[The prevention and treatment of complications related to the removal of the mandibular third molar when it is retained].
The lower third molars were removed in 52 patients by the method developed by the authors because of these teeth's retention or half-retention. Control group consisted of 22 patients in whom the teeth were removed traditionally. In 35 patients of the main group with acute inflammations of soft tissues adjacent to the tooth to be removed the operation was performed without preliminary arrest of inflammation. Bone cavity formed after removal of the tooth was filled with hydroxyapatite. In some cases Maillefer turbine drill or Lancet high-intensity laser device were used for cutting the diseased tooth into pieces. After surgery laser and antibiotic therapy were carried out. Four (7.7%) patients with inflammations before surgery developed complications. The operation wound healed in 9-10 days in patients with inflammations and in 7-8 days in those without inflammations, in contrast to the controls, in whom recovery ensued only in 4-6 weeks. Hence, the new method is recommended for clinical use irrespective of inflammatory changes in the adjacent tissues.
Grigor'iants
L A
LA
Belova
E Iu
EIu
Badalian
V A
VA
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible; D008964:Molar, Third / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D014081:Tooth Extraction / Q000379:methods*; D014095:Tooth, Impacted / Q000150:complications / Q000601:surgery*
Profilaktika i lechenie oslozhneniĭ, sviazannykh s udaleniem nizhnego tret'ego moliara pri ego retentsii.