Orthognathic surgery: antibiotic prophylaxis reduced surgical site infection

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This new Cochrane review identified 11 RCTs and suggests that for those undergoing orthognathic surgery, long term antibiotic prophylaxis decreased the risk of surgical site infection compared with short-term regimens.

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Avascular necrosis of the jaws (BRONJ): risk and incidence low in the UK

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This 2 year long prospective study of new cases of BRONJ presenting at oral surgery, oral medicine, oral and maxillofacial surgery units, and dental hospitals provides a rough estimate of 508–793 new cases/year across the UK.

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Local anaesthetic to reduce pain of dental care under general anaesthesia – evidence unclear

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This Cochrane review included 14 trials of variable quality that could not be combined due to variation in local anaesthetic delivery and outcome measures. So the results from individual studies for pain, bleeding and other adverse effects are uncertain.

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Maxillofacial trauma: assaults and falls the main causes in Europe

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This prospective year long multi-centre study involving 11European counties provides an interesting overview of the current demographics, causes and characteristics of maxillofacial fractures in these centers.

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Mandibular condylar fractures: is surgical or non-surgical approach best?

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Review of 36 studies at high risk of bias suggests that surgical treatment of mandibular condylar fractures provides a better clinical outcome for post-treatment malocclusion, protrusion, laterotrusion, and lateral deviation during maximal incisal opening in comparison to non-surgical treatment. But more patients affected by post-treatment infection.

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Nerve repositioning for implant placement: neurosensory complications common

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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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Anterior mandibular fractures: review suggests lag screws and 1 plate plus an arch bar were superior to 2 miniplates for fixation

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This is one of a series of reviews that has looked at postoperative complications following different treatments for mandibular fractures. This review focuses on anterior mandibular fractures with the findings suggesting that lag screws and single miniplate plus an arch bar were superior to 2 miniplates

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Mandibular fractures: review finds that use of a single miniplates reduced postoperative complications

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This review looked at which internal fixation method for mandibular fractures resulted in lowest complication rate. 20 studies were included and they found use of 1 miniplate is superior to using 2 ; and the transbuccally placed lateral miniplate was better than one placed on the external oblique ridge

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Mandibular fractures: review finds no difference in postoperative complications between locking and non-locking plates

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Today we look at a review that was comparing the clinical outcomes between locking and non-locking plates for the fixation of fractures mandibles. The review identified 10 studies, 8 of which were at high risk of bias. They found that there was no difference in the level of post operative complications between teh different approaches.

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Available evidence for various aspects of surgical removal of third molars is very low to moderate

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The surgical removal of third molars (wisdom teeth) is one of the commonest operations performed. It is usually carried out because of infection associated with a partially erupted and impacted tooth. The aim of this update to a Cochrane review was to compare the relative benefits and risks of different techniques for undertaking various aspects [read the full story…]