ObjectivesPostoperative pain is a common phenomenon after surgical extraction of lower third molars (LTM), and its successful control is an essential part of routine oral surgery. The aims of the study were twofold: (1) to evaluate the postoperative analgesic efficacy, comparing long-acting and intermediate-acting local anesthetics; and (2) to compare the use of low-power laser irradiation and the nonsteroid anti-inflammatory drug diclofenac, which are claimed to be among the most successful aids in postoperative pain control. Show
Study designA twofold study of 102 patients of both sexes undergoing surgical extraction of LTM was conducted. In the first part of the study, 12 patients with bilaterally impacted LTMs were treated in a double-blind crossover fashion; local anesthesia was achieved with 0.5% bupivacaine plain or 2% lidocaine with 1:80.000 epinephrine. In the second part of the study, 90 patients undergoing LTM surgical extraction with local anesthesia received postoperative low-power laser irradiation (30 patients) and a preoperative single dose of 100 mg diclofenac (30 patients), or only regular postoperative recommendations (30 patients). ResultsThe results of the first part of the study showed a strikingly better postoperative analgesic effect of bupivacaine than lidocaine/epinephrine (11 out of 12; 4 out of 12, respectively, patients without postoperative pain). In the second part of the study, low-power laser irradiation significantly reduced postoperative pain intensity in patients premedicated with diclofenac, compared with the controls. ConclusionProvided that basic principles of surgical practice have been achieved, the use of long-acting local anesthetics and low-power laser irradiation enables the best postoperative analgesic effect and the most comfortable postoperative course after surgical extraction of LTMs. To read this article in full you will need to make a payment References
Article InfoPublication HistoryPublished online: August 12, 2006 Accepted: February 22, 2006 Received in revised form: February 3, 2006 Received: November 2, 2005 IdentificationDOI: https://doi.org/10.1016/j.tripleo.2006.02.024 Copyright© 2006 Mosby, Inc. Published by Elsevier Inc. All rights reserved. ScienceDirectAccess this article on ScienceDirectRelated ArticlesWhat is the term given to an incompletely erupted tooth whose crown is partially or fully covered by gingiva?Pericoronitis is inflammation of the soft tissues surrounding the crown of a partially erupted tooth, including the gingiva (gums) and the dental follicle. The soft tissue covering a partially erupted tooth is known as an operculum, an area which can be difficult to access with normal oral hygiene methods.
What is the term given to an incompletely erupted tooth?Partially erupted teeth can cause pain and misalignment.
Pericoronitis is the medical term describing partially erupted teeth. Sometimes, permanent teeth do not come in or only partially come in, especially if they do not have enough room between teeth or in the jaws to erupt to their proper place.
Which of the following best describes the reason sutures are placed after a surgical extraction?Sutures are placed in the area of surgery to minimize post-operative bleeding and to help healing.
Which of the following instruments is used to clip bone?A hinged instrument used to trim and shape the alveolar bone after extraction is a: Rongeur.
|
Long-acting anesthetics are often used when a surgical extraction is performed.
zusammenhängende Posts
Urheberrechte © © 2024 nguoilontuoi Inc.
