期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：2
页码：7284-7302
DOI：10.9756/INT-JECSE/V14I2.844
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：BACKGROUND The most commonly performed procedure in oral and maxillofacial surgery is third molar removal. It takes several days to recover following removal of the third molar. The most common postoperative complications following third molar removal are pain, swelling, trismus, alveolar osteitis. Various studies have shown that the postoperative discomfort is related to many factors inclusive of patient and procedure related. One among them is the irrigants used during the procedure of third molar removal. Irrigation done with irrigants does not only avert injury to the bone but also irrigates the working field and improves the vision of the dentist. In previous animal studies, it was shown that cutting the bone without water spray had significantly created a greater width and amount of inflammatory exudates and cellular debris at the margins of the defect as compared with those with irrigation when observed under the microscope. The aim of this systematic review is to evaluate in an evidence-based way, the effectiveness of various irrigants in preventing postoperative complications following mandibular third molar surgery. OBJECTIVES The objective of this systematic review is to compare the effectiveness of various irrigants in preventing postoperative complications in mandibular third molar surgery MATERIALS AND METHODS The Databases of PubMed, Cochrane and Google scholar were searched for the related topics along with a complimentary manual search of all oral surgery journals of the last 5 years. RESULTS Three articles were selected based on the inclusion criteria. All three clinical trial studies comparing the use of povidone iodine, chlorhexidine gluconate and ozonized water shows significant difference when comparing to normal saline or double distilled water, proving postoperative complications are less by the use of irrigants other than normal saline when compared to the use of conventional irrigation solutions such as normal saline and double distilled water. Reduction in the postoperative sequelae of pain and trismus further enhances the anti-inflammatory characteristics of these irrigants over conventional irrigants for mandibular third molar surgery. CONCLUSION The number of good quality randomized controlled trials included in this review is very limited to state that there is difference in the Post-operative complications following third molar surgery between the use of povidone iodine, chlorhexidine gluconate and ozonized water as irrigants over conventional irrigants such as normal saline and double distilled water. Hence, more properly designed randomized clinical trials are needed to evaluate the usage of anti-inflammatory irrigants over conventional irrigants to reduce post-operative complications.
关键词：The most commonly performed procedure in oral and maxillofacial surgery is third molar removal
