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      • KCI등재

        Influence of a novel suturing technique on periodontal health of mandibular second molar following impacted third molar surgery: a split-mouth randomized clinical trial

        Mohammad Esmaeelinejad,Mohammadhossein Mansourian,Farzad Aghdashi 대한악안면성형재건외과학회 2022 Maxillofacial Plastic Reconstructive Surgery Vol.44 No.-

        Background: Surgical extraction of the third molar is the most common surgical procedure in the oral surgery fieldand is associated with several complications. This study aimed to compare the effects of a newly presented suturingtechnique with the routine suture after surgical removal of the third molar on the postoperative complications. Materials and methods: This randomized clinical trial was designed as a split-mouth double-blinded investigation. Twenty patients were involved in the current study. After the surgical removal of the third molar, the new suturingtechnique was used to close the wound on one side of the patient randomly (case side), and the other side wassutured by the routine simple interrupted stitches (control side). Pain, edema, trismus, pocket depth, and the attachmentloss of the distal of the second molar were assessed following the surgery. The data were statistically analyzedand compared between the sides. Results: Pain and edema following the surgery in the control side were significantly less than in the case side. Thepocket depth and the gingival attachment loss of the distal aspect of the second molar in the case side were significantlyless than in the control side. No case of dry socket was observed in the case side. Conclusion: It seems that the newly presented suturing technique is able to keep the wound margins close toeach other and may be helpful in reducing the periodontal complication of the second molar following the surgicalremoval of the impacted third molars.

      • KCI등재

        Comparison of lidocaine with articaine buccal injection in reducing complications following impacted mandibular third molar surgery: a split-mouth randomized clinical trial

        Naghipour, Amin,Esmaeelinejad, Mohammad,Dehnad, Seyed Vahid,Shahi, Anahita,Jarrahi, Alireza The Korean Dental Society of Anesthsiology 2020 Journal of Dental Anesthesia and Pain Medicine Vol.20 No.4

        Background: Complications following impacted third molar surgery significantly affect patients' quality of life during the immediate postoperative period. This study aimed to achieve the proper anesthesia method by comparing the effect of the application of lidocaine alone with the application of lidocaine and articaine simultaneously in reducing the complications during and following impacted mandibular third molar surgery. Methods: The study design was a split-mouth double-blind randomized clinical trial. The study was conducted on 13 patients (26 samples) referred for elective surgical removal of bilateral impacted mandibular third molar with similar difficulty on both sides. Each patient underwent similar surgical procedures on two separate appointments. Each patient randomly received 2% lidocaine for conventional inferior alveolar nerve block and 4% articaine for local infiltration before the surgery on one side (group A) and 2% lidocaine alone (for both block anesthesia and infiltration) before the surgery on the other side (group B). Intraoperative and postoperative variables for both groups were established and statistically analyzed. Results: The findings showed that pain on the first day after surgery in group A was significantly lower than that in group B. The patients in group A mentioned experiencing less discomfort following the surgery. The increased horizontal swelling on the first and third days following surgery and oblique swelling on the seventh day in patients in group B were statistically significant. Conclusion: Choosing an appropriate anesthetic drug for oral surgery, specifically impacted third molar surgery, is dependent on the clinician's opinion, however; it seems that the combination of lidocaine and articaine may control the patient's pain significantly better than lidocaine alone.

      • SCIESCOPUSKCI등재

        Evaluation of alveolar crest bone loss via premolar bitewing radiographs: presentation of a new method

        Safi, Yaser,Kadkhodazadeh, Mahdi,Safai, Pooria,Esmaeelinejad, Mohammad,Shamloo, Nafiseh Korean Academy of Periodontology 2014 Journal of Periodontal & Implant Science Vol.44 No.5

        Purpose: This study aimed to assess the interdental bone level in premolar bitewing radiographs while retracting the cheeks. Methods: Seventy-two horizontal bone defects were created on dried mandibles and maxillae. The distance from the bone level to the cement-enamel junction of premolars was detected by a modified digital caliper (considered the gold standard). The reliability of all radiographs was assessed by intraclass correlation coefficient (ICC), and the validity was compared to the gold standard using the analysis of variance test. P-values less than 0.05 were considered statistically significant. Results: This study showed that the reliability of radiographs without a cheek simulator and with 0.16 second exposure time was significantly higher than that of the two other groups (ICC=0.96 compared to 0.93 and 0.88, respectively). The results from the radiographs without a cheek simulator and with 0.16 second exposure time were more similar to the gold standard measures than those of the two other groups, although the difference was not statistically significant. Conclusions: Retracting the buccal soft tissue plays an important role in increasing the accuracy of radiographs in detecting the interdental alveolar bone level and produces more accurate results than increasing the exposure time, although it does not have a significant role in reliability of results.

      • KCI등재

        Evaluation of alveolar crest bone loss via premolar bitewing radiographs: presentation of a new method

        Yaser Safi,Mahdi Kadkhodazadeh,Pooria Safai,Mohammad Esmaeelinejad,Nafiseh Shamloo 대한치주과학회 2014 Journal of Periodontal & Implant Science Vol.44 No.5

        Purpose: This study aimed to assess the interdental bone level in premolar bitewing radiographswhile retracting the cheeks. Methods: Seventy-two horizontal bone defects were created on dried mandibles and maxillae. The distance from the bone level to the cement-enamel junction of premolars wasdetected by a modified digital caliper (considered the gold standard). The reliability of allradiographs was assessed by intraclass correlation coefficient (ICC), and the validity wascompared to the gold standard using the analysis of variance test. P-values less than 0.05were considered statistically significant. Results: This study showed that the reliability of radiographs without a cheek simulatorand with 0.16 second exposure time was significantly higher than that of the two othergroups (ICC=0.96 compared to 0.93 and 0.88, respectively). The results from the radiographswithout a cheek simulator and with 0.16 second exposure time were more similar tothe gold standard measures than those of the two other groups, although the differencewas not statistically significant. Conclusions: Retracting the buccal soft tissue plays an important role in increasing the accuracyof radiographs in detecting the interdental alveolar bone level and produces moreaccurate results than increasing the exposure time, although it does not have a significantrole in reliability of results.

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