evidence was limited.

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Guidance on management of dental patients taking anticoagulants or antiplatelet drugs

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This new guidance from the Scottish Dental Clinical Effectiveness Programme (SDCEP) provides recommendations for dental patients taking anticoagulants or antiplatelet drugs

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Alveolar ridge augmentation effective suggests review

Stac Pollaidh Sep05

This review of alveolar ridge augmentation procedures included 40 studies only 17 of which were RCTs . While a statistically significant improvement was seen, there was a very high degree of heterogeneity because of the wide range of clinical procedures, measurement approaches and healing times in the included studies.

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