Aim & Objectives: The aim of this prospective pilot-study was to assess the efficacy of intra alveolar application of 1% chlorhexidine gel (CHX) on the reduction of dry socket (DS) occurrence following surgical ex...Aim & Objectives: The aim of this prospective pilot-study was to assess the efficacy of intra alveolar application of 1% chlorhexidine gel (CHX) on the reduction of dry socket (DS) occurrence following surgical extraction of mandibular third molars. Materials and Methods: A randomized split-mouth-design study included twenty-five patients with bilaterally impacted lower third molars (partial or full bone) requiring full thickness mucoperiastal flap reflection for extraction. Following surgical extraction of third lower molar, 2 ml of gel containing 1% chlorhexidine digluconate (Chlorhexamed? Gel 1%) were placed in the experimental side, and saline solution was used for irrigation in the control side of extraction sockets, both followed by suturing of extraction site. The surgeries and follow up examinations were performed by the same surgeon. The follow up visits were performed at 48 hours and on day seven, post surgery where presence or absence of dry socket using the Blum criteria for diagnosis was evaluated and pain intensity by Visual Analogue Scale (VAS) 0 - 100 was observed. Results: In this pilot study, dry socket was present in 4.0 and 28.0% of cases in the experimental and control groups, respectively (P = 0.048). Fisher’s test revealed a statistically significant reduction of dry socket occurrence following the use of 1% CHX gel versus saline solution. Conclusion: The application of CHX gel 1% may significantly reduce the incidence of DS following third molar extraction. Prophylactic use of CHX gel 1% may be suggested in all patients, especially in the patients at risk of development of DS.展开更多
Aims & Objectives: This study was performed to evaluate the incidence, risk factors (age, sex, infection, radiographic difficulty of the extraction, tobacco use) contributing to the development of dry socket and c...Aims & Objectives: This study was performed to evaluate the incidence, risk factors (age, sex, infection, radiographic difficulty of the extraction, tobacco use) contributing to the development of dry socket and clinical features following surgical removal of impacted mandibular third molar. Materials and Methods: The study included 63 patients during period of September 2009 to September 2011 in the age group of 18 to 53 years with impacted mandibular third molars all of which were surgically removed under local anesthesia by the same operator. Following surgery all patients received a single dose of 4 mg corticosteroid intravenously and similar prescriptions for analgesics, antibiotics and postoperative instructions. All patients were reviewed at 3rd and 7th day postoperatively. Results: In this study incidence of dry socket was 6.3%. We also noticed onset of symptom mostly appeared within 48 hours. Postoperatively pain, bare bone and halitosis were the most significant clinical feature at 3rd postoperative day and pain, empty socket and bare bone were most significant clinical feature at 7th postoperative day. Variables like right 3rd molar impaction, patients mean age between 19 - 32 years, female, preoperative infection, radiographically difficult impaction and habitual tobacco users showed a higher incidence of dry socket formation. Conclusion: Incidence of dry socket formation is multifactorial and therefore, there is need to evaluate all factors, with special attentions in handling these patients to reduce the incidence of dry socket formation.展开更多
Extraction of third mandibular tooth is one of the most commonly performed surgical procedures in oral surgery. One of the most common complications following the extraction of third mandibular molar teeth is dry sock...Extraction of third mandibular tooth is one of the most commonly performed surgical procedures in oral surgery. One of the most common complications following the extraction of third mandibular molar teeth is dry socket (alveolar osteitis). Dry socket is the delayed healing of the wound of the alveolar bone after dental extractions. The purpose of this study was to determine if the intra-alveolar application of Clindamycin could reduce the incidence of dry socket following the extraction of third mandibular molar tooth. Patients who qualified for the prospective, randomized, double-masked, placebo-controlled trial were randomly divided into 2 groups, each group 30 patients. The first group (30 patients) included smokers and the second group (30 patients) included non smokers. Both groups had the mandibular third molar extracted in both sides at the same time. In total, 120 third molars were extracted. The left site was a study group in which we applied the clindamycin and the right site was a control group. The patients were also divided by gender. Dry socket occurred in 3.3% of cases for patients whom were given Clindamycin, regardless of their smoking habits, as opposed to 31.7% for those who did not receive the antibiotic. Results clearly showed that Clindamycin had a huge impact on reducing dry socket regardless of smoking habits.展开更多
目的比较三角瓣设计和封套瓣设计在缓解下颌第三磨牙拔除术后并发症方面的效果,为口腔颌面外科医生提供翻瓣选择的科学依据。方法通过检索CNKI、万方、PubMed、Embase、Web of Science、Cochrane和Springer数据库,筛选1984年1月至2022年...目的比较三角瓣设计和封套瓣设计在缓解下颌第三磨牙拔除术后并发症方面的效果,为口腔颌面外科医生提供翻瓣选择的科学依据。方法通过检索CNKI、万方、PubMed、Embase、Web of Science、Cochrane和Springer数据库,筛选1984年1月至2022年4月发表的随机对照试验和对照临床试验,分析三角瓣和封套瓣对下颌第三磨牙拔除术后面部肿胀、张口受限和干槽症等并发症的影响。结果Meta分析显示,三角瓣组术后第7天的面部肿胀程度显著大于封套瓣组(MD=-0.69,95%CI:-0.93~-0.45;P<0.00001),但2组术后第14天的面部肿胀程度比较差异无统计学意义(MD=-0.07,95%CI:-0.18~0.04;P=0.22)。亚组分析表明,在Pell and Gregory A/B分类中,封套瓣在改善张口受限方面效果优于三角瓣(MD=2.95,95%CI:0.11~5.79),但在其他分类亚组及总体分析中未观察到显著差异。在分侧随机对照试验中封套瓣干槽症发生的风险更高(RR=3.53,95%CI:1.67~7.48),而在随机对照试验中未见明显差异(RR=0.78,95%CI:0.43~1.43)。结论与三角瓣相比,封套瓣在缓解术后早期面部肿胀改善张口受限方面具有优势,但其干槽症发生风险较高。展开更多
目的:探讨康复新液联合甲硝唑在下颌阻生第三磨牙(impacted mandibular third molar,IMTM)拔除术后的临床疗效。方法:收集2022年1月—2023年5月在我院接受IMTM拔除术的100例患者,根据创面处理方案的不同将其分为3组:A组(填塞明胶海绵)34...目的:探讨康复新液联合甲硝唑在下颌阻生第三磨牙(impacted mandibular third molar,IMTM)拔除术后的临床疗效。方法:收集2022年1月—2023年5月在我院接受IMTM拔除术的100例患者,根据创面处理方案的不同将其分为3组:A组(填塞明胶海绵)34例;B组(康复新液+明胶海绵)30例;C组(康复新液+甲硝唑+明胶海绵)36例。收集患者临床资料,采用卡方检验对术后7 d牙槽窝肉芽覆盖完整率,干槽症及其他并发症发生率进行比较,采用Kruskal-Wallis检验比较术后24 h开口受限人数,采用单因素方差分析比较术后24 h视觉模拟评分法(visual analogue scale,VAS)评分、术后24 h面部肿胀程度、牙槽窝愈合时间、牙槽骨高度、骨密度灰度值、牙槽骨宽度、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)评分。结果:与A组比较,B组术后24 h VAS评分、面部肿胀程度、Ⅲ度开口受限人数、牙窝愈合时间和术后7 d牙槽窝肉芽覆盖完整率显著改善(P<0.05);C组在上述指标上均优于A组和B组(P<0.05)。B组干槽症及其他并发症发生率低于A组(P<0.05),而C组低于A组和B组(P<0.05)。术后3个月,3组牙槽骨高度均低于术前(P<0.05),但B组和C组均高于A组(P<0.05);骨密度灰度值均高于术前(P<0.05),其中B组高于A组,C组高于A组和B组(P<0.05)。术后7 d,3组GQOLI-74评分均高于术前(P<0.05),B组GQOLI-74评分高于A组,C组高于A组和B组(P<0.05)。结论:康复新液联合甲硝唑可有效促进IMTM拔除术后患者的恢复,预防干槽症等并发症的发生,对牙槽骨吸收也具有一定的改善作用。展开更多
文摘Aim & Objectives: The aim of this prospective pilot-study was to assess the efficacy of intra alveolar application of 1% chlorhexidine gel (CHX) on the reduction of dry socket (DS) occurrence following surgical extraction of mandibular third molars. Materials and Methods: A randomized split-mouth-design study included twenty-five patients with bilaterally impacted lower third molars (partial or full bone) requiring full thickness mucoperiastal flap reflection for extraction. Following surgical extraction of third lower molar, 2 ml of gel containing 1% chlorhexidine digluconate (Chlorhexamed? Gel 1%) were placed in the experimental side, and saline solution was used for irrigation in the control side of extraction sockets, both followed by suturing of extraction site. The surgeries and follow up examinations were performed by the same surgeon. The follow up visits were performed at 48 hours and on day seven, post surgery where presence or absence of dry socket using the Blum criteria for diagnosis was evaluated and pain intensity by Visual Analogue Scale (VAS) 0 - 100 was observed. Results: In this pilot study, dry socket was present in 4.0 and 28.0% of cases in the experimental and control groups, respectively (P = 0.048). Fisher’s test revealed a statistically significant reduction of dry socket occurrence following the use of 1% CHX gel versus saline solution. Conclusion: The application of CHX gel 1% may significantly reduce the incidence of DS following third molar extraction. Prophylactic use of CHX gel 1% may be suggested in all patients, especially in the patients at risk of development of DS.
文摘Aims & Objectives: This study was performed to evaluate the incidence, risk factors (age, sex, infection, radiographic difficulty of the extraction, tobacco use) contributing to the development of dry socket and clinical features following surgical removal of impacted mandibular third molar. Materials and Methods: The study included 63 patients during period of September 2009 to September 2011 in the age group of 18 to 53 years with impacted mandibular third molars all of which were surgically removed under local anesthesia by the same operator. Following surgery all patients received a single dose of 4 mg corticosteroid intravenously and similar prescriptions for analgesics, antibiotics and postoperative instructions. All patients were reviewed at 3rd and 7th day postoperatively. Results: In this study incidence of dry socket was 6.3%. We also noticed onset of symptom mostly appeared within 48 hours. Postoperatively pain, bare bone and halitosis were the most significant clinical feature at 3rd postoperative day and pain, empty socket and bare bone were most significant clinical feature at 7th postoperative day. Variables like right 3rd molar impaction, patients mean age between 19 - 32 years, female, preoperative infection, radiographically difficult impaction and habitual tobacco users showed a higher incidence of dry socket formation. Conclusion: Incidence of dry socket formation is multifactorial and therefore, there is need to evaluate all factors, with special attentions in handling these patients to reduce the incidence of dry socket formation.
文摘Extraction of third mandibular tooth is one of the most commonly performed surgical procedures in oral surgery. One of the most common complications following the extraction of third mandibular molar teeth is dry socket (alveolar osteitis). Dry socket is the delayed healing of the wound of the alveolar bone after dental extractions. The purpose of this study was to determine if the intra-alveolar application of Clindamycin could reduce the incidence of dry socket following the extraction of third mandibular molar tooth. Patients who qualified for the prospective, randomized, double-masked, placebo-controlled trial were randomly divided into 2 groups, each group 30 patients. The first group (30 patients) included smokers and the second group (30 patients) included non smokers. Both groups had the mandibular third molar extracted in both sides at the same time. In total, 120 third molars were extracted. The left site was a study group in which we applied the clindamycin and the right site was a control group. The patients were also divided by gender. Dry socket occurred in 3.3% of cases for patients whom were given Clindamycin, regardless of their smoking habits, as opposed to 31.7% for those who did not receive the antibiotic. Results clearly showed that Clindamycin had a huge impact on reducing dry socket regardless of smoking habits.
文摘目的比较三角瓣设计和封套瓣设计在缓解下颌第三磨牙拔除术后并发症方面的效果,为口腔颌面外科医生提供翻瓣选择的科学依据。方法通过检索CNKI、万方、PubMed、Embase、Web of Science、Cochrane和Springer数据库,筛选1984年1月至2022年4月发表的随机对照试验和对照临床试验,分析三角瓣和封套瓣对下颌第三磨牙拔除术后面部肿胀、张口受限和干槽症等并发症的影响。结果Meta分析显示,三角瓣组术后第7天的面部肿胀程度显著大于封套瓣组(MD=-0.69,95%CI:-0.93~-0.45;P<0.00001),但2组术后第14天的面部肿胀程度比较差异无统计学意义(MD=-0.07,95%CI:-0.18~0.04;P=0.22)。亚组分析表明,在Pell and Gregory A/B分类中,封套瓣在改善张口受限方面效果优于三角瓣(MD=2.95,95%CI:0.11~5.79),但在其他分类亚组及总体分析中未观察到显著差异。在分侧随机对照试验中封套瓣干槽症发生的风险更高(RR=3.53,95%CI:1.67~7.48),而在随机对照试验中未见明显差异(RR=0.78,95%CI:0.43~1.43)。结论与三角瓣相比,封套瓣在缓解术后早期面部肿胀改善张口受限方面具有优势,但其干槽症发生风险较高。
文摘目的:探讨康复新液联合甲硝唑在下颌阻生第三磨牙(impacted mandibular third molar,IMTM)拔除术后的临床疗效。方法:收集2022年1月—2023年5月在我院接受IMTM拔除术的100例患者,根据创面处理方案的不同将其分为3组:A组(填塞明胶海绵)34例;B组(康复新液+明胶海绵)30例;C组(康复新液+甲硝唑+明胶海绵)36例。收集患者临床资料,采用卡方检验对术后7 d牙槽窝肉芽覆盖完整率,干槽症及其他并发症发生率进行比较,采用Kruskal-Wallis检验比较术后24 h开口受限人数,采用单因素方差分析比较术后24 h视觉模拟评分法(visual analogue scale,VAS)评分、术后24 h面部肿胀程度、牙槽窝愈合时间、牙槽骨高度、骨密度灰度值、牙槽骨宽度、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)评分。结果:与A组比较,B组术后24 h VAS评分、面部肿胀程度、Ⅲ度开口受限人数、牙窝愈合时间和术后7 d牙槽窝肉芽覆盖完整率显著改善(P<0.05);C组在上述指标上均优于A组和B组(P<0.05)。B组干槽症及其他并发症发生率低于A组(P<0.05),而C组低于A组和B组(P<0.05)。术后3个月,3组牙槽骨高度均低于术前(P<0.05),但B组和C组均高于A组(P<0.05);骨密度灰度值均高于术前(P<0.05),其中B组高于A组,C组高于A组和B组(P<0.05)。术后7 d,3组GQOLI-74评分均高于术前(P<0.05),B组GQOLI-74评分高于A组,C组高于A组和B组(P<0.05)。结论:康复新液联合甲硝唑可有效促进IMTM拔除术后患者的恢复,预防干槽症等并发症的发生,对牙槽骨吸收也具有一定的改善作用。
