Quality of life following lower third molar removal

Colorado-Bonnin, M.; Valmaseda‐Castellón, Eduard; Berini-Aytés, Leonardo; Gay‐Escoda, Cosme

doi:10.1016/j.ijom.2005.08.008

Cited by 124 publications

(101 citation statements)

References 22 publications

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“…[2][3][4] It has also been shown that patients often experience inadequate analgesia postoperatively, that the pain level varies interindividually and that significantly influences patient quality of life mainly during the first three postoperative days. 5 Pain after the third molar removal is a routine sequela due to trauma-induced inflammation. Therefore, third molar surgery is one of the most often used intervention to study acute analgesia and numerous studies have been published on this issue, 6,7 but very few have evaluated factors that may predict the postsurgery pain intensity.…”

Section: Introductionmentioning

confidence: 99%

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Bortoluzzi

Guollo²,

Capella³

2011

The Journal of Contemporary Dental Practice

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Aim:The aim of this prospective study was to evaluate the pain course after surgical removal of third molars. Materials and methods:The sample consisted of 100 consecutive patients. Pain intensity was assessed by means of a visual analog scale (VAS).Results: At day 1, moderate and severe pain were observed predominantly in patients who had surgery in the mandible (p < 0.001) and for patients younger than 24 years (p = 0.009), while more patients who weekly consumed mate tea (Ilex paraguariensis) showed pain classified as none or light (p = 0.017). At day 2, the profile of pain moderate/severe was more prevalent for patients who had surgery in the mandible (p < 0.001) with the report of difficult surgery (p = 0.042) and with odontotomy performed (p = 0.033). In the third postoperative day, severe/moderate pain was associated with surgery in the mandible (p < 0.001) and with odontotomy (p = 0.021) and ostectomy (p = 0.028) performed, with report of long and difficult procedure (p = 0.023), surgeries which last more than sixty minutes (p < 0.026), and for those patients who developed postoperative inflammatory complications (p < 0.001). Conclusion:Higher pain complains could be expected for patients who have long and difficult mandibular third molar surgery characterized by odontotomy and ostectomy.Clinical significance: Pain after third molar surgery is a common sequele. It is indispensable for the dentists to be apt in handling and preventing it as far as possible and know possible variables that may influence or increase these pain levels. It can be a clinical advantage. Better understanding the pain characteristics may guide the dentist through preoperative decisions.

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Section: Introductionmentioning

confidence: 99%

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Bortoluzzi

Guollo²,

Capella³

2011

The Journal of Contemporary Dental Practice

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“…While the oral and maxillofacial literature offers many publications addressing the postoperative morbidity following removal of mandibular molars, few studies also examined the postoperative healing period and its influence on the quality of life [19] [20]. In a prospective study of 201 patients who underwent mandibular third-molar surgery, dysphagia was one of the main reasons associated with inability to work following the procedure [19].…”

Section: Discussionmentioning

confidence: 99%

The Buccal Lid Approach for Removal of Impacted Mandibular Molars—When, How and Why?

Kablan¹,

Yaffe²,

El-Naaj³

2017

OJST

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Background: The surgical removal of impacted mandibular molars represents one of the most prevalent procedures carried out by the oral and maxillofacial surgeon. Despite its prevalence, unusual impaction location of mandibular molars necessitates alternative extraction approaches. One of the methods described for extraction of deeply impacted molars is the bony lid approach which was first presented for surgical endodontic treatment of mandibular molars. The aim of this study was to evaluate the outcome of the bony lid approach in extracting mandibular molars. In addition, critical clinical key points, new aspects while performing this procedure, indications and contraindications are discussed. Materials and Methods: 9 patients were treated with the bony lid technique. A retrospective analysis of medical charts was conducted to evaluate the results of surgery. Results: The operative technique described in the article was successfully carried out in 12 cases of impacted mandibular molars. No incidence of permanent sensory deficit was recorded. In one patient, an infection mandated the removal of the bony lids. In all other cases the healing process was uneventful. Conclusion: The bony lid technique has many advantages over alternative extraction methods and should be considered as a treatment option in cases of critical proximity between an impacted tooth and the inferior alveolar nerve.

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“…Nearly, all patients report pain, oedema, erythematic, warmth, and loss of function for the first few days after surgery; affects the post operative QOL. Moreover, it increases the post operative phone call to the clinician [7].…”

Section: Introductionmentioning

confidence: 99%

Single-Dose of Submucosal Injection of Dexamethasone Affects the Post Operative Quality of Life After Third Molar Surgery

Deo

2015

J. Maxillofac. Oral Surg.

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Introduction Third molar surgery (TMS) became a routine, safe office procedure with generally predictable outcomes and relative low cost. It affects quality of life (QOL) of patients by causing considerable pain, swelling and trismus; by changing what people eat, their speech in the first few days after surgery. The purpose of the present study was to improve QOL of patient after lower TMS by injecting single dose 8 mg submucosal dexamethasone. Materials and Methods Forty healthy adult subjects of either gender underwent surgical removal of the lower impacted third molar under local anaesthesia and after being randomly assigned to receive either 8 mg dexamethasone submucosal injection or normal saline injection in proximity to surgical site. Statistical Analysis Used Chi-square test, Mann-Whitney U test (Z), t student and unpaired t test, and Fisher extract test were used for calculation of data. Results Facial swelling, trismus showed significant reduction immediate postoperative day in dexamethasone groups. Patient perception postoperative pain on VAS score was not significant. PoSSe statistics, only three out of seven subscales showed a statistically significant difference between groups viz., Eating subscale, Appearance subscale, Sickness subscale but over all improvement in QOL was observed. Conclusions Submucosal dexamethasone effectively reduces postoperative sequelae and improves postoperative QOL after TMS.

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Quality of life following lower third molar removal

Cited by 124 publications

References 22 publications

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

The Buccal Lid Approach for Removal of Impacted Mandibular Molars—When, How and Why?

Single-Dose of Submucosal Injection of Dexamethasone Affects the Post Operative Quality of Life After Third Molar Surgery

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