Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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J. Oral Maxillofac. Surg. · Feb 2012
Iatrogenic displacement of lower third molar roots into the sublingual space: report of 6 cases.
To describe the clinical characteristics of patients who have had sublingual displacement of a mandibular third molar root, to identify potential risk factors, and to provide the clinician with information on how to prevent and treat this complication. ⋯ Accidental displacement of a lower third molar root into the sublingual space is an uncommon complication. When the fragments are small, surgical removal of the displaced roots seems to be unnecessary, because patients usually remain symptom free. When surgery is needed, a considerable incidence of complications should be expected.
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J. Oral Maxillofac. Surg. · Feb 2012
Risk factors for neurosensory disturbance after bilateral sagittal split osteotomy based on position of mandibular canal and morphology of mandibular angle.
The aim of the present study was to evaluate the potential morphologic risk factors for postoperative neurosensory disturbance (NSD) after bilateral sagittal split osteotomy. ⋯ The frequency of NSD after bilateral sagittal split osteotomy in Class III cases was dependent not only on the position of mandibular canal, but also on the length of the mandibular angle. A lateral course of the mandibular canal and a long mandibular angle appeared to result in a high risk of injury to the inferior alveolar nerve, resulting in NSD owing to a compromised splitting procedure.
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J. Oral Maxillofac. Surg. · Jan 2012
An evaluation of patients' knowledge about perioperative information for third molar removal.
Third molar removal is usually accompanied by a high degree of patient anxiety. Lack of knowledge about the procedure is a major contributor to this anxiety. The aim of this study was to investigate the perioperative perceptions of patients who underwent extraction of third molars to assess their concerns during the surgical experience. ⋯ Patients with a history of tooth extraction and those without it presented different patterns of knowledge about third molar surgery. Both groups of patients needed detailed perioperative instructions about the procedure. These results may provide oral and maxillofacial surgeons with useful information about patients' knowledge throughout the surgical process.
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J. Oral Maxillofac. Surg. · Jan 2012
Review Meta Analysis Comparative StudyInferior or double joint spaces injection versus superior joint space injection for temporomandibular disorders: a systematic review and meta-analysis.
To compare the effect and safety of inferior or double temporomandibular joint spaces drug injection versus superior temporomandibular joint space injection in the treatment of temporomandibular disorders. ⋯ Inferior or double temporomandibular joint spaces drug injection technique shows better effect than superior space injection technique, and their safety is affirmative. However, more high-quality studies are still needed to test and verify the evidence.
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J. Oral Maxillofac. Surg. · Jan 2012
Randomized Controlled Trial Comparative StudyPre-emptive analgesic effectiveness of meloxicam versus tramadol after mandibular third molar surgery: a pilot study.
To compare the pre-emptive analgesic effectiveness of 15 mg of meloxicam and 50 mg of tramadol after mandibular third molar surgery. ⋯ The patients receiving 15 mg of preoperative meloxicam had less pain intensity and total analgesic consumption than those receiving 50 mg of preoperative tramadol.