Should removal of lower third molars be included in the pre-graduate curriculum for dental students? An evaluation of post-operative complications after student operations

2011 ◽  
Vol 70 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Jennifer Christensen ◽  
Louise Hauge Matzen ◽  
Ann Wenzel
Keyword(s):  
Dental Students ◽  
Third Molars ◽  
Graduate Curriculum ◽  
Operative Complications ◽  
Post Operative Complications

scholarly journals Signifiance Of Corticosteroids In Surgical Extraction Of Impacted Third Molar’s

2020 ◽  
Vol 7 (08) ◽  
pp. 4931-4933
Author(s):  
Dr santosh Mishra ◽  
Dr Madhuri Shukla ◽  
Dr Varun Arya ◽  
Amit Kumar Sahu
Keyword(s):  
Corticosteroid Therapy ◽  
Surgical Procedure ◽  
Surgical Removal ◽  
Third Molars ◽  
Surgical Extraction ◽  
Operative Complications ◽  
Molar Teeth ◽  
Considerable Impact ◽  
Post Operative Complications

The purpose of this study was evaluation of the effects of the corticosteroid therapy for the prevention of post operative complications after the surgical removal of impacted molar teeth. This evalulation researchwas done on 100 patients in which mandibular last molar was impacted.4mg dexamethasone & 250mg of hydrocortisone were given intravenously in straight dose after completing the surgical procedure. There was considerable impact of these medicines for prevention of post operative complications like swelling ,edema , pain ,discomfort, ecchymosis, trismus. Patients were recalled on 1st, 3rd and 7th post operative days. The post operative complications due to open extraction of  third molars can be minimized by the use of steroids

scholarly journals Difficulty index in extraction of impacted mandibular third molars and their post-operative complications

2014 ◽  
Vol 3 (1) ◽  
pp. 14-20 ◽  
Author(s):  
Pranaya Khanal ◽  
S Dixit ◽  
R Singh ◽  
Punam Dixit
Keyword(s):  
Odds Ratio ◽  
Major Type ◽  
Surgical Removal ◽  
Third Molars ◽  
Operative Complications ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Difficulty Index ◽  
Index Value ◽  
Post Operative Complications

Background: Although the removal of impacted mandibular third molars is a common minor oral surgical procedure, the extraction of these teeth can present with certain post–operative complications. Koerner KR proposed a Difficulty Index Scale for removal of these teeth on the basis of local anatomy and radiographs, which were helpful in predicting the difficulty that would be encountered intra-operatively, as well as the post-operative complications. Objective: To study the different post-operative complications in the removal of impacted mandibular third molars calculating their difficulty index value. Method: A total of 119 patients, 79 females and 40 males who underwent extraction of their impacted third molars were selected over a one year period. Data were collected prospectively, according to the angulation, depth and position of the impacted mandibular third molars and their difficulty index calculated. This was further correlated with the postoperative complications encountered. Results: Mesio-angular impaction (43.7%), with level A (66.4%) and Class I (70.6%) impaction were the major type of impaction seen. The difficulty index showed that majority were in the moderately difficult category (51.2%), with swelling and trismus seen to increase as the difficulty index value increased. Females were affected more than males, with swelling (Odds ratio 2.206) and trismus (Odds ratio 2.570) seen to be significantly more. Conclusion: Surgical removal of impacted mandibular third molars causes post-operative complications and special care is required in their removal, especially in females. The Difficulty Index, as described by Koerner KR can be used as a tool for predicting the frequency of the post-operative complications, especially swelling and trismus. DOI: http://dx.doi.org/10.3126/jkmc.v3i1.10918  Journal of Kathmandu Medical College Vol. 3, No. 1, Issue 7, Jan.-Mar., 2014, Page: 14-20

Comparison of the Effects of Dexamethasone Administration on Postoperative Sequelae Before and After “Third Molar" Extraction Surgeries

2020 ◽  
Vol 20 (3) ◽  
pp. 356-364 ◽  
Author(s):  
Ehsan Shoohanizad ◽  
Milad Parvin
Keyword(s):  
Oral Surgery ◽  
Controlled Trial ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Cochrane Library ◽  
Third Molar Surgery ◽  
Third Molars ◽  
Operative Complications ◽  
The Impact ◽  
Post Operative Complications

Introduction: Impacted third molars (ITMs) surgery, is one of the most common methods in the field of oral and maxillofacial surgical operations. Administration of corticosteroid such as dexamethasone diminishes the postoperative sequelae. The study aimed to compare the impact of dexamethasone administration on pre-operative and post-operative complications in third molar surgery. Methods: We collected all randomized controlled trial data on the influences of pre-operative and postoperative dexamethasone administration between 2006-2019 on third molar surgery sequelae by searching the keywords: dexamethasone, third molar surgery, wisdom teeth, corticosteroids, oral surgery, maxillofacial surgery, preoperative, postoperative, pain, swelling, and trismus in international databases such as: Web of Science (ISI), PubMed, Scopus, Embase and Cochrane Library. Results: Twenty-three articles were included in this narrative review. Among them, 22 studies used dexamethasone in particular and 1 study used dexamethasone with amoxicillin. Twenty studies evaluated the prescription of dexamethasone in pre-operative and post-operative routes on pain, trismus and edema following third molars operation. Five studies administered dexamethasone postoperatively and 15 studies administered the drug preoperatively. Two studies evaluated the preoperative and postoperative administration method. Fourteen studies used a 4 mg dexamethasone dose and drug administration was variable. The treatment period in postoperative studies varied between 1 to 7 days. Conclusion: Dexamethasone appears to be a promising agent in in reduction of post-operative complications following third molar surgery. As a potent anti-inflammatory agent, it has an effective role in pain, trismus and edema reduction distinguished from the routes of administration, dosage and timing, pre or postoperative prescription.

Pelvic Canal Narrowing Caused by Triple Pelvic Osteotomy in the Dog

1994 ◽  
Vol 07 (03) ◽  
pp. 110-113 ◽  
Author(s):  
D. L. Holmberg ◽  
M. B. Hurtig ◽  
H. R. Sukhiani
Keyword(s):  
Postoperative Complications ◽  
Pelvic Osteotomy ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Canal Width ◽  
Operative Complications ◽  
Post Operative Complications

SummaryDuring a triple pelvic osteotomy, rotation of the free acetabular segment causes the pubic remnant on the acetabulum to rotate into the pelvic canal. The resulting narrowing may cause complications by impingement on the organs within the pelvic canal. Triple pelvic osteotomies were performed on ten cadaver pelves with pubic remnants equal to 0, 25, and 50% of the hemi-pubic length and angles of acetabular rotation of 20, 30, and 40 degrees. All combinations of pubic remnant lengths and angles of acetabular rotation caused a significant reduction in pelvic canal-width and cross-sectional area, when compared to the inact pelvis. Zero, 25, and 50% pubic remnants result in 15, 35, and 50% reductions in pelvic canal width respectively. Overrotation of the acetabulum should be avoided and the pubic remnant on the acetabular segment should be minimized to reduce postoperative complications due to pelvic canal narrowing.When performing triple pelvic osteotomies, the length of the pubic remnant on the acetabular segment and the angle of acetabular rotation both significantly narrow the pelvic canal. To reduce post-operative complications, due to narrowing of the pelvic canal, overrotation of the acetabulum should be avoided and the length of the pubic remnant should be minimized.

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