This review of coronectomy versus extraction of third molars in patients at increased risk of inferior alveolar nerve (IAN) injuries included 42 observational studies. The findings indicate lower a reduction in the odds of IAN sensory loss in favour of coronectomy and an increase in the odds of surgical reintervention.
[read the full story...]
This review of antibiotic prophylactic treatments in relation to the risk of developing dry socket (DS) and site-specific infection (SSI) after lower third molar extraction included 16 RCTs. Antibiotic did reduce the risk of DS and SSI in health patients but the number needed to treat (NNT) was high so the use should be considered only after a careful assessment of an individual patient’s risk.
[read the full story...]
This review and infection of dry socket after third molar surgery identified 58 RCTs of whihc 34 contributed to a meta-analyses. The findings indicated that metronidazle and amoxicillin did reduce infection but the findings were of low certainty.
[read the full story...]
This Cochrane review update of the effect of systemic antibiotic prophylaxis on the prevention of infectious complications following tooth extractions included 23 studies. There was very-low certainty evidence that prophylactic antibiotics may reduce the risk of infection and dry socket following third molar extraction compared to placebo.
[read the full story...]
This review of whether the presence of the lower third molar in the mandibular angle fracture line is associated with postoperative complications included 34 studies. The quality of teh included studies was low to very low so the findings should be viewed cautiously.
[read the full story...]
This review of the efficacy of antibiotic prophylaxis in dental implant placement for prevention of post-operative infection included 10 RCTs analysis indicatingthat antibiotic prophylaxis may not be necessary in health patients.
[read the full story...]
2 reviews and 2 RCTs were discussed in this review of the effect of antibiotics on postoperative infections in orthognathic surgery. There is a lack ofclarity on the preferred antibiotic and the optimal duration of administration.
[read the full story...]
This updated Cochrane review comparing open v closed surgical approaches for palatally displaced canines includes 3 studies involving 146 patients with the available evidence suggesting that neither surgical technique for exposing canine teeth is superior.
[read the full story...]
This review of the impact of smoking on dental implants had broad inclusion criteria and included 107 studies. The findings suggest smoking affects implant failure rates, incidence of postoperative infections, as well as the marginal bone loss.
[read the full story...]
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.
[read the full story...]