Predictor evaluation of postoperative morbidity after surgical removal of mandibular third molars

Berge, Trond Inge; Bøe, Olav Egil

doi:10.3109/00016359409027591

Cited by 88 publications

(63 citation statements)

References 25 publications

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“…15,16 In our study, a previous history of dry socket was an important factor in determining whether a patient returned with pain. This agrees with work by Berge and Boe, 17 which indicated that as yet unidentified intrinsic factors influenced post operative healing. The fibrinolytic theory 18 states that dry socket is the result of loss of the blood clot caused by bone fibrinolysis.…”

Section: Bacteria Play No Part In the Development Of Dry Socketsupporting

confidence: 82%

The prevention of 'dry socket' with topical metronidazole in general dental practice

Reekie¹,

Downes

Devlin

et al. 2006

Br Dent J

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Objective The purpose of the study was to determine if the intra-alveolar application of topical metronidazole gel could reduce the incidence of alveolar osteitis (dry socket) following routine tooth extraction in molar and premolar extraction sites. Design This was a multicentre, double blind, randomised, placebocontrolled clinical trial. A total of 302 patients took part, of which 23 returned with alveolar osteitis. Of these, eight had received the metronidazole gel and 15 the placebo. Setting The study was carried out in three general dental practices by general dental practitioners working in England over the period [2000][2001][2002][2003]. Main outcome measures Following extraction of either a molar or premolar tooth, either a 25% metronidazole gel or KY Jelly was syringed gently into the socket. A painful post operative complication was recorded if either a dry socket was present or the patient returned with pain. Results and conclusions The difference in the incidence of alveolar osteitis between the placebo and the active gel groups was not significant and it was concluded that 25% topical metronidazole gel was not effective in reducing the incidence of alveolar osteitis. It was found that the incidence of alveolar osteitis reduced with increasing age and was more likely to occur in a patient with a previous history of the condition.

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Section: Bacteria Play No Part In the Development Of Dry Socketsupporting

confidence: 82%

The prevention of 'dry socket' with topical metronidazole in general dental practice

Reekie¹,

Downes

Devlin

et al. 2006

Br Dent J

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“…To date, few studies have described an incidence of IAN injury less than 1% [6][7][8][9][10][11][12] . Thus, after calculation we obtained a sample (n) of 132 patients, with a confidence interval of 95% and a sampling error of 7%.…”

Section: Introductionmentioning

confidence: 99%

Correlation between radiographic signs of third molar proximity with inferior alveolar nerve and postoperative occurrence of neurosensory disorders: A prospective, double-blind study

Costa¹,

Fontenele²,

Bezerra³

et al. 2013

Acta Cir. Bras.

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PURPOSE:To evaluate the interference of radiographic factors in the appearance of sensory deficit related to inferior alveolar nerve (IAN) after third molars (3Ms) removal. METHODS:A prospective, double-blind, observational, unicentric study was performed with 126 patients submitted to a surgical procedure of lower 3Ms removal in the period from March to October/2011. Collected data included gender, age, eruption stage of 3Ms, position/angle of 3Ms (Pell-Gregory and Winter classifications, respectively), presence/absence of radiographic signs of 3Ms proximity with the inferior alveolar canal and surgical technique. Occurrence evaluation of the IAN injury was performed on the seventh postoperative day through pin-prick, two-point discrimination and brush directional stroke tests. RESULTS:Predominant radiographic signs were: narrowing of the inferior alveolar canal (68.25%), darkening of root (46.82%) and diversion of the canal (31%). None of the patients presented sensory loss. Sixty-one (48.41%) of the cases had at least one or two radiographic signs of proximity with NAI. Forty-seven (37.3%) had 3 or more signs, and 18 (14.29%) did not have any radiographic signs of proximity to mandibular canal. CONCLUSION:There was not a positive correlation between presence of radiographic signs of 3Ms with IAN proximity and postoperative neurosensory disorders occurrence.

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“…Other authors have reported outcomes for selected lifestyle measures after surgery. [6][7][8][9][10] Here, we report both clinical and HRQOL outcomes after third molar surgery in patients who were treated in a prospective, clinical trial conducted at multiple clinical sites, including community and academic practices.…”

mentioning

confidence: 99%

Recovery after third molar surgery: Clinical and health-related quality of life outcomes

White¹,

Shugars²,

Shafer³

et al. 2003

Journal of Oral and Maxillofacial Surgery

123

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Purpose:The study goal was to assess both clinical and health-related quality of life (HRQOL) outcomes after third molar surgery. Methods: Patients who were having 4 third molars removed were enrolled in a prospective clinical trial. Baseline data were recorded that included demographics, the patient's and surgeon's assessment of third molar conditions, and details of the surgical procedure. After surgery, clinical data were collected that detailed healing and any treatment that was rendered. Each patient was given an HRQOL instrument to complete on each postsurgery day for 14 days; the instrument was designed to assess a patient's perception of recovery in 4 main categories: pain, lifestyle, oral function, and other symptoms related to the procedure. Results: Recovery data were available for 630 of 740 enrolled patients. The median age of the 630 patients was 21 years, and the median operation time was 30 minutes. Recovery for most HRQOL measures occurred within 5 days after surgery. However, recovery from pain to the criterion of "little or none" was delayed relative to other HRQOL measures. Twenty-two percent of patients were treated for delayed healing after surgery. Conclusions: Having both clinical and HRQOL data on recovery after third molar surgery could assist the surgeon when informing prospective patients about what to expect after surgery to remove third molars. Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 61:535-544, 2003 Patients who seek third molar surgery expect the surgeon to explain the risks and benefits of the planned procedure as well as details of recovery from the surgery. Data from case series on clinical outcomes of third molar surgery such as wound infection rates and the frequency of localized osteitis have been available for more than a decade. 1-3 Recovery for health-related quality of life (HRQOL) measures, a © 2003 American Association of

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Predictor evaluation of postoperative morbidity after surgical removal of mandibular third molars

Cited by 88 publications

References 25 publications

The prevention of 'dry socket' with topical metronidazole in general dental practice

The prevention of 'dry socket' with topical metronidazole in general dental practice

Correlation between radiographic signs of third molar proximity with inferior alveolar nerve and postoperative occurrence of neurosensory disorders: A prospective, double-blind study

Recovery after third molar surgery: Clinical and health-related quality of life outcomes

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