الملخص
(( Evaluation of the effectiveness of saline solution temperature on complications of surgical impacted mandibular third molars extraction ))
PURPOSE:
The aim of this research is to evaluate the effect of the temperature of the perfusion fluid used during surgical extraction of the mandibular molars on postoperative complications (edema-pain-bleeding).
MATERIALS AND METHODS:
The study was contained of 60 impacted lower third molars existed in 30 patients (12 male + 18 female) who had two symmetric impacted lower third molars From Modified Brand rating. (20 Molars used a normal saline serum، 20 Molars used a cooled saline serum، 20 Molars used a warm saline serum)
Edema and pain were measured after one، tow and seven days. Bleeding was measured after 24 and 48 hours. After that the data was statistically studied.
RESULTS:
There was a significant difference in the edema variable (P<0.05) between the cooled saline serum and the normal saline serum، on the first and second days after surgery in favor of the cooled saline serum group. While the difference was not significant in the edema variable (P<0.05) between the cooled saline serum and the normal saline serum on the seventh day after surgery، The difference was not significant between the two methods in the variable of pain and bleeding (P < 0.05) during all the studied time periods. The study also showed that there was no significant difference in all variables، edema - pain - hemorrhage (P < 0.05) between warm saline serum and normal saline serum during all the studied time periods.
CONCLUSIONS:
cooled saline serum affects when used in Surgical extractions of the lower third molars impacted on edema during the first few days following surgery only. It's no different in its effect on bleeding by comparing it with normal saline serum when used in these processes While the use of warm saline serum over normal saline serum did not differ in its effect on edema، bleeding and pain in the impacted mandibular third molar extraction operations during all the studied time periods. Therefore، it is preferable to use the cooled saline serum over the normal and warm saline serum in irrigation during the bone evacuation of the impacted lower third molars extraction.
Keywords:
Cold saline solution ، Surgical extractions، edema، bleeding، Warm saline solution lower third molars impacted.
References
2. Alexander R، Throndson R. A review of perioprative corticosterpid use in dentoalveolar surgery. Oral Surg Oral Med Oral pathol. 2000; 90: p.p 15-406.
3. Amler MH: the time sequence of tissue regeneration in human extraction wounds. J Oral Maxillofac Surg 1969 ; 27(3): p.p 309-318.
4. Awad S، Allison SP، Lobo DN. The history of 0.9% saline. Clin Nutr. 2008;27(2):179–188.
5. Augustin G، Zigman T، Davila S، Udilljak T، Staroveski T، Brezak D and Babic S: Cortical bone drilling and thermal osteonecrosis. Clin Biomech (Bristol، Avon) 27(4): 313-325، 2012
6. Aleksa Marković، et al Effect of surgical drill guide and irrigans temperature on thermal bone changes during drilling implant sites - thermographic analysis on bovine ribs 2016
7. A A Ernst 1، K M Takakuwa، C Letner، S J Weiss Warmed versus room temperature saline solution for ear irrigation: a randomized clinical trial 1999
8. A A Ernst 1، T Thomson، M Haynes، S J Weiss Warmed versus room temperature saline solution for ocular irrigation: a randomized clinical trial
9. A. ERIKSSON، T. ALBREKTSSON، B. GRANE AND D. MCQUEEN Thennal injury to boneA vital-microscopic description of heat effects 1982 Int. J. OralSurg.1982: 11: 115-121
10. Amin U. Statistical analysis using spss program. 2nd ed. Cairo: Academic Library; 2007; 8: p.p 70-120
11. Berne R، Levy M، Kaeppen B، Stanton B. Physiology New York: Elsevier; 2004; 14: p.p 359-410
12. Bari M، Patricia A، Ralph T. McMinn's color atlas of head and neack anatomy. 3rd ed.: Elsevier; 2004; 3: p. 47
13. Baba H، Doubell T، Woolf C. Peripheral inflammation facilities A-beta fiber-mediated synaptic input to the substantia gelatinosa of the adult rat spinal cord. J Neurosci. 1999; 19: p.p 859-867.
14. Bjorlin،g:local fibrinolysis in the oral cavity.European Journal of Haematology 1984; 33(40): p.p 411-416.
15. Brisman DL The effect of speed، pressure، and time on bone temperature during the drilling of implant sites. Int J Oral Maxillofac Implants 11(1): 35-37، 1996
16. Cliff KS، Seymour RA. Pathogenesis of postoperative oral surgical pain. American Dental Society of Anesthesiology. 2003; 50: p.p 5-17.
17. Davidson SR and James DF: Measurement of thermal conductivity of bovine cortical bone. Med Eng Phys 22(10):
18. Dante Parodi et al ، Effect of warmed irrigation solution on core body temperature during hip arthroscopy for femoroacetabular impingement 2014 PMID: 24183196
19. El-Kholey KE، Ramasamy S، Kumar R S and Elkomy A: Effect of simplifying drilling technique on heat generation during osteotomy preparation for dental implant. Implant Dent 26(6): 888-891، 2017.
20. Eriksson RA، Albrektsson T and Magnusson B: Assessment of bone viability after heat trauma. A histological، histochemical and vital microscopic study in the rabbit. Scand J Plast Reconstr Surg 18(3): 261-268، 1984.
21. Eriksson AR، Albrektsson T and Albrektsson B: Heat caused by drilling cortical bone. Temperature measured in vivo in patients and animals. Acta Orthop Scand 55(6): 629-631، 1984.
22. Evian،ci،rosenberg،es،coslet،jg،corn،h:the osteogenic activity of bone removed from healing extraction sockets in humans. J Oral Maxillofac Surg 1982; 53(2): p.p 81-85.
23. Er N، Alkan A، Ilday S and Bengu E: Improved dental implant drill durability and performance using heat and wear resistant protective coatings. J Oral Implantol 44(3): 168-175، 2018
24. Fragiskos D. Fragiskos. Oral Surgery. Springer-Verlag Berlin Heidelberg 2007; 7: pp. 127-45.
25. Forsgren H، Heimdahl A، Johannson B. Effect of application of cold dressings on postoperative course in oral surgery. Int J Oral Surg. 1985; 14: p. 223
26. Fields H. Pain New York: McGraw-Hill; 1987. [CITATION] Analgesic drugs.
27. Guglielmotti،mb،cabrini،rl:alveolar wound healing and ridge remodeling after tooth extraction in the rat:ahistological،radiographic، and histometric study. J Oral Maxillofac Surg 1985 ; 43(5): p.p 359-364
28. Goldman DW، Goetzl EJ. Specific binding of leukotriene B4 to receptors on human polymorphonuclear leukocytes. J Immunol 1982: 129: 1600–1604
29. Huebsch،rf،hansen،ls:a histopathologic study of extraction wounds in dogs. Int J Oral Maxillofac Surg 1969; 28(2): p.p 187-196.
30. Heng Li، Shi-ren Sun، John Q. Yap، Jiang-hua Chen، and Qi Qian . 0.9% saline is neither normal nor physiological Sci B. 2016 Mar; 17(3): 181–187.
31. Isler SC، Cansiz E، Tanyel C، et al. The effect of irrigation temperature on bone healing. Int J Med Sci. 2011;8:704– 708
32. Ibrahim Barrak ، Effect of the Combination of Low-Speed Drilling and Cooled Irrigation Fluid on Intraosseous Heat Generation During Guided Surgical Implant Site Preparation: 2017
33. Jochum RM and Reichart PA Influence of multiple use of Timedur-titanium cannon drills: thermal response and scanning electron microscopic findings. Clin Oral Implants Res 11(2): 139-143، 2000
34. Korbendau J، Korbendau X. Clinical success in impacted third molar extraction: Quintessence Books; 2003: 12: 647
35. Kuzma J، Bohnenblust S. Basic statistics for the health sciences. 5th ed. New York: McGraw-Hill; 2005: 8: pp. 327-412
36. Kondo S، Okada Y، Iseki H، et al. Thermological study of drilling bone tissue with a high-speed drill. Neurosurgery. 2000