ABSTRACT
Surgical removal of impacted third molars is amongst the most common surgical procedures performed by oral and maxillofacial surgeons. Every year many articles are published in different journals regarding different aspects in such surgeries. It is necessary to translate such vast amounts of data into simple and easily comprehensible sentences for the students of dentistry and oral surgery. This article is a modest and simple review of the recent literature and presents a number of tips, recommendations, and cautions intended to improve the quality of clinical practice in third molar surgery
ABSTRACT
Introduction: Due to the increased prevalence of medically compromised patients who require dental treatments, it is a crucial task for dentists and dental specialists to prepare themselves for emergent professional situations. This study was performed to determine the prevalence of different medical problems among a population of patients admitted to a dental educational center. Materials and Methods: In this prospective study, the prevalence of medical problems in patients [n = 968] referred to the Department of Oral and Maxillofacial Surgery of the School of Dentistry of Tehran University of Medical Sciences, Iran, was investigated for 3 consecutive months. Result: Among all patients, 397 were medically compromised patients. The mean age of the patients was 48 +/- 0.15 and 51.4% were men. The results showed that 41% of the patients had at least one medical problem. The two most common diseases were hypertension [13.9%] and diabetes mellitus [6.3%], respectively. The majority of patients with medical problems were referred from private dental offices. The majority of patients [97%] had well-controlled systemic diseases that could be treated in a private office. Conclusion: This investigation showed the necessity of teaching the management of medically compromised patients in dental school curriculum and in continuous dental education programs
ABSTRACT
Nasoalveolar molding represents a paradigm shift from traditional presurgical orthopedics in the care of cleft lip and palate patients which has been applied increasingly in the past two decades. This article is a review of recent literature apropos of objectives, appliances, complications and short and long term effects of this technique
ABSTRACT
Surgical removal of third molar is one of the most common surgical procedures in oral surgery and is often associated with complications such as pain, swelling and trismus. The main purpose of the study was to assess the therapeutic effect of low level laser [LLL] irradiation on postoperative edema and wound healing compared to routine postoperative management after third molar surgery. A double blinded, randomized, controlled clinical trial was conducted in 2 groups of 20 patients, each undergoing surgical removal of their impacted mandibular third molars. Postoperatively, patients in study group were irradiated with Ga-Al-As laser with a diode wavelength of 890nm and a power output of 80 mw in pulsed mode for 6 minutes intraorally. The control group received only routine post-surgical management including 400 mg Ibuprofen 4 times daily and cold packs. Intraoral low level laser therapy [LLLT] resulted in a statistically significant reduction in the amount of swelling on the 2nd postoperative day compared to the control group. The healing process was significantly better in laser- irradiated wounds. The LLLT with Ga-Al-As laser seems to be safe and can be considered as an effective modality for reducing postoperative discomfort and promoting wound healing after third molar surgery