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

shutterstock_80358547

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…]

Still insufficient evidence to support or refute routine prophylactic removal of asymptomatic impacted wisdom teeth

Logo of The Cochrane Collaboration

Third molars (wisdom teeth) generally erupt between the ages of 17-24 years. Often they fail to erupt or only erupt partially. When they do not reach their normal functional position they are considered to be impacted, this can be due to lack of space, obstruction by another tooth, or development in an abnormal position.   An [read the full story…]

Surgical advancement of the maxilla in cleft lip and palate patients appears to show a moderate relapse rate in the horizontal plane and a high relapse rate in the vertical plane

shutterstock_71153206

More than 25% of patients with cleft lip and palate (CLP) develop hyperplasia of the maxilla that requires surgical correction. This surgery is usual occurs in the final phase of their CLP treatment and is typically a Le Fort I osteotomy. The aim of this review was to assess the long term stability of this [read the full story…]

Taking ibuprofen before wisdom tooth removal does not appear to be more effective for controlling post operative pain

shutterstock_37849495 -impacted wisdom teeth

The removal of lower third molars is one of the commonest surgical procedures. The effective management of post operative pain is an important consideration and it has been suggested that preoperative administration of non-steroidal anti-inflammatory drugs (NSAIDs) may be more effective than post operative administration. The aim of this study was therefore to compare the [read the full story…]

Conservative management of fractured condyles in children gives better clinical results than using same approach in adolescents.

shutterstock_65234878

Last  Friday we looked at a review that looked at the evidence for the management of fractured condyles in adults.  The aim of this review was to give a comprehensive overview of the international literature, including case reports and clinical studies, focusing on management and outcome of CFs in children and adolescents. What did they [read the full story…]

Available evidence for best treatment approach for fractured mandibular condyles is of poor quality

shutterstock_65234878

Fractured mandibular condyles are common representing 25-35% of all mandibular fractures.  They are treated by conservative management (CM) or open reduction/internal fixation (ORIF) but the evidence to support superiority of one method over the other has not been assessed. The aim of this review is to evaluate the current evidence regarding the interventions that can [read the full story…]

Changes to the mouth following tooth extraction

shutterstock_42218782

Tooth extraction is the most common surgical procedure and is associated with changes to the supporting structures. The aim of this review was to assess the magnitude of dimensional change of both the hard and soft tissues of the alveolar ridges after tooth extraction. The Medline and Cochrane Central databases were searched and a selection [read the full story…]

Tranexamic acid is effective in controlling blood loss in orthognathic surgery

shutterstock_43090465

Conservation of blood is important in all forms of surgery and approximately 30% of patietns undergoing bimaxillary osteotomies require a transfusion. The aim of this trial was to assess the effect of tranexamic acid on blood loss, quality of surgical field and duration of surgery compared to the effect of nitroglycerin induced moderate hypotension alone [read the full story…]

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

shutterstock_37849495 -impacted wisdom teeth

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…]

Four types of orthognathic patient; metamorphosizers, pragmatists, shedders, and evolvers

shutterstock_75384373

Abnormalities of the jaws and dentition that may constitute a hazard to the maintenance of oral health, and interfere with general well-being of the individual by adversely affecting dentofacial aesthetics, mandibular function, or speech can be defined as dentofacial deformities.  Treatment ( orthognathic ) usually involves combination of orthodontic and surgical treatment.  Satisfaction rates are [read the full story…]