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  1 / 1786 IBECS  
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Id: 168757
Autor: Al-Samman, Abdurrahman A.
Título: Evaluation of Kharma scale as a predictor of lower third molar extraction difficulty
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e796-e799, nov. 2017. tab.
Idioma: en.
doi: 10.4317/medoral.22082.
Resumen: Background: The Evaluation of the degree of lower third molar (L3M) extraction difficulty is extremely important for both clinicians and patients. This study aimed to evaluate the validity of a new index (Kharma scale) as a preoperative predictor index of the difficulty of surgical removal of impacted L3M. Material and Methods: Extraction difficulty of a series of 49-impacted L3M was predicted preoperatively by Kharma scale, and postoperative difficulty was assessed with a modified Parant scale. Results: The sensitivity of Kharma scale, as a predictor of difficulty, was 18.2% and the specificity was 68.4%. Likelihood ratios for the Kharma categories also indicated that the scale is of little value for predicting a difficult extraction. There was no significant association between the Kharma score and duration of operation, but highmodified Parant scores were significantly associated with longer operations. Conclusions: The proposed Kharma scale was unreliable as preoperative predictor of the L3M extraction difficulty, and both radiological and clinical information must be taken into account (AU)

No disponible
Descriptores: diente molar/cirugía
extracción dental/efectos adversos
extracción dental/tendencias
-predicción/métodos
período preoperatorio
Límites: humanos
Responsable: BNCS


  2 / 1786 IBECS  
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Id: 168756
Autor: Eguchi, Takanori; Kanai, Ikuyo; Basugi, Akihiko; Miyata, Yukinaga; Inoue, Minako; Hamada, Yoshiki.
Título: The assessment of surgical and non-surgical treatment of stage II medication-related osteonecrosis of the jaw
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e788-e795, nov. 2017. ilus, tab.
Idioma: en.
doi: 10.4317/medoral.22013.
Resumen: Background: Non-surgical treatment has generally been recommended for stage II medication-related osteonecrosis of the jaw (MRONJ) in preference to surgery. However, non-surgical treatment is not empirically effective. The aim of this study was to evaluate whether surgical or non-surgical treatment leads to better outcomes for stage II MRONJ. Material and Methods: In this retrospective study, surgery was performed in a total of 28 patients while 24 patients underwent non-surgical treatment. The outcomes of both treatment approaches after 6 months were evaluated and statistically compared. In addition, risk factors for surgical and non-surgical treatments were assessed for each. Results: Surgical treatment in 25 patients (89.3%) resulted in success, with failure in 3 patients (10.7%). Nonsurgical treatment was successful for 8 patients (33.3%) and failed in 16 patients (66.7%). There was therefore a significant difference between surgical and non-surgical treatment outcomes (P<0.01). Regarding risk factors, in non-surgical treatment primary diseases, medications, and drug holiday had a significant effect on outcomes (P<0.01). Risk factors for surgical treatment could not be clarified. Conclusions: Surgical treatment is more effective than non-surgical treatment for stage II MRONJ, and drug holiday, primary disease, and medication constitute risk factors in non-surgical treatment (AU)

No disponible
Descriptores: osteonecrosis mandibular asociada a difosfonatos/complicaciones
osteonecrosis mandibular asociada a difosfonatos/terapia
-estudios retrospectivos
denosumab/uso terapéutico
antibacterianos/uso terapéutico
Límites: humanos
masculino
femenino
mediana edad
anciano
ancianos de 80 o más años
Responsable: BNCS


  3 / 1786 IBECS  
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Id: 168755
Autor: Bittencourt, Marcos-Alan-Vieira; Paranhos, Luiz-Renato; Filho, Paulo-Ricardo-Saquete Martins.
Título: Low-level laser therapy for treatment of neurosensory disorders after orthognathic surgery: A systematic review of randomized clinical trials
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e780-e787, nov. 2017. graf, tab, ilus.
Idioma: en.
doi: 10.4317/medoral.21968.
Resumen: Background: Low-level laser has been widely used in Dentistry and many studies have focused on its application in oral surgeries. This study was conducted with the aim of searching for scientific evidence concerning the effectiveness of laser to reduce pain or paresthesia related to orthognathic surgery. Material and Methods: An electronic search was performed in PubMed, Scopus, Science Direct, LILACS, SciELO, CENTRAL, Google Scholar, OpenGrey, and ClinicalTrials.gov, up to November 2016, with no restrictions on language or year of publication. Additionally, a hand search of the reference list of the selected studies was carried out. The PICOS strategy was used to define the eligibility criteria and only randomized clinical trials were selected. Results: Out of 1,257 identified citations, three papers fulfilled the criteria and were included in the systematic review. The risk of bias was assessed according to the Cochrane Guidelines for Clinical Trials and results were exposed based on a descriptive analysis. One study showed that laser therapy was effective to reduce postoperative pain 24 hours (P=0.007) and 72 hours (P=0.007) after surgery. Other study revealed the positive effect of laser to improve neurosensory recovery 60 days after surgery, evaluated also by the two-point discrimination (P=0.005) and sensory (P=0.008) tests. The third study reported an improvement for general sensibility of 68.75% for laser group, compared with 21.43% for placebo (P=0.0095), six months after surgery. Conclusions: Individual studies suggested a positive effect of low-level laser therapy on reduction of postoperative pain and acceleration of improvement of paresthesia related to orthognathic surgery. However, due to the insufficient number and heterogeneity of studies, a meta-analysis evaluating the outcomes of interest was not performed, and a pragmatic recommendation about the use of laser therapy is not possible. This systematic review was conducted according to the statements of PRISMA and was registered at PROSPERO under the number CRD42016043258 (AU)

No disponible
Descriptores: tratamiento con láser/instrumentación
tratamiento con láser/métodos
trastornos sensoriales/terapia
cirugía ortognática/métodos
-trastornos sensoriales/rehabilitación
parestesia/prevención & control
parestesia/terapia
dolor posoperatorio/prevención & control
dolor posoperatorio/terapia
Límites: humanos
Tipo de Publicación: ensayo clínico controlado
Responsable: BNCS


  4 / 1786 IBECS  
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Id: 168754
Autor: Blázquez-Hinarejos, Mónica; Ayuso-Montero, Raúl; Álvarez-López, José Manuel; Manzanares-Céspedes, Maria Cristina; López-López, José.
Título: Histological differences in the adherence of connective tissue to laser-treated abutments and standard abutments for dental implants. An experimental pilot study in humans
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e774-e779, nov. 2017. ilus, tab.
Idioma: en.
doi: 10.4317/medoral.21949.
Resumen: Background: The goal of the current study is to assess the difference in connective tissue adherence to laser microtextured versus machined titanium abutments. Material and Methods: Six patients were selected and each of them received 2 implants, one combined with a laser treated abutment and one with a machined abutment. After three months, the abutments were retrieved together with their surrounding gingival tissue for histological analysis. Qualitative and quantitative evaluation of microscopical images was performed to assess the presence or absence of adherence between the soft tissues and the abutment, and the percentage of soft tissue adhered to the two different surfaces. Results: Intimate adherence between connective tissue and the laser treated abutments, while on machined abutments no adherence was detected. A significant difference was found in the percentage of surface in contact with soft tissue between both implant abutments p=0.03. Conclusions: Within the limitation of the current study, it can be concluded that connective tissues show enhanced adherence to microtextured abutments compared to machined abutments (AU)

No disponible
Descriptores: implantes dentales/utilización
tejido conectivo/efectos de radiación
láseres/utilización
pilares dentales/utilización
implantes experimentales/utilización
encía/anatomía & histología
encía/efectos de radiación
-proyectos piloto
tejido conectivo/anatomía & histología
titanio/uso terapéutico
encía/fisiopatología
encía/cirugía
análisis estadístico
Límites: humanos
Responsable: BNCS


  5 / 1786 IBECS  
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Id: 168753
Autor: Caliskan, Mehmet; Tükel, Hüseyin-Can; Benlidayi, Mehmet-Emre; Deniz, Ali.
Título: Is it necessary to alter anticoagulation therapy for tooth extraction in patients taking direct oral anticoagulants?
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e767-e773, nov. 2017. graf, tab.
Idioma: en.
doi: 10.4317/medoral.21942.
Resumen: Background: The number of patients using direct oral anticoagulants (DOACs) instead of vitamin K antagonists (VKA) is increasing and there is limited data on the safety of tooth extractions in patients taking DOACs. The aim of this study was to compare the amount of bleeding (AOB) and postoperative complications after tooth extractions between patients taking VKAs and patients taking DOACs without altering the anticoaguation therapy. Material and Methods: The study consisted of four groups: Direct thrombin inhibitor group, factor Xa inhibitor group, warfarin group and a control group. A single tooth was extracted in each patient and routine coagulation test values were recorded prior to extraction. AOB was measured for 20 minutes after tooth extraction. The patients were evaluated on 2nd and 7th days after extraction for bleeding. Status of bleeding was classified as no bleeding, mild bleeding controlled by gauze pads, moderate bleeding controlled by hemostatic agents and severe bleeding required hospitalization. Analysis of variance, chi square test and correlation analysis were used for statistical analysis of data. Results: A total of 84 patients (48 male, 36 female) were included in this study. The mean age of patients was 57 (38-87) years. Mean AOB was 1388.6±913.0, 1909.29±1063.1, 3673±1415.4, 1593.33±672.5 mg for direct thrombin inhibitor, factor Xa inhibitor, warfarin and control groups respectively. Mean AOB was significantly higher for warfarin group, compared to other groups (p=0.001). No bleeding was occurred in control group on 2nd and 7th postextraction days and no bleeding was occurred in direct thrombin inhibitor group on 7th postextraction day. The number of bleeding events among groups was not statistically significant on 7th postextraction day (p=0.251). Conclusions: Patients taking warfarin had more bleeding compared to patients taking direct oral anticoagulants after tooth extractions. In patients taking direct oral anticoagulants simple tooth extractions can be safely carried out without altering the anticaogulant regimen with the use of local hemostatic agents (AU)

No disponible
Descriptores: extracción dental/métodos
anticoagulantes/uso terapéutico
complicaciones posoperatorias
grupos control
-procedimientos quirúrgicos orales/métodos
resultado del tratamiento
complicaciones posoperatorias/prevención & control
extracción dental/clasificación
Límites: humanos
adulto
Responsable: BNCS


  6 / 1786 IBECS  
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Id: 168752
Autor: Avellaneda-Gimeno, Vanesa; Figueiredo, Rui; Valmaseda-Castellón, Eduard.
Título: Quality of life after upper third molar removal: A prospective longitudinal study
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e759-e766, nov. 2017. graf, tab.
Idioma: en.
doi: 10.4317/medoral.21781.
Resumen: Background: Third molar extraction is a very common procedure in Dentistry. The aim of this study was to evaluate the quality of life (QoL) and satisfaction of patients undergoing extraction of an upper third molar under local anesthesia. A second objective was to describe the evolution of self-reported pain measured in a visual analogue scale (VAS) in the 7 days after surgery and its relationship with pre- and intraoperative factors. Material and Methods: A prospective longitudinal cohort study was made. Fifty-five patients received a questionnaire assessing social and working isolation, eating and speaking ability, diet modifications, sleep impairment, physical appearance, discomfort at suture removal and overall satisfaction. Pain was registered daily on a VAS scale. A descriptive and bivariate analysis of the data was performed. Results: Forty-seven patients were included. Pain decreased lineally across the 7 days, and relief was significant between days 2 and 3. Intraoperative complications were significantly associated with pain. The complication that showed the highest pain score was the tuberosity fracture. Conclusions: Upper third molar removal significantly affects the patient's quality of life, particularly during the first 2 days after extraction (AU)

No disponible
Descriptores: tercer molar/cirugía
calidad de vida
extracción dental/métodos
asistencia posoperatoria/métodos
-estudios longitudinales
estudios prospectivos
estudios de cohortes
encuestas y cuestionarios/utilización
Límites: humanos
Responsable: BNCS


  7 / 1786 IBECS  
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Id: 168751
Autor: Taberner-Vallverdú, Maria; Sánchez-Garcés, M Ángeles; Gay-Escoda, Cosme.
Título: Efficacy of different methods used for dry socket prevention and risk factor analysis: A systematic review
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e750-e758, nov. 2017. graf, tab.
Idioma: en.
doi: 10.4317/medoral.21705.
Resumen: Background: Dry socket is one of the most common complications that develops after the extraction of a permanent tooth, and its prevention is more effective than its treatment. Objectives: Analyze the efficacy of different methods used in preventing dry socket in order to decrease its incidence after tooth extraction. Material and Methods: A Cochrane and PubMed-MEDLINE database search was conducted with the search terms 'dry socket', 'prevention', 'risk factors', 'alveolar osteitis' and 'fibrynolitic alveolitis', both individually and using the Boolean operator 'AND'. The inclusion criteria were: clinical studies including at least 30 patients, articles published from 2005 to 2015 and written in English. The exclusion criteria were case reports and nonhuman studies. Results: 30 publications were selected from a total of 250. Six of the 30 were excluded after reading the full text. The final review included 24 articles: 9 prospective studies, 2 retrospective studies and 13 clinical trials. They were stratified according to their level of scientific evidence using SIGN criteria (Scottish Intercollegiate Guidelines Network). Conclusions: All treatments included in the review were aimed at decreasing the incidence of dry socket. Locally administering chlorhexidine or applying platelet-rich plasma reduces the likelihood of developing this complication. Antibiotic prescription does not avoid postoperative complications after lower third molar surgery. With regard to risk factors, all of the articles selected suggest that patient age, history of previous infection and the difficulty of the extraction are the most common predisposing factors for developing dry socket. There is no consensus that smoking, gender or menstrual cycles are risk factors. Taking the scientific quality of the articles evaluated into account, a level B recommendation has been given for the proposed-procedures in the prevention of dry socket (AU)

No disponible
Descriptores: tejido periapical/lesiones
tejido periapical/cirugía
osteointegración/fisiología
implantes dentales/utilización
diagnóstico precoz
-Bibliometría
extracción dental/métodos
Límites: humanos
Tipo de Publicación: revisión
Responsable: BNCS


  8 / 1786 IBECS  
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Id: 168750
Autor: Blaya-Tárraga, Juan-Antonio; Cervera-Ballester, Juan; Peñarrocha-Oltra, David; Peñarrocha-Diago, Miguel.
Título: Periapical implant lesion: A systematic review
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e737-e749, nov. 2017. graf, tab.
Idioma: en.
doi: 10.4317/medoral.21698.
Resumen: Purpose: The aim of this study was to systematically review the evidence for periapical implant lesion, which makes a patient more susceptible to the periapical lesion, frequency, symptoms, signs (including radiological findings) and possible treatment options. Material and Methods: A systematic literature review and analysis of publications included in PubMed, Embase and Cochrane; articles published until March 2016; with a populations, exposures and outcomes (PEO) search strategy was performed, focused on the issue: 'In patients with periapical lesion to the implant during the osseointegration, what symptoms, signs, and changes in complementary examination manifested, for according to that stage, be intervened with the appropriate approach? '. The set criteria for inclusion were peer-reviewed articles. Results: From a total of 212 papers identified, 36 studies were included in this systematic review, with 15461 implants evaluated and 183 periapical implant lesions. Which 8 papers included more than 5 cases and 28 included equal or less than 5 cases. Analysis of the papers revealed that periapical implant lesion is classified according to evolution stages into acute (non-suppurated and suppurated) and subacute (or suppurated-fistulized). In the acute stage and in the subacute if there is no loss of implant stability, the correct treatment approach is implant periapical surgery. In the subacute stage associated with implant mobility the implant must be removed. Conclusions: Evidence on the subject is very limited, there are few studies with small sample, without homogeneity of criteria for diagnosing the disease and without design of scientific evidence. Currently etiology lacks consensus. The early diagnosis of periapical implant periapical lesions during the osseointegration phase and early treatment, will lead to a higher survival rate of implants treated, hence preventing the need for implant extraction (AU)

No disponible
Descriptores: enfermedades periapicales
tejido periapical/lesiones
implantes dentales/efectos adversos
osteointegración
pronóstico
-tejido periapical/cirugía
Bibliometría
Límites: humanos
Tipo de Publicación: revisión
Responsable: BNCS


  9 / 1786 IBECS  
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Id: 168749
Autor: Pellicer-Chover, Hilario; Peñarrocha-Oltra, David; Aloy-Prosper, Amparo; Sanchis-Gonzalez, José-Carlos; Peñarrocha-Diago, María; Peñarrocha-Diago, Miguel.
Título: Comparison of peri-implant bone loss between conventional drilling with irrigation versus low-speed drilling without irrigation
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e730-e736, nov. 2017. tab, ilus, graf.
Idioma: en.
doi: 10.4317/medoral.21694.
Resumen: Background: To compare the technique of high speed drilling with irrigation and low speed drilling without irrigation in order to evaluate the success rate and peri-implant bone loss at 12 months of follow-up. Material and Methods: A randomized, controlled, parallel-group clinical trial was carried out in patients requiring dental implants to rehabilitate their unitary edentulism. Patients were recruited from the Oral Surgery Unit of the University of Valencia (Spain) between September 2014 and August 2015. Patients who met the inclusion criteria were randomized to two groups: group A (high-speed drilling with irrigation) and group B (low-speed drilling without irrigation). The success rate and peri-implant bone loss were recorded at 12 months of follow-up. Results: Twenty-five patients (9 men and 16 women) with 30 implants were enrolled in the study: 15 implants in group A and 15 implants in group B. The mean bone loss of the implants in group A and group B was 0.83 ± 0.73 mm and 0.62 ± 0.70 mm, respectively (p> 0.05). In the maxilla, the bone loss was 1.04 ± 0.63 mm in group A and 0.71 ± 0.36 mm in group B (p> 0.05), while bone loss in the mandible was 0.59 ± 0.80 mm in group A and 0.69 ± 0.77 mm in group B (p> 0.05). The implant success rate at 12 months was 93.3% in group A and 100% in group B. Conclusions: Within the limitations of the study, the low-speed drilling technique presented peri-implant bone loss outcomes similar to those of the conventional drilling technique at 12 months of follow-up (AU)

No disponible
Descriptores: procedimientos quirúrgicos orales preprotésicos/métodos
irrigación terapéutica/métodos
odontología protésica/métodos
implantes dentales/utilización
osteointegración
-análisis estadístico
sustitutos óseos/uso terapéutico
Límites: humanos
Tipo de Publicación: estudio comparativo
Responsable: BNCS


  10 / 1786 IBECS  
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Id: 168748
Autor: Serrano, Kranya-Victoria Díaz; Dias, Taiana-de Melo; Vasconcelos, Paulo; Sousa, Luiz-Gustavo; Siéssere, Selma; Regalo, Simone; Palinkas, Marcelo.
Título: Impact of temporomandibular disorders on the stomatognathic system in children
Fuente: Med. oral patol. oral cir. bucal (Internet);22(6):e723-e729, nov. 2017. tab.
Idioma: en.
doi: 10.4317/medoral.22000.
Resumen: Background: To evaluate the EMG activity and thickness of right masseter (RM), left masseter (LM), right temporal (RT) and left temporal (LT) muscles and bite force in children with temporomandibular disorders (TMD). Material and Methods: Forty five children (mean age 8.8 years; 22 boys and 23 girls) were examined on the basis of the RDC/TMD and the Faces Pain Scale-Revised (FPS-R) was used to determine the level of severity of the signs and symptoms of TMD, resulting in four groups: GI - without TMD (n=10); GII - with mild TMD (n=18), GIII: with moderate TMD (n=12) and GIV: with severe TMD (n=5). The data of electromyographic activity, maximum bite force and muscle thickness were tabulated and submitted to statistical analysis (ANOVA, P≤0.05). Results: Children with TMD signs and symptoms had lower EMG activity than children of the control group. There was significant difference among the groups for the LT at rest (P=0.01), right (P=0.03) and left (P=0.05) laterality, and for the LM (P=0.01) and LT (P=0.03) muscles in maximum voluntary contraction. There were no statistically significant differences among the groups regarding muscle thickness. The bite force was lower in the TMD groups than children of the control group, with significant statistical difference for the right region (P=0.03). Conclusions: The severity of TMD signs and symptoms affected the EMG activity and the molar bite force in children. However, structural changes in the thickness of masticatory muscles are not perceptible in children with TMD signs and symptoms (AU)

No disponible
Descriptores: trastornos de la articulación temporomandibular/epidemiología
sistema estomatognático
fuerza de mordida
-sistema estomatognático/fisiopatología
análisis de la varianza
electromiografía/métodos
Límites: humanos
masculino
femenino
niño
Responsable: BNCS



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