UK National Third Molar project: the initial report

Worrall, S.F.; Riden, K; Haskell, R.; Corrigan, A.M.

doi:10.1016/s0266-4356(98)90740-9

Cited by 73 publications

(42 citation statements)

References 13 publications

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“…The literature describes the prevalence of second molar DC adjacent to impacted third molars in the UK in a range of 1 -4.7% [18][19][20][21][22] before and 15.7 -51% 10,11,23-25,27,32 after the publication of the NICE wisdom tooth guidance or in areas where third molar prophylactic removal was discouraged. By comparing NICE 14 recommends the retention of third molars unless unrestorable caries had developed but did not consider the potential for caries development in the adjacent second molar tooth.…”

Section: Discussionmentioning

confidence: 99%

Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

Toedtling¹,

Coulthard

Thackray

2016

Br Dent J

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Section: Discussionmentioning

confidence: 99%

Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

Toedtling¹,

Coulthard

Thackray

2016

Br Dent J

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“…One study indicated the OHIP-14 to be responsive to clinical changes in status of impacted third molars in a Scottish general dental practice [13]. As with this study, the present study also focuses on the responsiveness of the OHIP-14 with regard to third molar surgery, which is one of the most frequently performed oral surgery procedures [14]. …”

Section: Introductionmentioning

confidence: 86%

The internal responsiveness of the Oral Health Impact Profile-14 to detect differences in clinical parameters related to surgical third molar removal

Kieffer

Wijk

et al. 2011

Qual Life Res

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PurposeThe present study examined the internal responsiveness of the short-form Oral Health Impact Profile (OHIP-14) and its ability to differentiate between patients with and without pre- and postoperative complaints as well as other clinical variables.MethodsThe sample consisted of 97 patients undergoing surgical third molar removal. The OHIP-14 was filled in preoperatively, on each postoperative day for a week and once more after 1 month. In addition, pre- and postoperative status was measured along with other clinical variables.ResultsThe OHIP-14 is able to differentiate between the first preoperative day (M = 16.85, SD = 5.35) and all the days within the postoperative week (first day M = 29.46, SD = 9.32). One month postoperatively, mean OHIP scores are reduced to preoperative levels. In addition, differences could be shown between patients with and without pre- (M = 18.9, SD = 8.1 vs. M = 16.2, SD = 3.9) and postoperative complaints (M = 18.9, SD = 8.1 vs. M = 16.2, SD = 3.9), partial (preop; M = 17.8, SD = 6.8, postoperative; M = 27.4, SD = 7.7) and complete mucosa coverage (preop; M = 15.9, SD = 3.2, postoperative; M = 29.5, SD = 10.6) and the level of impaction (Pell and Gregory classification) of the third molar (3B showing the highest increase in the mean OHIP score).ConclusionsThe OHIP-14 can be considered internally responsive to changes in impacts of oral conditions as a result of surgical third molar removal and is able to differentiate the effect of several clinical variables.

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“…1 The surgical removal of wisdom teeth under local anaesthesia is widely carried out in general dental practice and also occupies an appreciable amount of clinical time in many hospital oral and maxillofa-cial surgery departments. 2,3 The decision, however, to remove third molars is not straightforward and all too often misunderstandings about the possible outcomes of third molar surgery result in dentolegal negligence proceedings. 4 The medico-legal defence societies have repeatedly reiterated the importance of communicating the potential risks of such procedures to patients to enable them to give their 'informed consent' for surgery.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2003

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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.

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UK National Third Molar project: the initial report

Cited by 73 publications

References 13 publications

Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

Distal caries of the second molar in the presence of a mandibular third molar – a prevention protocol

The internal responsiveness of the Oral Health Impact Profile-14 to detect differences in clinical parameters related to surgical third molar removal

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

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