Oral Maxillofacial Surgery Treatment

Does hypotensive anesthesia reduce blood loss during orthognathic surgery?

• Yes. Using hypotensive anesthesia resulted in approximately one-half the blood loss in orthognathic procedures. (Evidence level 1). Read the abstract.
  

Are non-narcotic pain relievers used after medical surgery as effective after dental surgery?

• Yes. Ibuprofen 800 mg is most effective (Table) (Evidence level 1). Read the abstract.

Is sevoflurane a safe alternative to halothane for intellectually disabled children?

• Yes. There was no difference in the recovery or discharge time between the two anesthetics.  (Evidence level 1). Read the abstract.

Does lingual nerve retraction during mandibular third molar surgery increase the risk of temporary lingual nerve damage?

• Yes. Lingual nerve sensation disturbance occurred in one out of ten study participants.(Evidence level 1). Read the abstract.

Are centric splints more effective than distraction splints in the treatment of anterior disc displacement without reduction of the temporomandibular joint?

• Yes. Centric splints were nearly 3 three times more effective than distraction splints in improving overall patient treatment.  (Evidence level 1). Read the abstract.

Are single-dose oral analgesics after third molar extractions effective?   

• Yes. Ibuprofen (800 mg), Valdecoxib (40 mg) and diclofanal (100 mg) are the most effective in pain reduction. (Evidence level 1). Read the abstract.

Do chlorhexidine rinses reduce cases of dry socket?   

• Yes. Repeated chlorhexidine rinses, beginning the first day, reduce incidence to 1 in 10. Single rinses on the day of surgery reduce it to 1 in 3. (Evidence level 1). Read the abstract.

Does prophylactic antibiotic use reduce infection following third molar removal?   

• No. Prophylactic antibiotic treatment does not contribute to better wound healing, less pain or increased mouth opening. (Evidence level 1). Read the abstract.

Do patients prefer follow-up visits after third molar removal under IV sedation?

• No.  73% of patients preferred telephone follow-up versus 27% who preferred clinic follow-up. (Evidence level 1). Read the abstract.