Clinical Indications to Germectomy in Pediatric Dentistry: A Systematic Review

TL;DR: The purpose of this review was to determine the correct indications for germectomy and to discuss the advantages and disadvantages of the procedure, and to review the surgical techniques and complications.

TL;DR: In this article , the authors compared marginal flap with para-marginal flap on postoperative complications by the measurements on pre and post-surgical plaque index (PI), bleeding on probing (BoP), maximum opening of the mouth (MOM), pain perception (PP), and postsurgical tumefaction (PT).

TL;DR: The risk factors to indication for prophylactic extraction of the lower third molar were impaction of the third molar, prevention of pericoronitis and helping the stability of the results after treatment.

Abstract: Objective: To evaluate the effectiveness of prophylactic germectomy for the development of malocclusions caused by improper dentition. Additionally, the study will compare the risk of complications associated with germectomy to those encountered during the removal of completely formed third molars. Methods: Out of 300 patients examined using the Turley method, 36 individuals were indicated for germectomy. Group A consisted of 16 patients aged 9 to 12 years, who had a total of 28 teeth removed. Group B included 20 patients aged 13 to 17 years, with 46 teeth removed. The control group, Group C, consisted of 32 individuals aged 18 years and older. These participants had 54 completely formed teeth removed, with the extractions occurring at a depth classified as Grade III according to the Pell and Gregory classification. This classification indicates that the teeth were entirely below the bone level. Additionally, Groups A and B were analyzed using the Gaivoronsky method. A comparative assessment of germectomy was conducted between the two age groups (A and B) and the control group (C), which involved already impacted teeth. Results: In group A, 28 tooth extractions were performed, and only one complication was observed, among the possible risks of secondary infection, bleeding, trismus, alveolar nerve paresthesia, or alveolitis. In group B, 46 extractions were carried out, resulting in two complications. Meanwhile, the control group C had 54 extractions with seven complications recorded. Conclusion: Germectomy is recommended during early adolescence if an improperly erupting or abnormally positioned rudimentary third molar is detected in the upper or lower jaw through X-ray examination, following measurements using the Turley and Gaivoronsky method. These teeth can damage adjacent teeth and may contribute to dental problems. Keywords: Wisdom teeth, impacted teeth, tooth extraction, germectomy, Turley's method, Gaivoronsky's method.

TL;DR: The Newcastle-Ottawa Scale (NOS) as discussed by the authors was developed to assess the quality of nonrandomised studies with its design, content and ease of use directed to the task of incorporating the quality assessments in the interpretation of meta-analytic results.

TL;DR: An instrument to assess the quality of reports of randomized clinical trials (RCTs) in pain research is described and its use to determine the effect of rater blinding on the assessments of quality is described.

TL;DR: Short-term aspirin in combination with clopidogrel is more effective as secondary prevention of stroke or TIA without increasing the risk of hemorrhagic stroke and major bleeding events and the clinical applicability of the findings of this systematic review needs to be confirmed in future clinical trials.

TL;DR: Tadalafil showed good efficacy and safety for improving LUTS and erectile dysfunction in men with BPH, and 5 mg of tadalafils significantly improved Qmax.