Alveolar iodine tampon packing after impacted third molar surgery improves oral health–related quality of life and postoperative sequela: a randomized study

Abstract

Objective The aim of this study was to evaluate the effect of an iodine tampon on postoperative discomfort after surgical removal of a mandibular third molar. Material and methods Patients were randomly assigned to two groups: one group received an alveolar iodine-containing tampon in the extraction socket (N = 44), and the other group used a disposable syringe (Monoject®) to rinse the wound (N = 43). Postoperative discomfort was assessed with the Oral Health Impact Profile-14 (OHIP-14) questionnaire, Pain Intensity Numerical Rating Scale (PI-NRS), and questions about self-care and discomfort. Results This study included 87 patients (52 women and 35 men) with an average age of 26.47 years (SD, 6.36). The mean OHIP-14 sum scores were significantly lower in the iodine tampon group compared with the Monoject® syringe group. Mean PI-NRS scores significantly differed between the iodine tampon group (3.33; SE, 0.27) and Monoject® syringe group (4.46; SE, 0.27) (F (1, 85) = 8.16, p < 0.01), with no interaction effect between time and PI-NRS (F (6, 510) = 1.26, p = 0.28). Patients in the iodine tampon group reported less postoperative discomfort. Conclusions Insertion of an iodine-containing tampon in the postoperative socket reduced the pain and impact on oral healthrelated quality of life during the first postoperative week and positively influenced postoperative sequelae.

Quality of life after extraction of mandibular wisdom teeth: A systematic review

“…Others covered the results of PRF/PRP [ 4 ], kinesiotaping [ 17 , 20 ], hiloterm [ 24 ], ice bladder [ 32 ], the iodine pad [ 19 ](23), surgical site irrigation [ 27 ], removal of sutures [ 33 ], neurofeedback [ 34 ], laser [ 35 ](38), bromelain [ 36 ], ozone therapy [ 37 ] in improving quality of life.…”

“… aged between 20 and 49 years Jaron A et al [ 17 ] 2021 Prospective study Clinics 100 patients 1–7 days UW-QoL v4 Kinesio Taping has a considerable impact on the quality of life after the extraction of an impacted third molar. aged between 18 and 59 years Larsen MK et al [ 18 ] 2021 Double-blind, split-mouth, randomised controlled trial Clinics 52 patients 1, 3, 7 days and 1 months OHIP-14 No significant difference of methylprednisolone or placebo in postoperative sequelae and quality of life after third molar mandibular removal aged between 18 and 39 years Lindeboom JA et al [ 19 ] 2021 Prospective randomized controlled trial Clinics 87 patients 1–7 days OHIP-14 The insertion of an iodine pad into the postoperative socket decreased pain and impact on oral health-related quality of life in the first postoperative week. Average age 26.47 years Doni B R et al [ 21 ] 2021 Descriptive cross-sectional study Clinics 246 patients 3 months OHIP-14 Quality of life after removal of mandibular third molar in asymptomatic patient was better compared to those who were symptomatic.…”

“…Regarding pain, several authors in particular Xie L et al [ 5 ], Braimah RO et al [ 6 ], Lindeboom JA et al [ 19 ], and Ai Lyn Lau A et al [ 22 ] have discussed the value of preoperative prescription of anti-inflammatory drugs or the use of an iodine tampon in the postoperative socket for pain reduction. We also distinguish the physical disorder represented by a change in diet, the psychological suffering that leads to a temporary depression, but which will decrease until it disappears from the 3rd postoperative day according to most authors [ 1 , 3 , 11 ].…”

Effect of periapical surgery on oral health-related quality of life in the first postoperative week using the Dutch version of Oral Health Impact Profile-14

“…The usual disadvantage with questionnaires is that data acquisition is subjective, and the data cannot be controlled. As such, some bias may be present [ 19 , 24 ]. Facial swelling as such was not measured but reported on the OHIP-14 questionnaire, so the OHIP-14 scores were used to subjectively assess postoperative swelling.…”

Assessment of Antibacterial and Antiadhesive Properties of Antiseptics Against Clinical Isolates of Kocuria SPP

“…В терапевтичній стоматології, а саме в ендодонтії при лікуванні кореневих каналів використовують йодоформ у вигляді паст з додаванням евгенолу, гідроксиду кальцію, оксиду цинку [18,19,20]. В хірургічній стоматології для місцевого лікування та профілактики альвеоліту щелеп використовують тампонаду з йодоформом [21,22,23].…”