Manuale illustrato di Chirurgia Orale

Nicali, Andrea

doi:10.1016/s0011-8524(14)70140-0

Cited by 2 publications

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“…Conversely, the exclusion criteria were: (1) participants who regularly used oral contraceptives or other medications, (2) individuals who had taken immunosuppressive or anti-inflammatory drugs within 3 months before the study, (3) pregnant or lactating individuals, (5) those with a documented history of excessive alcohol consumption, (7) participants who demonstrated an allergy to local anesthetics, (8) were regular smokers, and ( 9) reported an oral pain level higher than 0 on the Visual Analog Scale (VAS) before surgery.…”

Section: Methodsmentioning

confidence: 99%

“…T he surgical extraction of mandibular impacted third molars is a standard procedure in oral surgery. [1][2][3][4][5] Third molars might require removal due to several reasons, such as decay affecting the third molar or the distal aspect of the second molar, pericoronitis affecting partially erupted teeth, root resorption of the second molar, the presence of cysts; development of odontogenic tumors, requirements for orthodontic or prosthetic interventions, orthognathic surgical needs, facial discomfort, and headaches. [6][7][8][9][10][11] The commonly acknowledged age threshold for the extraction of third molars is around 24 years.…”

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confidence: 99%

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The Effects of a Cool Saline Solution Irrigation on Mandibular Third Molar Extraction Site: A Postoperative Split-Mouth Evaluation

Ronsivalle,

Cicciù,

Fiorillo

2024

Journal of Craniofacial Surgery

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Objective: This study aimed to evaluate the effects of sterile saline solution irrigation (lavage) performed after mandibular third molar extraction on postoperative complications, utilizing a split-mouth randomized clinical trial design. Methods: Seventeen healthy participants requiring bilateral mandibular third molar extraction were enrolled in this single-center study. In each participant, one impacted third molar was designated as the experimental group and subjected to saline lavage at 4 °C. In contrast, the control group was the other impacted third molar, undergoing saline lavage at 25 °C. Various parameters, including postoperative pain, mouth opening, and facial swelling, were assessed using standardized measures and three-dimensional facial scanning at multiple time points. Results: The average age of participants was 26.66 ± 4.1 years, with no postoperative complications observed in either group. The duration of surgery did not significantly differ between groups. Postoperative pain was significantly reduced in the experimental group during the immediate postoperative period compared with the control group, but this difference diminished over time. No significant differences were observed in mouth opening or facial swelling between groups at any time. Conclusion: In site 4 °C, sterile saline solution irrigation after mandibular third molar extraction may effectively reduce early postoperative complications, particularly pain, without prolonging surgical duration.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%

The Effects of a Cool Saline Solution Irrigation on Mandibular Third Molar Extraction Site: A Postoperative Split-Mouth Evaluation

Ronsivalle,

Cicciù,

Fiorillo

2024

Journal of Craniofacial Surgery

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“…-Neurotmesis: consisting of interruption of both the axons and the nerve sheaths. In this way, spontaneous regeneration is not possible and surgery is required (16)(17)(18). In 1951, Sunderland considered it appropriate to divide axonotmesis into two degrees of severity, based on the nerve's ability to recover full or partial function, and neurotmesis into two further levels, based on the continuity or discontinuity of the nerve, thus proposing a classification into five degrees of injury (19).…”

Section: Classification Of Nerve Injuriesmentioning

confidence: 99%

Management of lingual nerve injury: a case report

Tiriduzzi

2023

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and sublingual salivary glands, the latter follow the fibers of the lingual nerve to the taste buds. Once separated from the mandibular nerve, it runs between the internal pterygoid muscle and the medial wall of the mandibular ramus. At the retromolar trigone and molar (particularly the third) level, the nerve runs on the upper medial margin of the alveolar ridge and can be very superficial. The LN then runs into the oral floor and terminates in the lingual pelvis (1). Anatomical studies of the LN mainly focus on its course at the oral cavity floor and the retromolar trigone level, as it is most susceptible to injury during surgical procedures (2-6). In a cadaver dissection study, 669 LNs were analyzed. 14.05% were located above the lingual crest, 0.15% in the retro molar trigone and 85.80% in the typical position, i.e. at a vertical distance from the lingual crest of 3.01±0.42 mm and at a horizontal distance from the lingual plate of 2.06 ± 1.10 mm (7). In its typical position, the LN, in 23.27% of the cases, is directly in contact with the lingual plate of the alveolar process. However, when the LN is located in the retromolar area, it runs between the mandibular ramus and the medial pterygoid muscle, instead of proceeding in its normal course along the medial surface of the mandible and lying near the roots of the third molars. It heads towards the retromolar trigone, then it runs posterior to the third molar and, finally, it descends at an acute angle in the direction of the medial surface of the mandible, resuming its normal course (8). Aetiology of lingual nerve injuryThe most frequent cause of LN lesion is to be sought in the extraction surgery of the lower third molars: LN is, in fact, damaged during 0.6-2% of extractions of these tooth elements (9, 10). However, implant surgery, removal of calculi from the Warton's duct, treatment of ranula located in the postero-lateral portion of the mouth floor, removal of mandibular cysts, of impacted or supernumerary teeth, of benign lesions or demolition for malignant neoformations, orthognathic surgery, osteoradionecrosis, osteomyelitis and maxillofacial trauma may also be among the causes of LN injury (11,12). Performing truncular anaesthesia can also cause neurological injury. The incidence of temporary injuries of the LN following the performance of truncular anaesthesia ranges between 0.15% and 0.54%, while permanent ones range 0.01% approximately (13,14). The etiopathogenetic mechanism may be related to a needle injury, to the potential neurotoxicity of the anaesthetic agent and its ischaemic effect with possible subsequent degeneration of axons (15).

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Manuale illustrato di Chirurgia Orale

Cited by 2 publications

References 0 publications

The Effects of a Cool Saline Solution Irrigation on Mandibular Third Molar Extraction Site: A Postoperative Split-Mouth Evaluation

The Effects of a Cool Saline Solution Irrigation on Mandibular Third Molar Extraction Site: A Postoperative Split-Mouth Evaluation

Management of lingual nerve injury: a case report

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