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Oral Surgery

When is it a good time to manage facial fractures? A systematic review

This summary is based on the article published in the International Journal of Oral and Maxillofacial Surgery: The effect of treatment timing on the management of facial fractures: a systematic review (August 2014) M. J. L. Hurrell, M. D. Batstone   Context Facial fractures are a common presentation to hospitals worldwide. Their treatment has evolved dramatically in recent decades, particularly since the introduction of open reduction and internal fixation. However, many uncertainties remain. The relevance of delay from injury to treatment is commonly disputed amongst surgeons and in the literature. Intuitively, delaying the treatment of facial fractures could increase the risk of infection, the likelihood of technical difficulties, and the discomfort experienced ...

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Osteoradionecrosis: New concepts and a proposed classification

This summary is based on the article published in the British Journal of Oral and Maxillofacial Surgery: Osteoradionecrosis—A review of current concepts in defining the extent of the disease and a new classification proposal (May 2014) Andrew Lyons, Jona Osher, Elinor Warner, Ravi Kumar, Peter A. Brennan Context Osteoradionecrosis (ORN) is potentially a debilitating and serious consequence of radiotherapy to the head and neck. Although it is oftendefined as an area of exposed bone that does not heal, it can also exist without breaching the mucosa or the skin. Currently, 3 classifica-tions of ORN are in use, but they depend on ...

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How are bisphosphonates used in children? Review of the literature and guidelines for dental management

This summary is based on the article published in the Australian Dental Journal: The use of bisphosphonates in children: review of the literature and guidelines for dental management (March 2014)

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What are the indications for third molar extraction?

This summary is based on the article published in the Journal of the American Dental Association: The indications for third molar extractions (June 2014)

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Which handpieces are appropriate to use in bone removal and tooth sectioning during exodontia to minimize the risk of air embolism?

This question was submitted by a general dentist: Which handpieces are appropriate to use in bone removal and tooth sectioning during exodontia to minimize the risk of air embolism? Dr. Suham Alexander, Oasis Discussions Editor, and Dr. George Sandor, Oral maxillofacial surgeon, provided this initial quick response

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How effective is photo-activated disinfection therapy for dental surgery?

This summary is based on the Rapid Response report published by the Canadian Agency for Drug and Technologies in Health (CADTH): Photo-Activated Disinfection Therapy for Dental Surgery: Review of the Clinical Effectiveness (September 2013)

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Update with author’s response: What will it be: Ibuprofen or acetaminophen for pain relief after surgical removal of lower wisdom teeth?

This is an update of the summary presented on December 17th, 2013. Based on our readers’ comments and questions, we have sought answers from the author. Due to their importance, we chose to present those in an updated post.  Dr. Edmund Bailey What would be the recommended dosing and schedule for combining the two medications? And what would be the maximum dosing guideline? If rescue medications are required, what would be recommended and how would that be modified, if a patient has a codeine allergy? Based on this review, the ideal doses are 400mg ibuprofen and 1000mg paracetamol, both may ...

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What will it be: Ibuprofen or acetaminophen for pain relief after surgical removal of lower wisdom teeth?

This summary is based on the Cochrane systematic review: Ibuprofen versus paracetamol (acetaminophen) for pain relief after surgical removal of lower wisdom teeth  Context Both paracetamol and ibuprofen are commonly used analgesics for the relief of pain following the surgical removal of lower wisdom teeth (third molars). In 2010, a novel analgesic (marketed as Nuromol) containing both paracetamol and ibuprofen in the same tablet was launched in the United Kingdom. This drug has shown promising results to date and there is a need to compare the combined drug with the single drugs using this model. In this review, the optimal doses ...

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