This review looked at the efficacy of haemostatic adjuncts on intra-operative blood loss in orthognathic surgery. 11 RCTs were included and found that tranexamic acid reduced blood loss by about a third whether used topically or intravenously.
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This trial compared eugenol dressing or chlorhexidine gel for dry socket prevention against no intervention. Both agents reduced the incidence of dry socket but the reduction was greater with eugenol.
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This small trial suggests that that while the diode laser treatment was marginally quicker than the traditional scalpel removal of fibrous hyperplasia, it required fewer analgesics and no sutures. However, there was more swelling, and wound healing was longer.
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This review included 16 low-moderate quality studies, which overall suggest that the use of oral contraceptives leads to a higher incidence of dry socket. Risk ratio = 1.80 (95% CI; 1.33–2.43).
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49 observational studies were included in this review of sialendoscopy for obstructive salivary disease. The findings suggest a successful resolution for sialendoscopy alone of 76% (95% CI; 71 to 82%) and 91% (95% CI; 88 to 94%) for sialendoscopy and surgery.
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This review included 9 studies assessing the predictive value of panoramic radiography on inferior alveolar nerve (IAN) injury after third molar extraction. Results suggest that darkening of the root had a high specificity in predicting IAN injury.
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This Cochrane review identified 8 RCTs of alveolar ridge preservation (ARP) techniques. They provide limited evidence that ARP minimises overall changes in residual ridge height and width six months after extraction.
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13 retrospective studies were included in this review comparing superficial and total conservative parotidectomy approaches for the management of benign parotid tumours. The review suggests that superficial approach is better but the quality of the evidence is low.
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97 papers describing 4879 cases of bisphosphonate-related osteonecrosis were included in this review. A wide range of management approaches were identified but the quality of the available evidence is limited.
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This review considers whether patients on long-term aspirin therapy should stop aspirin before tooth extraction. The review found 10 studies (3 RCTs). No significant increase in bleeding time was found and although there was an increased risk of haemorrhage, the authors recommended not stopping aspirin therapy.
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