An assessment of factors influencing the difficulty in third molar surgery

Tenglikar, Pavan; Munnangi, Ashwini; Mangalgi, Anand; Uddin, Syed Furqhan; Mathpathi, Santosh; Shah, Kundan

doi:10.4103/ams.ams_194_15

Cited by 13 publications

(2 citation statements)

References 9 publications

(19 reference statements)

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“…Facial pattern, on the other hand, does not seem to influence the intervention time, as does height or gender. In their article, Tenglikar et al [15] conclude that factors such as buccal opening, external oblique ridge, and root morphology are determining factors that vary the operation time [13,16,28], variables that have not been considered in the present study. Root morphology is a factor that includes the WHARFE index, which is analyzed and compared with Pederson's in a study published in 2020 [29,30], where it is concluded that the WHARFE index is more reliable and accurate than Pederson's, which is supported by other previous publications [30,31].…”

Section: Discussionmentioning

confidence: 70%

“…This leads us to think that it is necessary to broaden the range of factors that are taken into account when speaking in terms of the difficulty of surgical intervention, such as third molar extraction, specifically mandibular, where it has been shown that even the level of anxiety of the patients before the intervention conditions infections and postoperative complications [14,15]. The preoperative stage is, therefore, essential to offer our patients the highest safety and quality in surgery [16].…”

Section: Introductionmentioning

confidence: 99%

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Proposal and Validation of a New Index to Assess the Difficulty of Lower Third Molar Extraction

Hermida-Cabrera,

Lima-Sánchez,

Montoya-Salazar

et al. 2024

Dentistry Journal

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There is no current consensus on the parameters that determine the difficulty of mandibular third molar extraction in terms of the time required, which is essential to prevent complications and optimize the time of the intervention. This study aims to obtain, using the mathematical method of multiple linear regression, an equation that allows estimating the extraction time of a lower third molar according to its complexity, as well as to validate this equation in a sample of external wisdom teeth. Methods: A prospective cohort study on a sample of patients of the Master of Oral Surgery of the University of Seville in which multiple linear regression coefficients were calculated with a subsequent validation study of the results in the sample of patients operated in the Hospital Palmaplanas of Mallorca. Results: The regression line obtained after applying the statistical methodology to the cohort of patients from the University of Seville obtained significant dependent variables such as depth, roots, and odontosection. Once applied to the cohort of patients from the Palmaplanas Hospital in Mallorca, a regression coefficient was obtained between the data received and the estimated 0.770. Conclusions: The formula proposed in this article presents significant validity in the prediction of the surgical time of extraction of the lower third molars included.

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Proposal and Validation of a New Index to Assess the Difficulty of Lower Third Molar Extraction

Hermida-Cabrera,

Lima-Sánchez,

Montoya-Salazar

et al. 2024

Dentistry Journal

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Alveolar iodine tampon packing after impacted third molar surgery improves oral health–related quality of life and postoperative sequela: a randomized study

Lindeboom

Tuk

Möllenkamp

et al. 2020

Oral Maxillofac Surg

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Objective The aim of this study was to evaluate the effect of an iodine tampon on postoperative discomfort after surgical removal of a mandibular third molar. Material and methods Patients were randomly assigned to two groups: one group received an alveolar iodine-containing tampon in the extraction socket (N = 44), and the other group used a disposable syringe (Monoject®) to rinse the wound (N = 43). Postoperative discomfort was assessed with the Oral Health Impact Profile-14 (OHIP-14) questionnaire, Pain Intensity Numerical Rating Scale (PI-NRS), and questions about self-care and discomfort. Results This study included 87 patients (52 women and 35 men) with an average age of 26.47 years (SD, 6.36). The mean OHIP-14 sum scores were significantly lower in the iodine tampon group compared with the Monoject® syringe group. Mean PI-NRS scores significantly differed between the iodine tampon group (3.33; SE, 0.27) and Monoject® syringe group (4.46; SE, 0.27) (F (1, 85) = 8.16, p < 0.01), with no interaction effect between time and PI-NRS (F (6, 510) = 1.26, p = 0.28). Patients in the iodine tampon group reported less postoperative discomfort. Conclusions Insertion of an iodine-containing tampon in the postoperative socket reduced the pain and impact on oral healthrelated quality of life during the first postoperative week and positively influenced postoperative sequelae.

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