scholarly journals FACTORS WHICH INFLUENCE POSTOPERATIVE PAIN INTENSITY AFTER SURGICAL REMOVAL OF IMPACTED MANDIBULAR THIRD MOLARS

2019 ◽  
Vol 25 (4) ◽  
pp. 2793-2799
Author(s):  
Tanya Sbirkova ◽  
◽  
Deyan Neychev ◽  
Ralitsa Raycheva ◽  
Dimitar Atanasov ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pain Intensity ◽  
Surgical Removal ◽  
Third Molars ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

scholarly journals Correlation between CGRP Levels and the Neuropathic and Inflammatory Component of Postoperative Pain

Folia Medica ◽  
2020 ◽  
Vol 62 (2) ◽  
pp. 365-371
Author(s):  
Deyan Neychev ◽  
Tanya Sbirkova ◽  
Maria Ivanovska ◽  
Ralitsa Raycheva ◽  
Mariana Murdjeva ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Surgical Procedure ◽  
Sensory Nerves ◽  
Surgical Removal ◽  
Strong Positive Correlation ◽  
Third Molars ◽  
Significant Difference ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Introduction: In surgical procedures, tissue damage results in the release of a number of bioactive substances. Calcitonin gene-related peptide (CGRP) is a peptide released from sensory nerves, which determines its role in pain sensation. Its distribution in tissues deter­mines its role as a primary afferent neurotransmitter. Aim: To determine the effect of CGRP on postoperative pain and reactive inflammatory process after surgical removal of impacted mandibular third molars, as well as the factors that have influence upon the perception of pain. Materials and methods: Forty patients with bilaterally impacted mandibular third molars were included in the study. Venous blood samples were collected before and 24 hours after the surgical procedure in order to test their serum levels of CGRP and procalcitonin. Two weeks later the procedure was repeated. The difficulty of the surgical procedure, its duration and complications were assessed in all patients. Results: The influence of some of the studied factors upon postoperative pain was established. Differences in the sensation of pain between the two sexes were found when comparing pain intensity reported by the patients. Significant difference between pain inten­sity after the 1st and 2nd surgical procedures (6 hours) was found in females (Z=2.63, p=0.009;), whereas in males the difference was observed at 24 hours (Z=1.99; p=0.047). Regarding the existence of sex-related association, а significant, strong positive correlation between CGRP levels after the 1st and 2nd surgical procedures (24 hours) was found in males (rxy=0.78; p=0.004), whereas in females this correlation was also significant, although moderately significant (rxy=0.44; p=0.020). CGRP levels at the first and second extractions were generally similar in males, and not as much in females. We proved significantly moderate positive association between CGRP and pulse levels measured before the second surgery (rxy=0.37, p=0.021). Conclusion: The results of our study suggest a significant role of CGRP in reactive (neurogenic) inflammation.

scholarly journals Comparison of Piezosurgery and Conventional Rotary Instruments for Removal of Impacted Mandibular Third Molars: A Randomized Controlled Clinical and Radiographic Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Hani Arakji ◽  
Mohamed Shokry ◽  
Nayer Aboelsaad
Keyword(s):  
Statistical Significance ◽  
Third Molar ◽  
Test Site ◽  
Surgical Removal ◽  
Third Molars ◽  
Randomized Controlled ◽  
Surgical Extraction ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Bone Quantity

The purpose of this study was to test the effect of the surgical removal of impacted mandibular third molars using piezosurgery versus the conventional surgical technique on postoperative sequelae and bone healing.Material and Methods.This study was carried out as a randomized controlled clinical trial: split mouth design. Twenty patients with bilateral mandibular third molar mesioangular impaction class II position B indicated for surgical extraction were treated randomly using either the piezosurgery or the conventional bur technique on each site. Duration of the procedure, postoperative edema, trismus, pain, healing, and bone density and quantity were evaluated up to 6 months postoperatively.Results.Test and control sites were compared using pairedt-test. There was statistical significance in reduction of pain and swelling in test sites, where the time of the procedure was statistically increased in test site. For bone quantity and quality, statistical difference was found where test site showed better results.Conclusion.Piezosurgery technique improves quality of patient’s life in form of decrease of postoperative pain, trismus, and swelling. Furthermore, it enhances bone quality within the extraction socket and bone quantity along the distal aspect of the mandibular second molar.

scholarly journals Dentigerous Cystic Changes in the Follicles Associated with Radiographically Normal Impacted Mandibular Third Molars

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Ashok Dongol ◽  
Alok Sagtani ◽  
Mehul Rajesh Jaisani ◽  
Arpita Singh ◽  
Ashish Shrestha ◽  
...  
Keyword(s):  
Surgical Removal ◽  
Histopathologic Examination ◽  
Third Molars ◽  
Common Indication ◽  
Cystic Changes ◽  
Histopathologic Evaluation ◽  
Impacted Mandibular Third Molars ◽  
Follicle Size ◽  
The Mean ◽  
Mandibular Third Molars

Objective. To assess the incidence of dentigerous cystic changes in the follicles of radiographically normal impacted mandibular third molars. Methods. One hundred and thirteen follicles obtained after surgical removal of impacted mandibular third molars with radiolucency of less than 2.5 mm in the radiograph were sent for histopathologic evaluation to evaluate pathologic changes. Results. The incidence of dentigerous cystic changes observed was 15.9%, that is, 18 out of 113 patients (51 males and 62 females), with the maximum incidence of cystic changes seen in the follicular space size of 0.5 mm. The mean age of the patients included was 27.8 ± 8.1. The most common indication for extraction among the patients in this study was recurrent pericoronitis (95%). There were no statistically significant differences in occurrence of cystic changes based on age, gender, angulation, relation to ramus, depth, side of impaction, and follicle size (P>0.05). Conclusion. Dental follicles obtained from surgically removed impacted mandibular third molars should be submitted for histopathologic examination irrespective of the radiographic size of the follicle.

Sign in / Sign up

Export Citation Format

Share Document