Third-molar removal patterns in an insured population

Eklund, Stephen A.; Pittman, James L.

doi:10.14219/jada.archive.2001.0209

Cited by 50 publications

(32 citation statements)

References 15 publications

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“…It is also a fact that most often these surgeries are carried out with local anesthesia on an outpatient basis. 1 Postoperative complications that have been found to be the most common are pain, trismus, and swelling.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Antimicrobial Therapy after Extraction of Impacted Mandibular Third Molar: A Randomized Clinical Trial

Rabi

Maheshwari

Bhuvaneshwari

et al. 2018

The Journal of Contemporary Dental Practice

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Aim: The present study was conducted with the aim of evaluating the effectiveness of antimicrobial therapy following extraction of an impacted mandibular third molar. Materials and methods:This randomized controlled trial was conducted on a total of 60 patients who were randomly assigned into three groups: Group I individuals were given 625 mg of combined amoxicillin and clavulanic acid tablet; 625 mg of combined amoxicillin and clavulanic acid tablet + 400 mg metronidazole tablet was given to group II individuals; whereas group III individuals were assigned no treatment. All the individuals underwent surgical extraction of impacted mandibular third molars under strict aseptic techniques, with minimal trauma to the surrounding tissues. Mouth opening in millimeters was recorded postoperatively using Vernier calipers on the 1st, 3rd, 5th, and 7th days. A 4-point visual analog scale (VAS) was used for assessing postoperative pain. Patient satisfaction was further assessed in a subjective manner using a graded scale from "very satisfied" to "very unsatisfied". better satisfaction than the other group individuals. There was no statistically significant difference between the mean age of groups. It was observed that on day 3, the number of individuals with severe pain was slightly reduced in the group I compared with group III individuals. On day 5, participants with no pain were significantly more in group II followed by group I. Furthermore, there was a statistically significant difference between the study groups with respect to mouth opening on days 3 and 5. Results Conclusion:It was concluded from this trial that the administration of postoperative antimicrobials showed no significant differences in the degree of postoperative complications that occur following the surgical extraction of impacted mandibular third molars.Clinical significance: Antimicrobial drugs are routinely used to reduce the chances of surgical site infection, either preoperatively or postoperatively. Therefore, the clinicians should have sound knowledge about choosing the better antimicrobial drug after the extraction of impacted third molars.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Antimicrobial Therapy after Extraction of Impacted Mandibular Third Molar: A Randomized Clinical Trial

Rabi

Maheshwari

Bhuvaneshwari

et al. 2018

The Journal of Contemporary Dental Practice

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“…Our patients were also young (median age, 21 years). In a more recent study of patients insured for third molar surgery, Eklund and Pittman 13 reported that most third molars were removed between 15 and 25 years of age, with a peak at age 18 years. More women than men had third molars removed in the cited studies, 1-3 a distribution that is similar to our study population.…”

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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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“…Thus, 95% of third molar extractions occur between 16 and 21 years of age 1 . In the studied sample mean age agrees to other studies.…”

Section: Discussionmentioning

confidence: 99%

“…One of the most common dental procedures in patients aged 16 to 21 years is the extraction of third molars 1 . The most frequent undesirable ocurrences in such procedures are pain, edema, dysphagia and infection [2][3] .…”

Section: Introductionmentioning

confidence: 99%

Third molar extractions: a retrospective study of 1178 cases

Salmen

Oliveira

Gabrielli

et al. 2016

RGO, Rev. Gaúch. Odontol.

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Objective This study aims to investigate the demographics, patient health status, position of the teeth, pericoronitis incidence, surgical complications, use of antibiotics to third molar removal and correlate those findings. Methods Based on panoramic radiographs, the teeth were classified as proposed by Pell and Gregory and Winter. The binomial test for proportions with a significance level of 5% was applied. Results Records ConclusionIn this study, the complication rates were low. They were more frequent in women who did not receive antibiotics. The most common complication was alveolitis.Indexing terms: Impacted tooth. Tooth extraction. Third molar. RESUMO ObjetivoEste estudo objetivou descrever os dados demográficos dos pacientes, posicionamento dos terceiros molares, complicações cirúrgicas, condição sistêmica, histórico de pericoronarite e antibioticoterapia e correlacionar esses achados. MétodosCom base em radiografias panorâmicas os dentes foram classificados conforme proposto por Pell e Gregory e Winter. Foi utilizado o teste Binomial para proporções a 5% de significância. ResultadosForam revisados os prontuários de 337 pacientes submetidos a 1178 exodontias durante o perído de 1993 a 2011. Os dentes superiores apresentaram-se predominantemente verticais (84,2%) (p<0,0001), classe I (49,55%) (p<0,0001), posição C (58,88%) (p<0,0001) e os inferiores mesioangulados (42,03%) (p<0,0122), classe II (60,22%) (p<0,0001), posição A (48,15%) (p<0,0001). As complicações ocorreram em apenas 2,88% das cirurgias, foram mais comuns em mulheres (69,7%) (p<0,0014) e em pacientes que não fizeram uso de antibióticos (71,43%) (p<0,0027). A maioria das complicações ocorreu após extrações de dentes inferiores (75,75%) (p<0,0001). A complicação mais comum foi a alveolite (52.51%) (p<0.0006). ConclusãoNeste estudo, as complicações não foram frequentes e acometeram mais mulheres e pacientes que não fizeram uso de antibióticos, sendo a alveolite a mais comumente observada.

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Third-molar removal patterns in an insured population

Cited by 50 publications

References 15 publications

Effectiveness of Antimicrobial Therapy after Extraction of Impacted Mandibular Third Molar: A Randomized Clinical Trial

Effectiveness of Antimicrobial Therapy after Extraction of Impacted Mandibular Third Molar: A Randomized Clinical Trial

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

Third molar extractions: a retrospective study of 1178 cases

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