This review investigating whether the presence of third molars during sagittal split osteotomy of the mandible increases the risk of complications included 15 studies. The findings suggests no statistically significant relationship between the presence of 3Ms and complications. However a majority of the studies were retrospective with 13 studies being considered to be at high risk of bias so the certainty of the evidence is considered to be very low.
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Rachel Symons explores a new paper about the PEACE pathway (Pathway for Eating disorders and Autism developed from Clinical Experience), which hopes to increase understanding and improve care for patients with a dual diagnosis of autism and eating disorders.
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As this review looks as potential harms from bilateral sagittal split osteotomy a wide range of study designs were included. However, the majority relied on subjective assessment of Inferior alveolar nerve injury so a standardised assessment and reporting procedure is needed.
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This review of complications following inferior alveolar nerve repositioning techniques included 24 studies the majority at high risk of bias. Initial sensory disturbance was highest with lateralisation technique but lower at end of follow up periods than transposition approach.
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The removal of lower third molars is a very common surgical procedure. Neurosensory deficits ranging from anaesthesia, hypoesthesia, hyperesthesia, or dysaesthesia are a recognised adverse outcomes and have been reported in prevalence ranging from 0.1% to 22% for lingual nerve (LN) and 0.26% to 8.4% for inferior alveolar nerve (IAN). The aim of this review [read the full story…]
