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Register a new userA Comparative Study Of The Effect Of secondary closure and Rubber Drain On The Edema Following the Extraction of Impacted Lower Third Molars
دراسة مقارنة لتأثير الاغلاق الثانوي و المفجر المطاطي على الوذمة التالية لقلع الأرحاء الثالثة السفلية المنطمرة
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الهدف من هذه الدراسة هو إجراء مقارنة بين تأثير استخدام المفجر المطاطي و الإغلاق الثانوي و ذلك بعد قمع الأرحاء الثالثة السفلية المنطمرة على مستوى الوذمة و الألم و الضزز. تضمنت الدراسة السريرية 40 رحى ثالثة سفلية منطمرة متناظرة عند 20 مريض تتراوح أعمارهم بين 18 - 45 سنة, تم تقسيمهم إلى مجموعتين: المجموعة الأولى: و تضم 20 رحى تم إزالة قطعة مثلثية بعرض 4 - 5 ملم من الشريحة خلف الرحى الثانية. المجموعة الثانية: و تضم 20 رحى تم وضع مفجر المطاطي من الناحية الدهليزية و الخياطة ثم أُزيل المفجر بعد 3 أيام. تم تقييم الوذمة و الألم و الضزز في اليوم الأول و الثالث و السابع بعد العمل الجراحي. أظهرت النتائج أن هناك فرق جوهري بين تأثير الإغلاق الثانوي و المفجر المطاطي على الوذمة و الضزز و الألم بعد القلع الجراحي للأرحاء الثالثة السفلية المنطمرة. إذ كانت الوذمة و الضزز و الألم أقل في مجموعة الإغلاق الثانوي.
The objective of this study was to Compare between The Effect Of secondary closure and Rubber Drain post surgical Extraction to Impacted Lower Third Molars On edema, pain, and trismus level. Clinical trial included symmetric bilateral 40 lower third molar in 20 patients whose ages between18-45 years. The sample was randomly divided into two groups: Group 1: included 20 molars ,a 4–5 mm wedge of mucosa adjacent to the second molar was removed to obtain secondary healing. Group 2: included 20 molars ,a rubber drain was inserted into the extraction socket near the buccal fold after surgery and left for 72h. Edema, pain and trismus were measured On first , third and seventh day following surgery. The findings showed a significant difference between the effect of secondary closure and rubber drain on the Edema, pain and trismus after surgical Extraction of Impacted Lower Third Molars. The Edema, pain and trismus were less in secondary closure group.
References used
Battista G, Maiorana C et al, 2007- Assessing postoperative discomfort afterthird molar surgery: A prospective study. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons,65:901
Daniel NG. Blondeau F, 2007- Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Canad Dent Assoc,73:325–9
Osunde OD et al, 2011- Management of inflammatory complications in third molar surgery: A review of the literature. African Health Sciences,11(3):530-537
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The aim of this study was to evaluate the efficacy of
dexamethasone, as a single 4-mg dose, which was injected into the
masseter muscle upon completion of extraction of impacted lower
third molars . this study is A prospective, randomized controll
ed
study .
This study involves 40 healthy patients of both sexes with impacted
mandibular third molars in this study . The difficulty of extraction
was similar in all cases. The test side received 4 mg of dexamethasone This dose was injected into the masseter muscle via
the intrabuccal approach, immediately after suturing of the surgical
wound. The control side received 4 mg of dexamethasone injected
into the gluteal area.
This clinical study included 30 cases of impacted lower third molars, which were
surgically extracted at the oral surgery department at Tishreen University in Lattakia. The
ages of patients were between 20 - 30 years. The aim of this study was to e
valuate the
effect of alveolar rinse with Tetracycline and Articaine mixture on pain, edema, and
trismus after surgical extraction of impacted lower third molars.
The sample was divided into two groups:
- First Group (Study Group): /16/ impacted lower third molars were surgically
extracted. The alveolar socket was rinsed with Tetracycline and Articaine mixture
immediately after removal of the impacted molar.
- Second Group (Control Group): /14/ impacted lower third molars were surgically
extracted. The alveolar socket was rinsed with Saline immediately after removal of the
impacted molar.
The study showed that alveolar rinse with Tetracycline and Articaine mixture had a
significant effect on pain, edema, and trismus after surgical extraction of lower third
molars in comparison with Saline alveolar rinse (P<0.05).
Aim of study:
This clinical study evaluated the efficacy of Propolis (gel 50%) to
enhance the wounds healing after tooth extraction according of healing index.
the aim of this study is to studying the analgesic
efficacy and anti-inflammation effect of ketamine for decreasing
postoperative complications after impacted mandibular third molar
extraction.
The aim of this study was to compare the pain and the time
consumed during surgical extraction of the impacted lower
third molars using Er:YAG laser and surgical burs. The study
included 40 impacted molar existed in 20 patients (11male +
9 female
) who had two symmetric impacted lower molars. The
time consumed during the extraction was measured and the
pain was observed during one, three and seven days after the
surgical operation. After that the data were statistically
studied. As a result of this study, the mean of the time
consumed in bone removal was (9.5) minutes using surgical
burs and (15.7) minutes using Er:YAG laser. So there was
significant difference between the two methods. There was no
significant difference in pain between the two methods during
the three observation periods. Based on the results of this
study, the use of Er:YAG laser as an alternative method to
the surgical burs is possible but it consumes a lot of time
during bone removal.
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