Extraction Sites Research Articles

The effect of early versus delayed space closure on the rate of orthodontic tooth movement: a systematic review and meta-analysis.

Orthodontic space closure of extraction sites can be initiated early, within 1-week post-extraction, or it can be delayed for a month or more. This systematic review aimed to evaluate the effect of early versus delayed initiation of space closure after tooth extraction on the rate of orthodontic tooth movement. Unrestricted search of 10 electronic databases was conducted until September 2022. Randomized controlled trials (RCTs) investigating the initiation time of space closure of extraction sites in patients undergoing orthodontic treatment were included. Data items were extracted using a pre-piloted extraction form. The Cochrane's risk of bias tool (ROB 2.0) and the Grading of Recommendations, Assessment, Development, and Evaluation approach were used for quality assessment. Meta-analysis was undertaken if there are at least two trials reporting the same outcome. Eleven RCTs met the inclusion criteria. Meta-analysis revealed that early canine retraction resulted in a statistically significant higher rate of maxillary canine retraction when compared to delayed canine retraction [mean difference (MD); 0.17 mm/month, 95% CI: 0.06 to 0.28, P = 0.003, 4 RCTs, moderate quality]. Duration of space closure was shorter in the early space closure group, but not statistically significant (MD; 1.11 months, 95% CI: -0.27 to 2.49, P = 0.11, 2 RCTs, low quality). The incidence of gingival invaginations was not statistically different between early and delayed space closure groups (Odds ratio; 0.79, 95% CI: 0.27 to 2.29, 2 RCTs, P = 0.66, very low quality). Qualitative synthesis found no statistically significant differences between the two groups regarding anchorage loss, root resorption, tooth tipping, and alveolar bone height. Based on the available evidence, early traction within the first week after tooth extraction has a minimal clinically significant effect on the rate of tooth movement compared to delayed traction. Further high-quality RCTs with standardized time points and measurement methods are still needed. PROSPERO (CRD42022346026).

Population Status of the Globally Threatened Long-Tailed Duck Clangula hyemalis in the Northeast European Tundra

Arctic Russia is home to more than 90% of all Long-tailed Ducks in the Clangula hyemalis species from the Western Siberia/Northern Europe population. The breeding population in European Russia was estimated to be about 5 million birds in the 1960s, while today, estimates have declined to 1 million birds. Up until now, the main reasons for the overall population decline of the Long-tailed Duck were related to wintering conditions in the Baltic Sea. Our data indicate that the loss or deterioration of key breeding habitats in the Arctic regions of Russia is one important factor influencing the rapid population decline. Many key breeding habitats of the Long-tailed Duck were completely lost in the Bolshezemelskaya tundra, as this area was transformed into major oil and gas extraction sites. The transformation of these sites increased the disturbance and oil pollution of adjacent habitats, leading to the direct loss of certain key nesting sites and a marked and rapid decline of the breeding population of the Long-tailed Duck in the Bolshezemelskaya tundra. Oil-spills during transportation by sea may also be an important factor of decline in the Long-tailed Duck population. Meanwhile, in the Malozemelskaya tundra, which did not experience oil and gas development, the breeding population over the last decades remained stable. Urgent establishment of new protections in key breeding areas in Arctic Russia, sustainable population management, and new research programs are necessary for the conservation and enhancement of this globally threatened species.

Predictability of osseointegrated implants installed in guided bone regeneration areas: a retrospective study

Objective: To evaluate the predictability and success rate of implants installed in extraction sites, where the Guided Bone Regeneration (GBR) technique for bone preservation and implant placement was performed. Methods: This is a retrospective study, which included medical records of patients from the clinic of the Specialization in Implantology course from the educational institution, who underwent GBR in the tooth socket with indicated extraction, who delivered the tomographic exams, and had implants installed in these places, from 2007 to 2016. Forty-two participants were included in the research, totaling 55 sites divided into two groups: maxilla and mandible. Results: Two cases (3.7%) of non-bone formation were found after GBR, in the posterior region of the maxilla, with a success rate of 96.3% for predictability of implant placement in GBR sites. Of the 53 implants installed where there was sufficient bone formation, 3 (5.7%) did not return to the clinic and, therefore, 50 were evaluated, with 48 presenting clinical osseointegration with a success rate of 96%. Conclusion: There is predictability of GBR procedures in post-extraction sockets for the installation of osseointegrated implants.

The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial.

One of the most common procedures in oral surgery is the removal of impacted mandibular third molars, often followed by pain, swelling, alveolitis, and trismus. Purpose. To compare the outcomes of the intrasocket application of 1% hyaluronic acid oral gel (HA) and advanced platelet-rich fibrin (A-PRF) on the expected postoperative complications, pain, swelling, and trismus follow the surgical extraction of the impacted mandibular third molar. Material and Methods. A randomized controlled trial was conducted at the Oral and Maxillofacial Surgery Unit, Dental Teaching Hospital. Healthy patients who required surgical removal of the impacted mandibular third molar were divided randomly into three groups. The extraction site of the group (A) patients remained without the addition of any material, just suturing of the wound with simple interrupted sutures, while in group (B) patients, the extraction site was filled with 1 cc of 1% hyaluronic acid gel (periokin®), and in group C patients, the extraction site was filled with A-PRF. Results. Sixty-six eligible patients participated in this study; both hyaluronic acid gel 1% (periokin®) and advanced platelet-rich fibrin showed a significant reduction in pain, swelling, and trismus on the 1st, third, and seventh postoperative days when compared to the control group, while the comparison between HA and A-PRF showed no significant differences except for the pain on the third postoperative day. There was a significant pain decrease in the A-PRF group than HA group. Conclusion. Intrasocket application of 1% hyaluronic acid gel (periokin®) or advanced platelet-rich fibrin can be an effective primary way to significantly reduce postoperative pain, trismus, and edema compared to the control group following mandibular third molar surgery.

The price women pay: mineral extraction sites and women's safety

The price women pay: mineral extraction sites and women's safety

Evaluation of the osteoconductive properties of scaffold containing platete-enriched-fibrin (PRF) with three calcium phosphate (TCP) in the alveolar socket repair after tooth extraction: An animal study.

Bone regeneration can be accomplished through osteogenesis, osteoinduction, and osteoconduction mechanisms. This study aimed to investigate the properties of the PRF scaffold with tricalcium phosphate nanoparticles in socket preservation in an animal model. Fabrication of PRF performed. In this experimental study, 18 rats were divided into three negative control, PRF, and PRF/TCP groups. The mechanical and chemical tests including swelling rate, degradation time, and MTT tests were applied to the scaffolds. In each animal, the first maxillary right molar was extracted, and extraction sites of test groups were filled with a resorbable biocompatible biomaterial in situ hardening bone substitute. After 2 and 4 weeks all animals were sacrificed and examined histopathologically and with qRT-PCR. Histological results showed TCP in combination with PRF accelerates bone regeneration with the highest amount of lamellar bone and collagen formation compared to the control and PRF alone. Mechanical and chemical tests on the scaffolds showed the addition of TCP to the PRF scaffold decreases the swelling rate and increases the degradation time. qRT-PCR showed expression of osteogenic genes increased significantly (p < 0.05) in PRF/TCP and PRF, respectively. In conclusion, the gelatin hydrogel containing PRF/TCP scaffold led to more bone formation after tooth extraction. Therefore, the injectable PRF\TCP hydrogel is a promising candidate for bone repair and regeneration.

Electrochemical‐Mediated Regenerable FeII Active Sites for Efficient Uranium Extraction at Ultra‐Low Cell Voltage

AbstractNano‐reduced iron (NRI) is a promising uranium adsorbent due to its strong reducibility and good selectivity, but it still faces the challenges of slow kinetics, limited and non‐renewable active sites. In this work, we realized high efficiency uranium extraction under ultra‐low cell voltage (−0.1 V) in seawater with 20 ppm UO2(NO3)2 solution by coupling electrochemical mediated FeII/FeIII redox and uranium extraction. The adsorption capacity and extraction efficiency of NRI after electrochemical uranium extraction (EUE) could reach 452 mg/g and 99.1 %, respectively. Combined with quasi‐operando/operando characterization technologies, we clarified the mechanism of EUE and revealed that continuously regenerating FeII active sites by electroreduction could significantly enhance the property of EUE. This work here provides a new electrochemical mediated and low energy consumption uranium extraction strategy which also provides a reference for other metal resource recovery.

Electrochemical-Mediated Regenerable FeII Active Sites for Efficient Uranium Extraction at Ultra-Low Cell Voltage.

Nano-reduced iron (NRI) is a promising uranium adsorbent due to its strong reducibility and good selectivity, but it still faces the challenges of slow kinetics, limited and non-renewable active sites. In this work, we realized high efficiency uranium extraction under ultra-low cell voltage (-0.1 V) in seawater with 20 ppm UO2 (NO3 )2 solution by coupling electrochemical mediated FeII /FeIII redox and uranium extraction. The adsorption capacity and extraction efficiency of NRI after electrochemical uranium extraction (EUE) could reach 452 mg/g and 99.1 %, respectively. Combined with quasi-operando/operando characterization technologies, we clarified the mechanism of EUE and revealed that continuously regenerating FeII active sites by electroreduction could significantly enhance the property of EUE. This work here provides a new electrochemical mediated and low energy consumption uranium extraction strategy which also provides a reference for other metal resource recovery.

Comparison of specimen extraction site and another site for protective loop ileostomy in laparoscopic low anterior rectal resection: a retrospective comparative study

BackgroundProtective loop ileostomy is commonly performed in laparoscopic low anterior rectal resection to prevent the serious complications of anastomotic fistula. It is usually created at the right lower quadrant of the abdomen and another wound is required for stoma. The study aimed to evaluate the outcomes of ileostomy at the specimen extraction site (SES) and another site (AS) beside the auxiliary incision.MethodsA retrospective analysis was conducted on 101 eligible patients with pathologically diagnosed adenocarcinoma of the rectum from January 2020 to December 2021 in the study center. According to whether the ileostomy was at the specimen extraction site, patients were divided into SES group (40 patients) and AS group (61 patients). Clinicopathological characteristics, the intraoperative details, and postoperative outcomes of the two groups were measured.ResultsUnivariate analysis showed that the operative time was significantly shorter and the blood loss was significantly less in the SES group than in the AS group during laparoscopic low anterior rectal resection, the time to first flatus was significantly shorter, and the pain was significantly less in the SES group than in the AS group during ileostomy closure. The postoperative complications were similar in both groups. Multivariable analysis showed that ileostomy at the specimen extraction site was a significant factor influencing the operative time and blood loss of rectal resection, and influencing the pain and the time to first flatus during ileostomy closure.ConclusionCompared to ileostomy at AS, protective loop ileostomy at SES was time-saving and less bleeding during laparoscopic low anterior rectal resection, and more quick to first flatus and less pain during stoma closure, and did not lead to more postoperative complications. The median incision of the lower abdomen and the left lower abdominal incision were both good sites for ileostomy.

THE DIFFERENCE IN BONE MINERAL DENSITY BETWEEN EXTRACTION SITE PRESERVATION AND AUTOLOGOUS HEALING WAS ANALYZED BY GRAY VALUE

To analyze the effect of tooth extraction site preservation on bone mineral density 6 months after surgery.From 2020 to 2021, two adjacent teeth (37, 38) of the same patient were extracted at the same time, and then 37 were selected for site preservation, implanted with Bio-oss bone powder, covered with double Bio-gide membrane, reduce tension and sutured. After 6 months of self-healing, 38 was taken CBCT, and the gray value measurement tool in the software was used to measure the bone mineral density of 37 bone graft areas and 38 extraction sockets.Bone density was high in the center of the bone graft area after the extraction site, and the density decreased in the adjacent alveolar socket, but the gray value was still higher than 38 for natural healing.Extraction site surgery can improve bone mass and quality at the extraction site. It is good for implanting.

Simulating Soil Atmosphere Exchanges and CO2 Fluxes for an Ongoing Peat Extraction Site

Simulating Soil Atmosphere Exchanges and CO2 Fluxes for an Ongoing Peat Extraction Site

Patterns of contamination and burden of lead and arsenic in rooftop harvested rainwater collected in Arizona environmental justice communities

As climate change exacerbates water scarcity, rainwater harvesting for household irrigation and gardening becomes an increasingly common practice. However, the use and quality of harvested rainwater are not well studied, and the potential pollutant exposures associated with its use are generally unknown. There are currently no federal standards in the United States to assess metal(loid)s in harvested rainwater. Project Harvest, a community science research project, was created to address this knowledge gap and study the quality of harvested rainwater, primarily used for irrigation, in four environmental justice communities in Arizona, USA. Community scientists collected 577 unique rooftop harvested rainwater samples from 2017 to 2020, which were analyzed for metal(loid)s, where arsenic (As) concentrations ranged from 0.108 to 120 μg L−1 and lead (Pb) concentrations ranged from 0.013 to 350 μg L−1 and compared to relevant federal/state standards/recommendations. Community As and Pb concentrations decreased as: Hayden/Winkelman > Tucson > Globe/Miami > Dewey-Humboldt. Linear mixed models were used to analyze rooftop harvested rainwater data and results indicated that concentrations of As and Pb in the summer monsoon were significantly greater than winter; and contamination was significantly greater closer to extractive industrial sites in three of the four study communities (ASARCO Hayden Plant Superfund Alternative site in Hayden/Winkelman, Davis-Monthan United States Air Force Base in Tucson - Pb only, and Freeport McMoRan Copper and Gold Mine in Globe/Miami). Based on models, infrastructure such as proximity to roadway, roof material, presence of a cistern screen, and first-flush systems were not significant with respect to As and Pb when controlling for relevant spatiotemporal variables; whereas, cistern age was associated with Pb concentrations. These results however, indicate that concentrations vary seasonally and by proximity to industrial activity, not by decisions made regarding collection system infrastructures at the individual home level. This study shows that generally, individuals are not responsible for environmental contamination of rooftop harvested rainwater, rather activities and decisions of government and corporate industries control contaminant release.

Complications after autotransplantation of a maxillary canine: a case report and literature review

Autotransplantation is the positioning of a tooth in the same individual, from a donor site to an extraction site or a surgically prepared socket. A case report involving a previously transplanted maxillary canine, which later presented with complications, is discussed. We explore the indications, surgical planning and technique, associated risk factors and long-term outcomes for the transplantation of canines. CPD/Clinical Relevance: Understanding the indications and surgical requirements for canine transplantation should optimise case selection and complication management.

A Multi-Analytical Approach to the Characterisation of the Biocalcarenite from “Cádiz Roman Theatre” (Andalusia - SW Spain)

ABSTRACT The main aim of this research is to characterise fresh stone and to highlight how its physical properties change as a result of natural ageing. For this purpose, naturally weathered and freshly cut samples, proceeding from the monument, were analysed. The results obtained allow us to better understand the behaviour of the material in relation to deterioration processes in view of a possible restoration or maintenance intervention. As a result of the characterisation study, two local sedimentary stones were employed for the construction of the Roman Theatre. The mineralogical observations and the petrographic study showed that the two lithotypes come from different quarry extraction sites. Finally, from the comparison between freshly cut and naturally aged samples it has been proven that as the material is altered, the predisposition to water absorption increases, due to the change in the porosity and consequently the mechanical resistance on the surface and in depth decreases.

Prevention of Dry Socket with Ozone Oil-Based Gel after Inferior Third Molar Extraction: A Double-Blind Split-Mouth Randomized Placebo-Controlled Clinical Trial

Tooth extraction is followed by a sequence of elaborate local changes affecting hard and soft tissues. Dry socket (DS) can occur as intense pain around and in the extraction site, with an incidence from 1-4% after generic tooth extraction to 45% for mandibular third molars. Ozone therapy has gained attention in the medical field because of its success in the treatment of various diseases, its biocompatible properties and its fewer side effects or discomfort than drugs. To investigate the preventive effect of the sunflower oil-based ozone gel Ozosan® (Sanipan srl, Clivio (VA), Italy) on DS, a double-blind split-mouth randomized placebo-controlled clinical trial was conducted according to the CONSORT guidelines. Ozosan® or the placebo gel were put in the socket, and the gels were washed off 2 min later. In total, 200 patients were included in our study. The patient population comprised 87 Caucasian males and 113 Caucasian females. The mean age of the included patients was 33.1 ± 12.4 years. Ozosan reduced the incidence of DS after inferior third molar extraction from 21.5% of the control to 2% (p < 0.001). Concerning the dry socket epidemiology, the incidence was not significantly correlated with gender, smoking or mesioangular, vertical or distoangular Winter's classification. Post hoc power calculation showed a power of 99.8% for this data, with alpha = 0.001.

Making Sense of Indeterminate Representations of Land in Contemporary Markets

AbstractWith the advancement of computing, representations of Land in contemporary markets are becoming increasingly indeterminate. Citing two examples from Australia, the author identifies the manipulation of system-specific measurements of space and time as the methodological process behind these changing representations while examining their close relationship to the settler colonial project. They argue that a new conceptual formulation is required to de-standardize how markets perceive Land to situate potential sites of value extraction and their calculi and advance movements to reclaim space and time amidst changing digital landscapes.

Effect of manuka honey socket dressing on postoperative sequelae and complications following third molar extraction: A randomized controlled study

To evaluate the effect of manuka honey on the healing of mandibular third molar extraction sockets.This was a prospective randomized study at a tertiary health institution in Lagos, Nigeria. All extractions were transalveolar, using the distobuccal bone guttering technique. Participants were randomized into two study groups. Group A underwent intrasocket application of manuka honey, after which sockets were completely closed using the mucosal flap, while participants in group B underwent mucosal flap closure of the socket without application of manuka honey. The primary outcome was healing of the extraction socket at 7 days postoperatively. The secondary outcomes measured were postoperative sequelae, namely pain, swelling, and trismus on postoperative days 1, 3, and 7, and socket healing complications — specifically inflamed socket, infected socket, and alveolar osteitis.In total, 112 participants completed the study, with 56 participants per group. There were no significant differences in demographic variables between both groups. On the 7th day postoperatively, 26.8% of participants in group B had an unhealed extraction site, compared with 10.3% of participants in group A (p = 0.029).A significant difference was observed between pre- and postoperative pain scores in both study groups (p = 0.001). A comparison of postoperative mean facial swelling between the two groups showed no statistically significant differences on all the review days (p = 0.66). The difference in postoperative socket healing complication rate between both groups was statistically significant (χ2 = 4.747, p = 0.029).Within the limitations of the study it seems that the application of manuka honey appears to aid earlier healing of the third molar extraction socket, with a significantly lower frequency of complications. Therefore, the application of manuka honey is recommended whenever appropriate.

Comparative Study of Frequency of Alveolar Osteitis, with and without using Platelet-Rich Fibrin in Mandibular Third Molar Surgery.

Alveolar ostitis (AO) is the dissolution of blood clot due to enhanced local fibrinolysis and is caused by trauma to the jaw (direct) or because of bacterial involvement (indirect), which result in the activation of plasminogen pathway. Platelet-rich fibrin (PRF) is a platelet concentrate that comprises numerous autologous growth factors, and immune cells hence has the potential to expedite the healing process. The objective of the study was to determine the efficacy of PRF in the surgically extracted third molar in the context of its potential progress to AO. A total of 180 patients of 18-65 years with unilateral painful mandibular third molars due to caries, failed endodontics treatment, and pericoronitis were included in the study. Exclusion criteria were patients who were medically compromised, smokers, alcoholic, poor oral hygiene, third molar having associated periapical pathology, and receiving antibiotic regime in the last 2 weeks. Before starting surgical procedure, patients were randomly divided into two groups using lottery method. Group I received PRF in the extraction socket, while in Group II, the extraction site was left for normal healing as practiced in a standard procedure. Pain was assessed in terms of pain score, and it was recorded on a 10 mm visual analog scale on the first and third postoperative days. Mean age of the patients was 41.35 ± 9.87 years. The mean age in Group I was 42.84 ± 10.52 years, and in Group II, it was 40.54 ± 9.52 years. Out of 180 patients, 90 (50.0%) were male and 90 (50.0%) were female, with a male-to-female ratio of 1 : 1. Frequency of AO following mandibular third molar surgery in Group I receiving PRF was 2.22% and in non-PRF group 12.22% (p-value = 0.010). The incidence of AO following mandibular third molar surgery was lower when PRF was used.

GEOELECTRICAL ASSESSMENT OF GROUNDWATER POTENTIAL OF KEANA AREA NORTHCENTRAL NIGERIA

This work was undertaken to unravel the hydro geophysical characteristics of Keana metropolis Nasarawa State, northcentral Nigeria. This study aims to assess and determine the sustainability of groundwater resources in Keana Town by using geoelectric techniques to collect data and analyze subsurface characteristics that can assist identify suitable sites for groundwater extraction. Once accomplished, it will give useful information for groundwater resource management and contribute to Keana’s long-term growth. Fifteen (15) Vertical Electrical Sounding (VES) data with a maximum electrode spacing of (AB/2) of 200 meters were acquired using the Schlumberger electrode configuration. The VES data were interpreted using the conventional partial curve matching technique to obtain initial model parameters, which were used as input for computer iterative modelling using the IPI2WINTM software. The study revealed three (3) to six (6) geo-electric layers with underlying indurated sandstone and shale beds in some areas. In the study area, the apparent resistivity of the aquifer ranges from 32.4 to 407 m, with a depth ranging from 30 to 120m. Information extracted from iso-resistivity models and geoelectric cross sections revealed sandy strata with an exception around the northern portion i.e., around Federal Government Girls College Keana (FGGC) where a thick layer of shale is envisaged, extending to over 150 m depth with an average apparent resistivity value of 35Ω m. Thus, making the section fair to poor groundwater potential. However, this research has aided in delineating the groundwater potential of the area into three distinct zones.

Osteogenic Potential of Tooth as Autogenous Bone Graft in Dental Extraction Sites: A Split-mouth Randomized controlled Human Trial

Osteogenic Potential of Tooth as Autogenous Bone Graft in Dental Extraction Sites: A Split-mouth Randomized controlled Human Trial