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The effect of topical ketamine on symptoms and complications after surgical removal of impacted lower third molars (clinical study)

تأثير تطبيق الكيتامين موضعياً على الأعراض و الاختلاطات بعد الإزالة الجراحية للأرحاء الثالثة المنطمرة السفلية (دراسة سريرية)

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 Publication date 2018
  fields Dentistry
and research's language is العربية
 Created by Shamra Editor




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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.

References used
Al-Belasy Fouad A, (2004)- The relationship of ‘‘shisha” (water pipe) smoking to postextraction dry socket. J Oral Maxillofac Surg, 62(1):10–4
Aravena P, Cartes-Velasquez R, (2011)- Signs and symptoms of postoperative complications in third-molar surgery. Int J Oral Maxillofac Surg, 40(10):1140
Ata-Ali J, Ata-Ali F, Peñarrocha-Oltra D, Peñarrocha M, (2011)- Corticosteroids use in controlling pain, swelling and trismus after lower third molar surgery. J Clin Exp Dent, 3(5):e469-75
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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.
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 rd 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.

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