Oral and Maxillofacial Surgery-Heidelberg最新文献_第9页

Clinical results of two different three-dimensional plate types for the treatment of mandibular angle fractures: a retrospective analysis. 两种不同三维钢板治疗下颌角骨折的临床效果：回顾性分析。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-06-26 DOI: 10.1007/s10006-024-01275-6

Jelena Pfister, Farah Nur Shazwani, Martin Müller, John-Patrik Burkhard

{"title":"Clinical results of two different three-dimensional plate types for the treatment of mandibular angle fractures: a retrospective analysis.","authors":"Jelena Pfister, Farah Nur Shazwani, Martin Müller, John-Patrik Burkhard","doi":"10.1007/s10006-024-01275-6","DOIUrl":"10.1007/s10006-024-01275-6","url":null,"abstract":"Objectives: The purpose of this study was to compare two different designs of three-dimensional osteosynthesis plates for their suitability in the treatment of mandibular angle fractures in terms of sufficient fracture healing and concomitant complications.Materials and methods: Retrospectively a total of 54 patients with 56 mandibular angle fractures were evaluated. Two different types of three-dimensional plates from the Medartis Trilock system were analyzed: (A) Square design plate (☐-plate) with a thickness of 1.0 mm, and (B) triangular-shaped 3D-plate (△-plate) with a thickness of 1.3 mm. Patient demographics, fracture mechanism and intraoperative details were recorded during an average follow-up period of 1 year.Results: The utilization of △-plates was observed to entail a considerably lengthier surgical time in contrast to ☐-plate systems (P = 0.037). The application of △-plate showed a tendency of higher incidence of major complications than ☐-plate (P = 0.06), as evidenced by the occurrence of non-union in 2 out of 22 cases, resulting in higher surgical revision rate for △-plate (P = 0.027).Conclusion: Sufficient treatment of mandibular angle fractures is feasible by using 1.0 mm thick, square shaped three-dimensional plate systems. The use of thicker three-dimensional osteosynthesis plates seems to significantly increase the operating time and complication rates, whereby the geometry of the plate seems to have an influence.Clinical relevance: The plate design could have an impact on treatment outcomes of mandibular angle fractures.Trial registration number: Not applicable.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":" ","pages":"1501-1507"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of the effect of dexamethasone, ketoprofen and cold compress on postoperative quality of life following impacted lower third molar surgery: a randomized clinical trial. 地塞米松、酮洛芬和冷敷对影响下第三磨牙手术后生活质量的影响比较：随机临床试验。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-06-27 DOI: 10.1007/s10006-024-01268-5

Ibrahim Kayode Suleiman, Olutayo James, Hector Oladapo Olasoji

{"title":"Comparison of the effect of dexamethasone, ketoprofen and cold compress on postoperative quality of life following impacted lower third molar surgery: a randomized clinical trial.","authors":"Ibrahim Kayode Suleiman, Olutayo James, Hector Oladapo Olasoji","doi":"10.1007/s10006-024-01268-5","DOIUrl":"10.1007/s10006-024-01268-5","url":null,"abstract":"Objectives: To evaluate and compare the effect of dexamethasone, ketoprofen and cold compress on the quality of life (QoL) following surgical removal of impacted lower third molars (ILTMs).Materials and methods: Eligible patients requiring ILTM extraction with a modified Pederson difficulty index score of 5-6 were recruited. The patients were randomly allocated into Groups A, B and C. Groups A and C received 100 mg of ketoprofen and 8 mg of dexamethasone per-oral respectively, preoperatively. Subjects in group B applied a pre-standardized ice pack over the angle of the mandible for 6 h postoperatively. The QoL questionnaire was administered on postoperative days 1, 2 and 7.Results: In total, seventy-eight subjects completed the study: 46 (59%) were male and had a mean age of 27.8 ± 4.9 years. The groups were similar sociodemographically. The overall QoL and appearance domain score were significantly better in patients on oral dexamethasone on postoperative day 1 than in the other groups.Conclusions: Oral dexamethasone demonstrates better improvement in postoperative QoL and appearance on day 1 following ILTM surgery compared to ice packs and ketoprofen. Although ice packs are readily available, can be used repeatedly and are a low-cost option, more research is necessary to determine their optimum therapeutic use in outpatient settings.Clinical relevance: Oral dexamethasone is superior to ice pack compress and ketoprofen in improving the postoperative QoL in ILTM surgery.Trial registry registration number: PACTR202005593102009 at Pan African Clinical Trial Registry.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":" ","pages":"1523-1528"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changing of nasal fracture patterns in maxillofacial trauma consultation-impact of the covid-19 pandemic. 颌面外伤会诊中鼻骨骨折模式的变化--covid-19大流行的影响。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.1007/s10006-024-01286-3

Florian Dudde, Wilken Bergmann, Thomas Telschow, Johannes Schunk, Oliver Schuck

{"title":"Changing of nasal fracture patterns in maxillofacial trauma consultation-impact of the covid-19 pandemic.","authors":"Florian Dudde, Wilken Bergmann, Thomas Telschow, Johannes Schunk, Oliver Schuck","doi":"10.1007/s10006-024-01286-3","DOIUrl":"10.1007/s10006-024-01286-3","url":null,"abstract":"Background: In 2020, the coronavirus SARS-CoV-2 led to a pandemic that had a major impact on the global health care systems. The aim of this study was to analyze the impact of the Covid-19 pandemic on nasal bone (NB) fracture patterns/distributions and circumstances in a German cranio-maxillofacial trauma center.Materials and methods: This retrospective study compared the nasal fracture patterns of patients in the PreCovid (PC) era (February 2019 - January 2020) with patients in the IntraCovid (IC) era (February 2020 - January 2021). In addition to baseline characteristics, the type of NB fractures, the circumstances leading to NB fracture and hospital admissions/treatments were analyzed.Results: The present study showed a significant decrease in the total number of NB fractures during the Covid-19 pandemic. In the IC period, a significant increase in falls and virus-/flu associated syncopes leading to NB fractures was detected. At the same time, a significant decrease in sports accidents, road traffic accidents and interpersonal violence leading to NB fractures was observed in the IC period. Under the influence of the Covid-19 pandemic, a significant increase in accidents at home, accidents during the weekdays and closed reductions under local anesthesia was detected when being compared to the PC period. The daytime of trauma leading to NB fractures also changed significantly from night-time (PC) to morning-time (IC).Conclusion: The Covid-19 pandemic had a significant impact on the NB fracture circumstances and treatment modalities. Therefore, the results of this study can serve as a baseline for further studies of the impact of the Covid-19 pandemic on NB fracture patterns among different countries.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":" ","pages":"1571-1578"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures. 口腔外科或牙科手术后外周引起的口颌系统运动障碍。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-08-01 DOI: 10.1007/s10006-024-01285-4

Kazuya Yoshida

{"title":"Peripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures.","authors":"Kazuya Yoshida","doi":"10.1007/s10006-024-01285-4","DOIUrl":"10.1007/s10006-024-01285-4","url":null,"abstract":"Objectives: Peripherally induced movement disorders (PIMD) are hyperkinetic movement disorders that can occur after injury to a part of the body. This study aimed to identify PIMD in the stomatognathic system following dental or oral surgical procedures.Materials and methods: A total of 229 patients with PIMD (144 women and 85 men; mean age: 53.4 years) triggered by oral surgical or dental interventions were evaluated retrospectively.Results: The average latency between the procedures and onset of PIMD was 14.3 days. Oral surgery (40.2%), including tooth extraction, trauma treatment, and other surgical procedures, was the most frequent trigger of PIMD. This was followed by general dental treatment, including periodontal, endodontic, and restorative procedures (36.7%), prosthetic treatment (19.7%), and orthodontic treatment (3.5%). PIMD consisted of oromandibular dystonia (73.8%), functional (psychogenic) movement disorders (11.4%), orolingual dyskinesia (7.9%), and hemimasticatory spasms (5.7%).Conclusions: These results suggest that even minor alterations in normal anatomy or physiology after dental procedures may result in PIMD in predisposing patients.Clinical relevance: Dental professionals should be aware that although infrequently, PIMD can develop after various dental treatments. If such symptoms precipitate, the attending physician should properly explain them to the patient and provide appropriate treatment or consultation with a movement disorder specialist.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":" ","pages":"1579-1586"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of tranexamic acid on intra- and postoperative bleeding in Bimaxillary osteotomies: a retrospective study. 氨甲环酸对双颌截骨术术中和术后出血的影响：一项回顾性研究。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-09-03 DOI: 10.1007/s10006-024-01288-1

Ayako Mizutani, Takuro Sanuki, Kanta Kido

{"title":"Effectiveness of tranexamic acid on intra- and postoperative bleeding in Bimaxillary osteotomies: a retrospective study.","authors":"Ayako Mizutani, Takuro Sanuki, Kanta Kido","doi":"10.1007/s10006-024-01288-1","DOIUrl":"10.1007/s10006-024-01288-1","url":null,"abstract":"Purpose: Perioperative bleeding is a serious concern during orthognathic surgery. Tranexamic acid (TXA), a synthetic lysine analog with antifibrinolytic properties, reduces blood loss across various surgical fields. This study aimed to investigate the effectiveness of preoperative TXA administration in reducing intraoperative and postoperative blood loss following combined Le Fort I and sagittal split ramus osteotomies at our hospital.Methods: This single-center, retrospective cohort study included patients who underwent combined Le Fort I and sagittal split ramus osteotomies between November 2017 and October 2022. The primary outcome was the volume of intraoperative blood loss.Results: Among 1,329 eligible patients, 87 were included in the analysis (32 in the TXA group and 55 in the control group, where no TXA was administered). The median (interquartile range) intraoperative blood loss was 200.0 (157.5-237.5) mL in the TXA group and 260.0 (180.0-350.0) mL in the control group, showing a significant difference between the groups (p = 0.0365). However, postoperative blood drainage within 24 h and 24-48 h did not differ significantly between the two groups.Conclusion: A single intravenous administration of TXA was associated with a decrease in intraoperative bleeding without severe adverse events during combined Le Fort I and sagittal split ramus osteotomies. However, postoperative blood loss, nausea, vomiting, and autologous blood transfusion were not significantly associated with this administration.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":" ","pages":"1617-1622"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application and evaluation of carbonate apatite granules for mandibular bone defect reconstruction after jawbone cyst enucleation-a retrospective case series. 碳酸盐磷灰石颗粒在颌骨囊肿去核术后下颌骨缺损重建中的应用和评估--回顾性病例系列。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-11-22 DOI: 10.1007/s10006-024-01306-2

Naoyuki Fukuda, Natsumi Takamaru, Kazuya Akita, Keiko Kudoh, Kunio Ishikawa, Youji Miyamoto

{"title":"Application and evaluation of carbonate apatite granules for mandibular bone defect reconstruction after jawbone cyst enucleation-a retrospective case series.","authors":"Naoyuki Fukuda, Natsumi Takamaru, Kazuya Akita, Keiko Kudoh, Kunio Ishikawa, Youji Miyamoto","doi":"10.1007/s10006-024-01306-2","DOIUrl":"https://doi.org/10.1007/s10006-024-01306-2","url":null,"abstract":"Purpose: To evaluate the effectiveness of CO3Ap granules in the mandibular bone defects by using computed tomography (CT) images.Methods: This study was retrospective case series of mandibular bone defect reconstruction using CO3Ap granules. Six patients with jawbone cysts treated by simultaneous grafting CO3Ap granules after cyst enucleation were enrolled. Patients without grafting CO3Ap granules were excluded. Mandibular bone height including buccolingual bone height, the change of perpendicular distance between the buccolingual line to the alveolar ridge, and the three-dimensional volume of remaining CO3Ap granules were analyzed using CT images obtained at 3, 6, 12, 18, and 24 months postoperatively.Results: Postoperative CT images showed that cortical and cancellous bone-like structures were formed on the grafting area periphery and inside the defect, respectively, with gradual resorption of the CO3Ap granules. Furthermore, there was no evidence of leaving bone defect even at the center of the lesion when the defect was successfully reconstructed by filling it with CO3Ap granules. The percentage volume of remaining CO3Ap granules to the volume at 3 months postoperatively were 76.1 ± 13.1%, 35.8 ± 22.5%, 25.0 ± 13.0%, and 9.9 ± 6.4% at 6, 12, 18, and 24 months postoperatively, and the volume reduction rate increased significantly within 12 months postoperatively.Conclusion: Grafting CO3Ap granules after the enucleation of a jawbone cyst is a good reconstructive treatment option for postoperative prosthetic treatment because CO3Ap granules are gradually replaced by new bone while preserving the contour of the mandibular bone.Clinical trial number: Not applicable.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"14"},"PeriodicalIF":1.7,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Congenital teratoma of the oral cavity - the largest personal series of cases. 口腔先天性畸胎瘤--最大的个人病例系列。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-11-22 DOI: 10.1007/s10006-024-01307-1

Renato da Silva Freitas, Bruna Ferreira Bernert, Isis Juliane Guarezi Nasser, Fabiola Grigoletto Lupion, Eduardo Angeli-Freitas, Cesar Vinícius Grande

{"title":"Congenital teratoma of the oral cavity - the largest personal series of cases.","authors":"Renato da Silva Freitas, Bruna Ferreira Bernert, Isis Juliane Guarezi Nasser, Fabiola Grigoletto Lupion, Eduardo Angeli-Freitas, Cesar Vinícius Grande","doi":"10.1007/s10006-024-01307-1","DOIUrl":"10.1007/s10006-024-01307-1","url":null,"abstract":"Purpose: The objective of this study is to present the largest personal series of oral teratomas already published in English literature and discuss the diagnosis, neonatal management, and surgical treatment of this disorder.Method: The study included patients treated by the senior author (RSF) between 2004 and 2023. Data were collected regarding prenatal evaluation, perinatal approach, surgical management, evolution, and treatment of secondary deformities. In addition, we performed a literature review on the topic.Results: Twelve patients with oral teratoma were included in this study. Seven cases did not have been submitted to any previous treatment, and five cases had already undergone some treatment in another institution. Four cases were diagnosed as epignathus (33.3%), two as true teratomas (16.6%), four as teratoid teratomas (33.3%), one as dermoid teratoma (8.3%) and one as fetus in fetus (8.3%). All patients, except for one, had the tumor surgically removed with good evolution. There was one case of recurrence, successfully operated. The most frequently associated comorbidity was 0-14 fissure, present in 66% of the cases.Conclusion: The experience of our twelve cases indicates that prenatal diagnosis, associated with good multidisciplinary planning of the delivery care, and complete resection of the masses reveal high success rates in the treatment of this pathology.Clinical trial number: This study was performed in line with the principles of the declaration of Helsinki. Approval was granted by the Ethics Committee of Federal University of Paraná - 47102421.2.0000.5225.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"13"},"PeriodicalIF":1.7,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between condylar surface computed tomography values in the coronal plane and temporomandibular joint disc position in jaw deformity patients: a retrospective study. 下颌畸形患者髁突表面冠状面计算机断层扫描值与颞下颌关节盘位置之间的关联：一项回顾性研究。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-11-20 DOI: 10.1007/s10006-024-01308-0

Koichiro Ueki, Karen Gomi Dds, Takahiro Takekawa Dds, Akinori Moroi, Kunio Yoshizawa

{"title":"Association between condylar surface computed tomography values in the coronal plane and temporomandibular joint disc position in jaw deformity patients: a retrospective study.","authors":"Koichiro Ueki, Karen Gomi Dds, Takahiro Takekawa Dds, Akinori Moroi, Kunio Yoshizawa","doi":"10.1007/s10006-024-01308-0","DOIUrl":"10.1007/s10006-024-01308-0","url":null,"abstract":"Objectives: This study aimed to examine the relationship between computed tomography (CT) values of the condylar surface in the coronal plane, condylar morphology and the disc positions in the temporomandibular joint (TMJs) in patients with deformities before and after orthognathic surgery. MATERIALS AND METHODS: The maximum CT values (pixel values) on the condylar surface, condylar thickness, condylar width, condylar angle, condylar height, and joint space were measured. TMJ disc position was classified into five types (anterior type, fully covered type, posterior type, anterior disc displacement with [AW] and without reduction [AWO]), using magnetic resonance imaging (MRI), before and 1 year after surgery. Statistical analysis was performed to assess differences between groups and between the pre- and postoperative values. RESULTS: We enrolled 142 TMJs from 71 female patients diagnosed with jaw deformities. Disc position classification did not change after surgery in all TMJ. Significant differences were observed between anterior displacement (AW and AWO) and other types (fully covered type and posterior type) in the lateral CT value and condylar angle before and 1 year after surgery (P < 0.05). CONCLUSIONS: This study demonstrated a strong relationship between condylar surface CT values in the coronal plane and condylar angle with TMJ disc position classification.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"12"},"PeriodicalIF":1.7,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Follow-up by telephone questionnaire in outpatient oral and maxillofacial surgery. 通过电话问卷对口腔颌面外科门诊病人进行随访。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-11-19 DOI: 10.1007/s10006-024-01305-3

Frizzi Bschorer, Reinhard Bschorer

{"title":"Follow-up by telephone questionnaire in outpatient oral and maxillofacial surgery.","authors":"Frizzi Bschorer, Reinhard Bschorer","doi":"10.1007/s10006-024-01305-3","DOIUrl":"10.1007/s10006-024-01305-3","url":null,"abstract":"Purpose: The SARS-CoV2 pandemic introduced a new problem in postoperative outpatient care: If I set a follow-up appointment at the clinic, will I endanger my patient? This study presents a different way to identify problems in the postoperative setting after outpatient procedures in our field- the telephone interview.Methods: A study nurse conducted the telephone interview using a structured questionnaire within one week of minor outpatient oral and maxillofacial surgery. She asked about pain, swelling, numbness, and mouth opening limitations. Certain red flag answers (numbness, increasing pain, increasing swelling, pain keeping patient from sleeping, pain on swallowing) caused her to book an appointment for the patient in our clinic within the following 24 hours.Results: 52 Patients completed the telephone questionnaire. Of those 3 (5.7%) had red flag answers that resulted in an appointment at the hospital within 24 hours. 2 (3.8%) of them were due to numbness. 24 (46.2%) patients reported no pain. On the numerical rating scale from 0 (no pain) to 10 (worst pain), the average reported pain was 2.24 (SE 0.30). Swelling was reported by 39 (75%) patients. 22 (42.3%) reported the swelling to be mild, 10 (19.2%) moderate, and 7 (13.5%) to be severe. 13 (25%) patients reported a limitation to mouth opening. None reported the interincisal distance to be smaller than one finger.Conclusion: A structured telephone questionnaire can be a useful tool to discern postoperative complications and initiate necessary treatment. At the same time, it minimizes overtreatment. It can be used as a standard tool in the ambulatory treatment. It can be delegated to a secretary or ambulatory nurse with a standardized questionnaire to optimize resource use for selected patients. Moreover, patients describe it as a service to be called at home and they avoid unnecessary travel.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"11"},"PeriodicalIF":1.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A prospective split-mouth clinical study: comparison of the effect of lornoxicam and etodolac on postoperative sequels following lower third molar surgery. 前瞻性分口临床研究：比较洛诺昔康和依托度酸对下第三磨牙手术后遗症的影响。

IF 1.7

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-11-15 DOI: 10.1007/s10006-024-01309-z

Zulfikar Karabiyik, Mohammad Nabi Basiry

{"title":"A prospective split-mouth clinical study: comparison of the effect of lornoxicam and etodolac on postoperative sequels following lower third molar surgery.","authors":"Zulfikar Karabiyik, Mohammad Nabi Basiry","doi":"10.1007/s10006-024-01309-z","DOIUrl":"10.1007/s10006-024-01309-z","url":null,"abstract":"Purpose: This study aims to compare the efficacy of two non-steroidal anti-inflammatory agents (NSAIDs), namely lornoxicam and etodolac for controlling pain, edema and trismus after removal of lower impacted third molars.Materials and methods: A total of 20 patients comprised of both genders with bilateral impacted lower impacted third molars (in similar positions) was included in the present study. Patients were randomly assigned either to the lornoxicam group (8 mg of lornoxicam) or to the etodolac group (400 mg of etodolac). The drugs prescribed were handed out immediately after tooth extraction. Postoperative pain was assessed using visual analog scale (VAS). Edema was evaluated using reference lines on the face. Trismus was assessed using a caliper at maximum mouth opening (mm).Results: There was no significant difference in postoperative pain, trismus, and edema between lornoxicam and etodolac group (p > 0.05).Conclusions: Based on the results obtained in the present study, ıt has been verified that both lornoxicam and etodolac were adequately effective in the management of pain following third molar surgery. Lornoxicam and etodolac had similar impacts on pain, edema and trismus after impacted lower third molar surgical extractions.","PeriodicalId":47251,"journal":{"name":"Oral and Maxillofacial Surgery-Heidelberg","volume":"29 1","pages":"10"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0