Significant association between several risk factors and Inferior alveolar nerve problems after third molar extraction

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The incidence reported in the literature ranges from 0.4-8.4%third molars and in some instances the damage can be permanent. The aim of this case-control study was to investigate the specific risk factors for neurosensory deficits of inferior alveolar nerve (IAN) after third molar extraction. The cases consisted of patients showing neurosensory deficits of the lower [read the full story…]

Perioperative corticosteroid use reduces the degree of trismus and inflammation after third molar removal

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The surgical removal of third molars is a common procedure that results in varying degrees of inflammation, pain and limited mouth opening.  Non-steroidal anti-inflammatories, steroids and opiates are often prescribed to alleviate these problems.  This review aims to assess the impact of steroids on outcomes following third molars removal. Searches of the PubMed, Scopus, Med- [read the full story…]

Plating fractures of the angle of the mandible via a transbuccal approach may result in lower infection rates

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The aim of this study was to investigate whether fixation of fractures of  the mandibular angle  using miniplates placed through a transbuccal approach  resulted in lower infection rates that those placed on the mandibular external oblique ridge using an intra-oral approach. What did they do Patients were randomised (by year of birth) to having their [read the full story…]

Powered toothbrushes are as safe to use as manual toothbrushes

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Powered toothbrushes (PTB) have been available since the 1960s and Cochrane reviews have shown that powered toothbrushes with a rotation oscillation action reduce plaque and gingivitis more than manual toothbrushing (MTB). The main focus of these review has been their effectiveness rather than the safety of these brushes.  Van der Weijden et al undertook a [read the full story…]

Should we use antibiotics to prevent complications from the removal of third molars?

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The use of antibiotics to prevent complications from the removal of third molars is a cause of debate. The aim of this review was to assess the efficacy of antibiotics in preventing infectious complications after third molar surgery What did they do The Medline Embase, ,and Cochrane databases were searched together with the references in [read the full story…]

Coronectomy or total removal of third molars which approach give better outcomes

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One of the complications of the removal of lower third molars ( wisdom teeth) is inferior alveolar nerve injury (IANI) .  This has resulted in the use of a new extraction procedure coronectomy (partial odontectomy or root retention) a technique whereby the crown of a tooth is removed but parts of the roots are untouched.  [read the full story…]

No association between periodontal disease and pre-eclampsia found

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Periodontal disease has been linked with a number of general health conditions and we recently covered the review which noted that the evidence does not support an association between periodontal disease and atherosclerotic vascular disease.  This multicentre case control study is the latest published study to look at the link between periodontal disease and pre-eclampsia. [read the full story…]

Dental X-rays and meningioma – is there a risk?

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There have been  a  number of stories in the press  regarding the recent paper  by Claus et al  on dental X-rays and meningiomas.   Meningiomas  are mostly benign tumours which arise from the dura mater and are usually slow-growing.   They are the most common benign brain tumour  although  relatively uncommon with an incidence of around 6 [read the full story…]

Increasing the pH of lidocaine solution decreases pain on injection and improves patient comfort and satisfaction

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This is a critical appraisal of a Cochrane review first published in December 2010.  The appraisal was prepared under the auspices of the American Dental Associations Centre for Evidence-based Dentistry The objective of the Cochrane review was to determine if adjusting the pH of lidocaine had any effect on pain resulting from non-intravascular injections in [read the full story…]

Limited evidence suggests no difference between lingual split and surgical bur techniques for wisdom tooth extractions

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The merits of the lingual split techniques verses the surgical bur for the extraction of impacted mandibular third molars have been debated for many years. The aim of this review was to compare the post-operative outcomes of the lingual split and the surgical bur techniques. The authors searched the PubMed, Ovid MEDLINE, and Cochrane CENTRAL [read the full story…]