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Third Molar Extractions (third + molar_extraction)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Efficacy and tolerability of diclofenac potassium sachets in acute postoperative dental pain: a placebo-controlled, randomised, comparative study vs. diclofenac potassium tablets

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 3 2006
C. M. Hofele
Summary This double-blind, randomised, parallel-group trial compared the analgesic efficacy of single 50 mg doses of diclofenac potassium sachets and tablets with placebo in 184 patients with moderate/severe pain after third molar extraction. The primary efficacy variable was the average pain reduction from baseline during the first 2-h postdose, using a visual analogue scale (VAS). During the first 2-h postdose, sachets and tablets significantly reduced pain (p < 0.05) vs. placebo with an incremental benefit seen for sachets over tablets (p < 0.05). Onset of analgesic effect (VAS) was at 30 min for sachets and 45 min for tablets. Pain reduction vs. placebo (VAS) was maintained for 8 h for sachets and tablets (p < 0.05). VAS-findings were confirmed by pain relief and intensity verbal scale assessments. Fewer patients remedicated vs. placebo. No safety issues were identified. This study demonstrates that both diclofenac potassium sachets and tablets offer patients suffering from acute pain conditions an effective treatment with incremental analgesic benefits seen for sachets. [source]

Temporomandibular joint disorders in patients referred for third molar extraction

AUSTRALIAN DENTAL JOURNAL, Issue 4 2009
AF DeAngelis
Abstract Background:, Third molar removal has been implicated as a precipitating event for temporomandibular joint disorders. The aim of this study was to determine what proportion of patients had pre-existing pain and dysfunction that could be attributed to the temporomandibular joints. Methods:, Sixty patients referred for third molar removal were clinically examined and a history of their presenting complaint recorded at the initial consultation visit. Patients were then diagnosed and categorized. Results:, Of the total number of patients examined, 13.3 per cent showed signs and symptoms of temporomandibular joint pain and dysfunction while a further 23.3 per cent also had symptomatic third molar teeth. Conclusions:, The results of this study suggest that the signs of temporomandibular joint disorders are common in patients referred for third molar extractions. [source]

The wisdom behind third molar extractions

AUSTRALIAN DENTAL JOURNAL, Issue 4 2009
S Kandasamy
Abstract The literature pertaining to the extraction of third molars is extensive. There is a large individual variation and a multitude of practitioners' beliefs and biases relating to the extraction of especially asymptomatic and pathology free third molars. With the current emphasis in dentistry being placed on clinicians to make evidence-based decisions, the routine removal of third molars has been re-assessed and questioned. The purpose of this paper was to evaluate past and present knowledge of third molar extractions and relate it to logical considerations relevant to science and the evidence-based decision-making process. This paper endeavours to encourage and stimulate clinicians to re-evaluate their views on third molar extractions based on suggested guidelines and current evidence. [source]