What do systematic reviews say?

8 questions · 8 findings · 1 reviews · Oral and maxillofacial surgery · related questions CL0289

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No studies found 3 · 37.5%GRADE not reported 0 · 0%Very low 2 · 25%Low 3 · 37.5%Moderate 0 · 0%High 0 · 0%

High-volume irrigation (~175 mL) vs Low-volume irrigation (~25 mL)

Presence of dry socket · Adults with mandibular third molars requiring removal

It is very uncertain whether high-volume irrigation (~175 mL) changes alveolar osteitis compared with low-volume irrigation (~25 mL) (very low certainty).

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week · high vs low volume
RR 0.52 [0.27, 1.02]
1 study · 211 participants
Very low

Bone removal technique (chisel / piezoelectric / ultrasonic) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)

Presence of dry socket · Adults with mandibular third molars requiring removal

The review found no eligible studies for this question.

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week
no estimate extracted
Studies not reported
No studies found

Triangular flap vs Envelope flap

Presence of dry socket · Adults with mandibular third molars requiring removal

Triangular flap showed no clear difference in alveolar osteitis compared with envelope flap (low certainty).

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week
OR 0.33 [0.09, 1.23]
5 studies · 187 participants
Low

Drain use vs No drain

Presence of dry socket · Adults with mandibular third molars requiring removal

The review found no eligible studies for this question.

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week
no estimate extracted
Studies not reported
No studies found

Coronectomy vs Complete extraction (odontectomy)

Presence of dry socket · Adults with mandibular third molars requiring removal

The review found no eligible studies for this question.

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week
no estimate extracted
Studies not reported
No studies found

Autologous platelet concentrate (PRP/PRF) in socket vs No blood product (conventional)

Presence of dry socket · Adults with mandibular third molars requiring removal

Autologous platelet concentrate (PRP/PRF) in socket may leads to lower alveolar osteitis compared with no blood product (conventional) (low certainty).

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week · PRF vs none
OR 0.39 [0.22, 0.67]
2 studies · 128 participants
Low

Mechanical (high-volume) irrigation vs Manual (low-volume) irrigation

Presence of dry socket · Adults with mandibular third molars requiring removal

It is very uncertain whether mechanical (high-volume) irrigation changes alveolar osteitis compared with manual (low-volume) irrigation (very low certainty).

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week · mechanical vs manual
RR 0.33 [0.01, 8.09]
1 study · 99 participants
Very low

Primary (complete) wound closure vs Secondary (partial) wound closure

Presence of dry socket · Adults with mandibular third molars requiring removal

Primary (complete) wound closure showed no clear difference in alveolar osteitis compared with secondary (partial) wound closure (low certainty).

1 finding from 1 review

Surgical techniques for the removal of mandibular wisdom teeth 2020 · Cochrane All outcomes
1 week
RR 0.99 [0.41, 2.40]
3 studies · 375 participants
Low