أجريت هذه الدراسة السريرية في قسم جراحة الفم و الفكين في جامعة تشرين في اللاذقية. شملت الدراسة عينة عشوائية مكونة من (30) حالة قلع جراحي لأرحاء ثالثة سفلية منطمرة. تراوحت أعمار مرضى البحث بين 20 - 30 سنة. هدفت هذه الدراسة إلى تقييم تأثير غسل السنخ بخليط التيتراسيكلين و الأرتيكائين على الألم، الوذمة و الضزز التالي للقلع الجراحي للرحى الثالثة السفلية المنطمرة.
قسمت العينة إلى مجموعتين:
- المجموعة الأولى (مجموعة الدراسة): /16/ رحى ثالثة سفلية منطمرة تم قلعها جراحياً. تم غسل السنخ بخليط التيتراسيكلين و الأرتيكائين مباشرةً بعد إخراج الرحى المنطمرة من السنخ.
- المجموعة الثانية (المجموعة الشاهدة): /14/ رحى ثالثة سفلية منطمرة تم قلعها جراحياً. تم غسل السنخ بالمصل الفيزيولوجي (السالين) مباشرةً بعد إخراج الرحى المنطمرة من السنخ.
أظهرت النتائج أن غسل السنخ باستخدام خليط التيتراسيكلين و الأرتيكائين مباشرةً بعد القلع الجراحي للأرحاء الثالثة السفلية المنطمرة كان له تأثير إيجابي واضح في السيطرة على الألم و الوذمة و الضزز في الفترة التالية للقلع الجراحي مقارنةً مع غسل السنخ بمحلول السالين (P<0.05).
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 evaluate 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).
References used
AL-DELAYME, R. M. Factors associated with facial swelling severity following impacted lower third molar surgery: A prospective study. J Bagh College Dentistry Vol. 25(1), 2013, 122-128
FRAGISKOS F.D. Oral Surgery, 1st ed., Springer, Germany, 2007, pp: 64,122- 125, 196
BUI, C. H.; SELDIN, E. B.; DODSON, T. B. Types, Frequencies, and Risk Factors for Complications After Third Molar Extraction. J Oral Maxillofac Surg, 2003, 61:1379-1389
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 thi
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
This study was aimed to evaluate the effect of the use of Platelet-
Rich Fibrin on immediat complication following impacted
mandibular third molar surgery. forty extractions of bilateral
impacted mandibular third molars were performed in 20 volunt
to compare the anesthetic efficacy of 4% Articaine
HCL with 2% Lidocaine HCL, both with epinephrine 1:100,000, in
truncal block of the inferior alveolar nerve during the surgical
extraction of impacted lower third molars.
The purpose of this study was to assess the results of pulp vitality after
immature upper third molar autotransplantation by using electric pulp testing
(EPT).