Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction

Lopes, Victor; Mumenya, R; Feinmann, C; Harris, Malcolm

doi:10.1016/0266-4356(95)90083-7

Cited by 186 publications

(111 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among the most serious and often discussed postoperative complications that arise from third molar surgery is trigeminal nerve injury, specifically, involvement of either the inferior alveolar or lingual nerve [3,[7][8][9]. Lingual nerve being main sensory nerve of tongue and tongue coordinating speech, mastication, swallowing, taste sensation, any disturbance in lingual sensation can affect patient functionally as well as psychologically.…”

Section: Introductionmentioning

confidence: 99%

“…Some injuries may lead to incomplete and altered nerve regeneration resulting in permanent or temporary paraesthesia, hypoaesthesia and sometimes dysaesthesia causing mastication and speech disturbances affecting quality of patient's life [8]. Factors influencing these complications include age, health and habits of the patient, degree of impaction, the surgeon's experience, time taken for the procedure and the surgical technique used [2,6,9]. Hence this prospective clinical study was undertaken to evaluate the incidence and various risk factors influencing the sensory deficit in case of lingual nerve injury (LNI) in individuals who have undergone surgical extraction of impacted mandibular third molars under local anesthesia.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Babu

Reddy²,

Pattathan

et al. 2012

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Background and Objectives The purpose of this prospective study was to evaluate the incidence and various risk factors influencing the sensory deficit in case of lingual nerve injury (LNI) in individuals whose impacted mandibular third molars are surgically removed under local anesthesia. Materials and Methods The study was based on the data collected prospectively from a random group of 100 patients who underwent surgical removal of bony impacted lower third molar in a dental hospital. Details of the patient, reason for extraction, type of impaction, method of surgery and signs and symptoms of nerve injury are recorded. Neurosensory testing was done to evaluate the LNI at 1 week, 1 months, 3 months and 6 months interval.Comparison was carried out using Chi square test. For all tests a P \ 0.05 was considered significant. Results The incidence of LNI was 4 % and of temporary in nature which recovered well within 6 months postoperatively. The age of the patient above 26 years, lingual flap retraction, depth of impaction (red line C10 mm) and duration of surgery above 30 min were the significant factors for causing LNI. Conclusions The age of the patient, depth of impaction, lingual flap retraction and longer duration of surgery are significant risk factors for LNI during mandibular third molar surgery. Greater care should be taken to avoid the morbidity and patients should be informed well ahead about the probable complications.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Babu

Reddy²,

Pattathan

et al. 2012

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

show abstract

“…5,6 While a great body of evidence exists about the possible signs and symptoms following third molar surgery in terms of pain, swelling, trismus and parasthesia, surprisingly little is known about the consequences of these on a patient's life, and how it affects their day to day life or life quality. [7][8][9][10] Assessment of the physical, social and psychological consequences of health states has been carried out for several decades now in medicine but only recently has it been employed in the dental arena. 11 A plethora of oral health specific quality of life measures (questionnaires) have been developed and their psychometric properties evaluated.…”

Section: Introductionmentioning

confidence: 99%

Changes in life quality following third molar surgery – the immediate postoperative period

et al. 2003

View full text Add to dashboard Cite

Objectives This study describes patients' perceptions of changes in oral health related quality of life (OHQOL) in the early postoperative period following third molar surgery. Methods One hundred patients were enrolled in a prospective cohort study of the surgical removal of lower third molars under local anaesthetic. Two specific oral health related quality of life measures, OHIP-14 and OHQoLUK© were administered to the study group prior to surgery. Standardized surgical and analgesic protocols were followed. Patients kept a diary of changes in life quality each postoperative day (POD) for 7 days, completing both OHIP-14 and OHQoLUK© daily. Results Both oral health related quality of life measures identified a significant deterioration in quality of life on POD1 (P<0.01) and this remained evident on POD2 (P<0.01), POD3 (P<0.01), POD4 (P<0.01) and POD5 (P<0.05). By POD6 and POD7 there was no significant difference in quality of life compared with preoperative status (P>0.05). Deterioration in life quality over the study period was associated with postoperative clinical findings (P<0.05): swelling and trismus. Conclusion The study concludes that there is a significant deterioration in oral health related quality of life in the immediate postoperative period following third molar surgery; particularly during the first five days. This is associated with postoperative clinical findings. This has implication for patients deciding on third molar surgery and informed consent.

show abstract

“…[7][8][9][10][11][12] Criteria for selecting surgical cases were generated from an analysis of day case patients treated in the previous 4 years as well as a review of the medical literature. [13][14][15] The main criteria was that the duration of operation should be < 1 hour. 16 Data was collected prospectively on a specifically designed database.…”

Section: Practice Oral Surgerymentioning

confidence: 99%

Direct referral day case oral surgery for dental practitioners: a pilot investigation

Renton

McGurk

1999

Br Dent J

View full text Add to dashboard Cite

Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction

Cited by 186 publications

References 5 publications

Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Factors Influencing Lingual Nerve Paraesthesia Following Third Molar Surgery: A Prospective Clinical Study

Changes in life quality following third molar surgery – the immediate postoperative period

Direct referral day case oral surgery for dental practitioners: a pilot investigation

Contact Info

Product

Resources

About