Postoperative interventions to reduce inflammatory complications after third molar surgery: review of the current evidence

Cho, H., Lynham, A. J. and Hsu, E. (2017) Postoperative interventions to reduce inflammatory complications after third molar surgery: review of the current evidence. Australian Dental Journal, 62 4: 412-419. doi:10.1111/adj.12526


Author Cho, H.
Lynham, A. J.
Hsu, E.
Title Postoperative interventions to reduce inflammatory complications after third molar surgery: review of the current evidence
Journal name Australian Dental Journal   Check publisher's open access policy
ISSN 0045-0421
1834-7819
Publication date 2017-06-14
Year available 2017
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/adj.12526
Open Access Status Not yet assessed
Volume 62
Issue 4
Start page 412
End page 419
Total pages 8
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Subject 3500 Dentistry
Abstract Inflammatory complications such as pain, swelling, trismus, infection and alveolar osteitis have an adverse affect on the quality of life of patients after third molar removal. This review presents the current evidence on postoperative strategies to reduce these complications. A literature search was performed to identify articles published in English between 2000 to 2016 using the following keywords: third molar(s), wisdom tooth/teeth, pain, swelling, trismus, infection, alveolar osteitis and dry socket. In total, 221 papers were reviewed. Methods published included analgesics, antibiotics, corticosteroids, mouthwashes, topical gels, cryotherapy and ozone therapy. This review highlights the variability in evidence available and summarizes the findings from best-quality evidence. In conclusion, paracetamol and ibuprofen are efficacious in managing postoperative pain. Corticosteroids and antibiotics should only be used in selected cases. Chlorhexidine reduces alveolar osteitis. The benefits of cryotherapy, postoperative irrigation and ozone gel are yet to be established.
Keyword Of-The-Literature
Ice Pack Therapy
Alveolar Osteitis
Dry Socket
3Rd-Molar Surgery
Observer-Blind
Cold Therapy
Pain
Chlorhexidine
Prevention
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
School of Medicine Publications
 
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Created: Sat, 16 Dec 2017, 23:39:43 EST