Evaluation of the surgical difficulty in lower third molar extraction

Barreiro-Torres, José; Diniz‐Freitas, Márcio; Lago-Méndez, Lucía; Gude‐Sampedro, Francisco; Gándara-Rey, José-Manuel; García‐García, Abel

doi:10.4317/medoral.15.e869

Cited by 36 publications

(42 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Second, they might have not wanted to reveal their wrong assessment of the case. If longer operative times were really due to a lower post-graduate technical ability, the high correlation between pre-and postoperative difficulty evaluation might suggest that a careful preliminary analysis of all parameters can be highly predictive of surgical difficulty, although BarreiroTorres et al (18) found little correspondence between pre-and post-surgical difficulty evaluations for maxillofacial surgeons (38,7%), for oral surgeons (45,1%), or for primary care dentists (31,9%). Moreover, first there is not a universal scale for grading surgeon's experi- Table 2.…”

Section: Discussionmentioning

confidence: 99%

Evaluation capability of surgical difficulty in the extraction of impacted mandibular third molars: a retrospective study from a post-graduate institution

Pippi¹

2014

ADS

View full text Add to dashboard Cite

SummaryIntroduction. The first aim of the present study was to analyze if any correlation exists between the post-graduate's and the tutor's difficulty evaluation of the same tooth to be extracted. Secondly, the study aimed to verify whether, and possibly which, anatomical/topographic characteristics of the impacted lower third molar influence the postgraduate's difficulty evaluation. Thirdly, patient's age and gender were studied for any influence either on the post-graduate's and tutor's extraction difficulty evaluation or on surgical time. Lastly, the possible effect of the post-graduate's difficulty evaluation on the incidence of surgical accidents was also studied.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation capability of surgical difficulty in the extraction of impacted mandibular third molars: a retrospective study from a post-graduate institution

Pippi¹

2014

ADS

View full text Add to dashboard Cite

show abstract

“…Ce taux était similaire à celui retrouvé dans l'étude de Freudlsperger [9]. En revanche, les travaux de Barreiro-Torres [10], de Santamaria [11], de Sedaghatfar [12], de Marzola [13], d'Ardakani [14] et de Guiguimdé [15] montraient une pré-dominance du sexe féminin avec des prévalences variant entre 58 et 73 %.…”

Section: Discussionunclassified

Difficultés d’avulsion de la troisième molaire mandibulaire incluse : place de l’orthopantomogramme

Tamba

Tine

Bâ

et al. 2015

Med Buccale Chir Buccale

View full text Add to dashboard Cite

Résumé -Objectif : L'objectif de cette étude était de mettre en exergue le rôle de l'orthopantomographie dans la prédiction des difficultés rencontrées lors de l'avulsion des troisièmes molaires incluses en utilisant l'échelle de Pederson. Abstract -Difficulties of impacted lower third molar extraction: the role of the orthopantomogram. Introduction: The orthopantomogram allows for the classification of impacted lower third molars according to depth, the spatial relationship with the ramus and the root relationship/mandibular canal. The aim of this study was to show the role of orthopantomography in the prediction of the difficulties encountered in the extraction of impacted lower third molars using the Pederson scale. Material and Method: This was a cross-sectional descriptive study in the Oral Surgery Service of the Dentistry Department at the Cheikh Anta Diop University of Dakar. The study was done between October 2012 and February 2013. 62 patients were involved. Results: The age group 15-25 was the most represented (57%). The mean age of patients was 26 ± 9 years with extremes of 15 and 73 years. Lower third molars with two roots accounted for 92%. Horizontal angulation (44%) and mesial angulation (35%) were the most represented. Half of the sample exhibited a depth of inclusion of position A (54%). The position I represented 40% of cases. In 33% of cases there was no contact between the roots and the mandibular canal. Conclusion: The orthopantomogram allows grading of the difficulty level for third molar extraction, using the Pederson scale. In our sample, extraction was difficult in 69% of the cases, moderate in 21% and easy in 33%.

show abstract

“…The dura on of surgery from incision to last suture was 19,23,24 recorded a er every tooth extrac on.…”

Section: Methodsmentioning

confidence: 99%

Assessment of Pain and Trismus and Determining the Difficulty Level of Tooth Extraction with Modified Parant Scale

Agrawal

Rahman

Naulakha

et al. 2018

Birat J. Health Sci.

View full text Add to dashboard Cite

Introduction: Third molar extraction is the most commonly performed procedure by oral and maxillofacial surgeons and most of the extraction leads to minimum pre and post operative difficulties if proper preoperative planning is done and if surgical principles are strictly followed.Objective: This study evaluated whether pre and post operative pain and trismus were related to difficulty of surgery.Methodology: Total number of patients included in this study were 266 (male 135 and female 131), age range from 18 to 34 years. Preoperative diagnosis was made by clinical examination and radiographs. Clinical examination was done to determine pain, swelling and mucosal coverage of tooth whereas OPG and RVG were taken to assess the angulations, level of tooth impaction and bony coverage of tooth. Standardized technique was used for tooth extraction; buccal guttering, adequate elevation, reflection of mucoperiosteal flap, crown sectioning and ostectomy. Evaluation of pain and trismus was done preoperatively, on first and third post operative day. SPSS version 16 was used to analyse the data. Chi square (x²) test and unpaired 't' test were done. Modified Parant Scale was used to evaluate the difficulty of tooth extraction; Group I: forceps extraction; Group II: ostectomy; Group Ill: ostectomy and crown sectioning; Group IV: difficult extraction.Results: When both preoperative and postoperative results were compared after data analysis, pain was significantly reduced and significant inter incisal opening was achieved, in both the groups P > 0.05. The results were statistically not significant.Conclusion: Postoperative pain and trismus was minimum in (Group I) then in (Group II to IV). The incidence of postoperative pain and trismus among all the groups were more or less similar. Hence, no significant difference was found. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 282-286

show abstract

Evaluation of the surgical difficulty in lower third molar extraction

Cited by 36 publications

References 25 publications

Evaluation capability of surgical difficulty in the extraction of impacted mandibular third molars: a retrospective study from a post-graduate institution

Evaluation capability of surgical difficulty in the extraction of impacted mandibular third molars: a retrospective study from a post-graduate institution

Difficultés d’avulsion de la troisième molaire mandibulaire incluse : place de l’orthopantomogramme

Assessment of Pain and Trismus and Determining the Difficulty Level of Tooth Extraction with Modified Parant Scale

Contact Info

Product

Resources

About