Publications by authors named "O R Beirne"
Why Is Mandibular Third Molar Coronectomy Successful Without Concurrent Root Canal Treatment?
J Oral Maxillofac Surg
November 2020
Article Synopsis
- The study investigates the effectiveness of root canal treatment (RCT) performed concurrently with coronectomy to reduce postoperative infections in patients undergoing removal of mandibular third molars near the inferior alveolar nerve.
- After reviewing 107 studies, only one met the criteria for inclusion, revealing infection rates of 87.5% for those without RCT and 12.5% for those with RCT.
- The findings indicate that performing RCT during coronectomy does not lower the risk of postoperative infections, suggesting it may not be necessary to carry out RCT in these cases.
Purpose: The purpose of our report was to determine clinically whether young adults who elect to retain their asymptomatic third molars (M3s) have a risk of undergoing 1 or more M3 extractions in the future.
Materials And Methods: To address our clinical question, we designed and implemented a systematic review. The studies included in the present review were prospective, had a sample size of 50 subjects or more with at least 1 asymptomatic M3, and had at least 12 months of follow-up data available.
Data Sources: PubMed, Scopus, Medline and Cochrane Oral Health Group's Trials Register, CENTRAL. Limited to English language.
Study Selection: Randomised control trials comparing preoperative steroids (in any formulation, dose or route) with placebo or no treatment in patients of any age, having extraction of one or more impacted third molars (under local or general anaesthesia or with intravenous sedation).
Buprenorphine therapy: an increasing challenge in oral and maxillofacial surgery.
Oral Surg Oral Med Oral Pathol Oral Radiol
August 2013
Suboxone is a 4:1 mixture of buprenorphine and naloxone and Subutex is buprenorphine alone. The high affinity μ-receptor binding of buprenorphine (Suboxone and Subutex) renders other opioids ineffective. Inadequate procedural sedation, inadequate analgesia, and significant drug interactions complicate the treatment of patients taking Suboxone or Subutex.
View Article and Find Full Text PDFRadiographic tips on predicting inferior alveolar nerve exposure.
J Evid Based Dent Pract
September 2012
Subjects: The study included 230 patients (60% female) with a total of 423 wisdom tooth extractions. The patients were treated by 2 oral surgeons between July 1998 and July 2002 in the Oral and Maxillofacial Surgery Unit of the Massachusetts General Hospital in Boston, Massachusetts.
Gold Standard: The authors reported that the extraction was inspected for evidence of inferior alveolar nerve (IAN) exposure under direct vision using a headlight.