Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction
Shadia Abdel-Hameed Elsayed,
Eman Seada,
Nahed Adly,
Fatma Ahmed Khalifa
Issue:
Volume 1, Issue 2, August 2015
Pages:
11-16
Received:
7 July 2015
Accepted:
17 July 2015
Published:
18 July 2015
DOI:
10.11648/j.ijcoms.20150102.11
Downloads:
Views:
Abstract: Objectives: This study was conducted to evaluate the effect of piezosurgery device as a recent modality for bone removal of impacted lower eight in comparison to high speed hand piece regarding its effect on postoperative pain, trismus and oedema. Materials and methods: Fifty patients presenting with impacted mandibular third molars were selected from the out-patient clinic of the Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Al Azhar University girls’ branch. All patients were followed up clinically at 1, 3, 5, 7, 15 days postoperatively. Histological examination of bone after ostectomy was performed. Results: The caliper measurements of oedema of group I (high speed) at day 1, 3 showed statistically significant higher mean measurements than group II (piezosurgery group). piezosurgery group showed statistically significant higher mean IID compared to high speed group at days 1, 3, 5. High speed group showed statistically significant higher mean VAS score than piezosurgery group at days 1, 3, 5, 7. High speed group showed statistically significant higher mean number of consumed analgesic tablets than piezosurgery group at days 1, 3, 5. Regarding histopathological examination, bone samples of piezosurgery were made up of well organized and well vascularized bone with lamellar architecture surrounding the haversian channels and with a linear and well formed osteotomy lines, while the bone samples from high speed group were badly cut with irregular osteotomy lines and with evidence of bone heat osteonecrosis. Conclusions: The results of this study suggest that piezosurgery should be a suitable modality of osteotomy during surgical removal of impacted lower third molar with less postoperative complications than the conventional method.
Abstract: Objectives: This study was conducted to evaluate the effect of piezosurgery device as a recent modality for bone removal of impacted lower eight in comparison to high speed hand piece regarding its effect on postoperative pain, trismus and oedema. Materials and methods: Fifty patients presenting with impacted mandibular third molars were selected f...
Show More
Clinical Assessment of Using Local Anesthetic Articaine 4% with 1:100,000 Epinephrine for Inferior Alveolar Nerve Block Comparing It with Lidocaine 2% with 1:100,000 Epinephrine
Mohamed Hossam Moselhy,
Eman A. El-Sharrawy,
Abdel Badia Abdallah Abdel Mabood
Issue:
Volume 1, Issue 2, August 2015
Pages:
17-19
Received:
11 July 2015
Accepted:
24 July 2015
Published:
28 July 2015
DOI:
10.11648/j.ijcoms.20150102.12
Downloads:
Views:
Abstract: Objectives: This study was carried out to study the efficacy and the anesthetic characters of using Articaine 4 % with 1:100,000 Epinephrine as a local anesthetic drug in surgical practice through inferior alveolar nerve block and comparing it with Lidocaine 2% with 1:100,000 Epinephrine. Materials and methods: Thirty patients in two groups, fifteen patients each, undergo extraction of impacted mandibular third molar, Inferior Alveolar Nerve block had been carried out using either Articaine 4% or Lidocaine 2% Local anesthetic drugs. Results: Articaine was well-tolerated and it provided clinically effective pain relief during surgical procedures and it was as potent as Lidocaine and provided similar clinical effect to Lidocaine (Gold standard). Conclusions: On the basis of our findings, we recommend using Articaine 4% as local anesthetic drug in minor oral surgery
Abstract: Objectives: This study was carried out to study the efficacy and the anesthetic characters of using Articaine 4 % with 1:100,000 Epinephrine as a local anesthetic drug in surgical practice through inferior alveolar nerve block and comparing it with Lidocaine 2% with 1:100,000 Epinephrine. Materials and methods: Thirty patients in two groups, fiftee...
Show More
A Comparative Study Between Lidocaine and Methyl Salicylate Patches in Treatment of Myofascial Pain
Ahmed M. Atef,
Mohammed A El- Sholkamy,
Amr A. El-Swify,
Eman A. El-Sharrawy
Issue:
Volume 1, Issue 2, August 2015
Pages:
20-23
Received:
4 July 2015
Accepted:
31 July 2015
Published:
1 August 2015
DOI:
10.11648/j.ijcoms.20150102.13
Downloads:
Views:
Abstract: Objectives the aim of this study was to to compare lidocaine versus methyl salicylate patches in treatment of myofascial pain.Materials and methods: thirty patients sufferred from myofascial pain in head and neck muscles were divided randomly into three groups: Group one (10 patients): was treated with methyl salicylate patch. Group two (10 patients): was treated through lidocaine patch .Group three (10 patients): was acted as a controlled group through the application of plain patches without any active ingredient. Each patient has received one patch that had replaced by the patient every 12 hours; the patient informed to remove the last patch 12 hours before the visit on day five. All evaluations (pain intensity, degree of mouth opening, range of motion, disability) repeated on day five (12 hours after removal of the last patch) and on day nine (after four days of follow up). Results significant reduction in pain intensity, significant increase in mouth opening and lateral movement and significant improvement in quality of life with methyl salicylate and lidocaine patches. Conclusions Methyl salicylate and Lidocaine patches are effective in treatment of Myofascial pain
Abstract: Objectives the aim of this study was to to compare lidocaine versus methyl salicylate patches in treatment of myofascial pain.Materials and methods: thirty patients sufferred from myofascial pain in head and neck muscles were divided randomly into three groups: Group one (10 patients): was treated with methyl salicylate patch. Group two (10 patient...
Show More
Assessment of Maxillary Sinus Volume in Patients of Temporomandibular Joint Bony Ankylosis
Dehis M.,
Tantawi W.,
Kamal A.,
Atta M.
Issue:
Volume 1, Issue 2, August 2015
Pages:
24-30
Received:
13 July 2015
Accepted:
29 July 2015
Published:
1 August 2015
DOI:
10.11648/j.ijcoms.20150102.14
Downloads:
Views:
Abstract: Objectives: The present research was designed to assess of the maxillary sinus volume in patients of temporomandibular joint bony ankylosis. Patients and methods: Twelve patients (21 ankylotic joints) were selected suffering from TMJ bony ankylosis. Twenty one subject of control group (42 sinuses) had CT of maxillary sinus volume. Maxillary sinus volumes have been measured by CT and compared with that of ankylosis group. Results: Obvious reduction in the maxillary sinus volume has been detected preoperatively in TMJ ankylosis group and this reduction was statistical highly significant. This attributed to the reduction in size of the maxilla and the alveolar bone height secondary to TMJ bony ankylosis. Conclusion: obvious reduction in maxillary sinus volume in patients with TMJ bony ankylosis and this reduction increase with longer duration.
Abstract: Objectives: The present research was designed to assess of the maxillary sinus volume in patients of temporomandibular joint bony ankylosis. Patients and methods: Twelve patients (21 ankylotic joints) were selected suffering from TMJ bony ankylosis. Twenty one subject of control group (42 sinuses) had CT of maxillary sinus volume. Maxillary sinus v...
Show More
