European Journal of Clinical and Experimental Medicine T.17, z. 1 (2019)

URI dla tej Kolekcjihttp://repozytorium.ur.edu.pl/handle/item/4512

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Przeglądanie European Journal of Clinical and Experimental Medicine T.17, z. 1 (2019) według Autor "Błochowiak, Katarzyna"

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  • Obrazek miniatury
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    Extraction of asymptomatic impacted third molars – a review
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Błochowiak, Katarzyna; Aleksandrzak, Paweł; Kropielnicki, Kacper; Handschuh, Jakub; Pawlik, Patrycja; Stanek, Anna
    Introduction. The prophylactic extraction of asymptomatic wisdom teeth is defined as the surgical removal of wisdom teeth in the absence of local disease. Early extraction of asymptomatic third molars is considered beneficial to patients to prevent the risk of future pathology, and to minimize operative and postoperative risks. The second concept is watchful monitoring of asymptomatic wisdom teeth, adhering to specific indicators for their extraction. Aim. The aim of this paper is to present and evaluate the indications and effects of prophylactic extraction of asymptomatic impacted third molars in adolescents and adults, compared with their retention and watchful monitoring. Material and methods. This study is based on analysis of literature. Conclusion. There exist clear indications for the extraction of third molars which are associated with pathology. Prophylactic extractions of asymptomatic impacted third molars should be performed only before 20 years of age. In older age, asymptomatic third molars should be retained and watchfully monitored, and removed only in cases of evident clinical or radiological symptoms.
  • Obrazek miniatury
    Pozycja
    The epidemiological pattern of oroantral communication – a retrospective study
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Pawlik, Patrycja; Stanek, Anna; Wyganowska-Świątkowska, Marzena; Błochowiak, Katarzyna
    Introduction. Oroantral communication (OAC) between the maxillary sinus and the oral cavity is an infrequent post-surgical complication occurring most commonly after extraction of posterior maxillary teeth. Aim. To present the characteristics of OAC and predisposing factors as well as evaluate postoperative pharmacological therapy and complications in patients with an OAC. Material and methods. In this retrospective study, medical records of 63 patients with diagnosed OAC between 2011 and 2018 were analyzed. Results. The most frequent causes for tooth extraction leading to an OAC were periodontitis (n=34; 54%), carious destruction of the tooth (n=14; 22.2%), and tooth impaction (n=10; 16%). First molars (n=28; 44.4%), second molars (n=14; 22.2%) and third molars (n= 13; 20.6%) were the most frequently related teeth to OACs. The majority of OACs appeared in the fourth (n=22; 35%) and third (n=20; 31.7%) decades of life. Conclusion. OACs are rarely seen on an everyday basis by general practitioners; however, if left untreated, they may lead to further serious complications. Proper postoperative precautions must be taken in order to prevent further complications, and thus the evaluation of predisposing factors is of great importance.