Assessing Postoperative Discomfort After Third Molar Surgery: A Prospective Study

Grossi, Giovanni Battista; Maiorana, Carlo; Garramone, Rocco Alberto; Borgonovo, Andrea Enrico; Creminelli, Luca; Santoro, Franco

doi:10.1016/j.joms.2005.12.046

Cited by 157 publications

(135 citation statements)

References 56 publications

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“…The postoperative conditions of the surgical extraction of third molars such as pain, swelling and trismus, followed by the discomfort during the healing phase are the main complaints mentioned in scientific studies 11,[14][15][16][17][18] . The same way that the nonsteroidal antiinflammatory drugs (NSAIDs), with common use in surgical practice, the LLLT promotes the same results, however without the side effects.…”

Section: Resultsmentioning

confidence: 99%

Low-intensity laser efficacy in postoperative extraction of third molars

Mileto

Azambuja

2017

RGO, Rev. Gaúch. Odontol.

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RESUMOA busca por meios que possibilitem uma melhor qualidade de vida pós-operatória aos pacientes deve ser incessante. O procedimento de exodontia de terceiros molares pode resultar em possíveis complicações, tais como dor, edema e trismo, juntamente com o desconforto na fase de recuperação. Dessa forma, esta revisão narrativa procurou analisar, a partir de revisões sistemáticas e estudos clínicos randomizados, a utilização da terapia a laser de baixa intensidade como influenciador do quadro clínico após cirurgias de terceiros molares. Os artigos científicos foram pesquisados através do banco de dados PubMed e Science Direct. Apesar dos estudos avaliados citarem a efetividade da laserterapia, como reparador tecidual, anti-inflamatório e analgésico, a variedade de modelos de análise e diversidade de dosimetrias deixa uma lacuna sobre sua verdadeira eficácia. Com base na pesquisa realizada, sugerimos a utilização adjuvante do laser diodo GaAIAs com 810 nm (λ), 100 mW de potência constante e 4 J/cm 2 de energia, de forma intra e extraoral em pelo menos três sessões para minimizar as possíveis ocorrências da cirurgia de terceiros molares.Termos de indexação: Terapia a laser de baixa intensidade. Dente serotino. Complicações pós-operatórias. Cirurgia bucal.

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Section: Resultsmentioning

confidence: 99%

Low-intensity laser efficacy in postoperative extraction of third molars

Mileto

Azambuja

2017

RGO, Rev. Gaúch. Odontol.

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“…Muitos estudos vêm evidenciando que os fatores transoperatórios são fortes indicadores de complicações pós-operatória 22 . Porém, no presente estudo, 71,4% dos pacientes submetidos a osteotomia e odontossecção mantiveram suas atividades normais, e dos pacientes não submetidos às técnicas, 59% não mantiveram.…”

Section: Resultadounclassified

“…Dos pacientes que não interromperam suas atividades sociais normalmente, 33,3% dos pacientes apresentavam os elementos totalmente erupcionados e 66,7% apresentavam os elementos parcialmente erupcionados, não constando nenhum paciente nessa situação com os elementos totalmente inclusos. Esse achado é semelhante ao encontrado na literatura, a qual relata, como fatores de risco, o nível de inclusão e a angulação do terceiro molar, e como fatores relacionados à técnica operatória, procedimentos como confecção do retalho, osteotomia e odontossecção, dentre outros 22,23 . O fenômeno físico da dor parece ser de evidência clínica no pós-operatório, pois, na maioria dos procedimentos cirúrgicos, devido à lesão tecidual decorrente das técnicas cirúrgicas, é comum que os pacientes denotem, em maior ou menor grau, esse tipo de sintoma.…”

Section: Resultadounclassified

Qualidade de vida de pacientes submetidos à exodontia de terceiros molares

Santos

Lins

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: A remoção dos terceiros molares pode causar transtornos e prejuízos à qualidade de vida. Objetivo: Avaliar a qualidade de vida de pacientes submetidos à exodontia de terceiros molares, discutindo os eventos mais comumente observados. Descritores: Cirurgia bucal; terceiro molar; qualidade de vida. AbstractIntroduction: The removal of third molars can cause disorders and damage in quality of life. Objective: This study aimed to evaluate the quality of life in patients underwent surgery, discussing the most commonly events observed. Material and method: Sixty patients of a private surgery clinic from João Pessoa/PB were underwent extraction of third molars by the same surgeon and and under the same conditions. Data were collected in two steps: the first one was accomplished at the day of the procedure, which were noted down both patient and surgery informations. The second step were realized seven days after the procedure, the patients answered a form about life quality at the postoperative period. Result: 71,4% patients underwent to osteotomy and odontosection maintained their normal activities and 28,6% did not. While in patients not submitted to the techniques, 40,9% maintained their normal activities and 59,1% did not. According to Pell & Gregory classification, 71,4% of patients Class 3 maintained normally their social activities, while 60% of patients Position C didn´t. Patients who remained socially isolated and were underwent to techniques, 71,4% reported as the main reason the pain, and 100% of patients Class 3 and 80% of patients Position C have chosen the same answer. Conclusion: The results suggest that the techniques used in the transoperative does not influence the quality of life during the postoperative and the position has more influence than the class, in respect to the development of normal social activities.

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“…Postoperative pain was evaluated using a visual analogue scale (VAS) [13] 10 cm in length, ranging from 0 "no pain" to 10 "the worst possible pain". Patients were also instructed to report the number of rescue analgesic tablets required on the day of surgery (till 24 h postoperatively) and what is the time of the first analgesic tab was taken.…”

Section: Methodsmentioning

confidence: 99%

Comparison Between Dexamethasone and Cool Jaw Wrap on Postoperative Pain After Surgical Removal of Lower Wisdom Teeth

Al-fahad

Shallawe

2017

Int J Curr Pharm Sci

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Objective:The aim is to compare between the effect of cool jaw wraps and dexamethasone injection on postoperative pain and evaluate the quality of life after surgical removal of lower wisdom tooth.Methods: Extraction of impacted lower third molar will surgically operate (by the same difficulty of surgical extraction and same operator) on 30 patients, which divide into three groups, each group have 10 patients.We will instruct the patients in cool jaw wrap group to put cool jaw wrap after the operation. While the second group give dexamethasone injection after the operation. The last group which is the control group will left them with the usual instruction postoperatively.This study evaluates the facial pain, swelling, and trismus on days 1,2 and 7 postoperatively. Objective measurements of swelling, pain, and trismus were undertaken at days 1, 2 and 7. The quality of life questionnaire was estimated at day 7 postoperatively.Results: Cool jaw wrap showed no significant differences on the postoperative pain when it used after surgical removal of the lower third molar BUT have significant differences on the Quality of life of patients. Conclusion:Cool jaw face wrap can be recommended as a safe method that participates in some degree to reduce postoperative pain, it easy to handle, comfort, avoiding damage by freezing due to the barrier between cool jaw and skin and the patient can avoid the side effect of dexamethasone and the phobia from the injection.

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Assessing Postoperative Discomfort After Third Molar Surgery: A Prospective Study

Cited by 157 publications

References 56 publications

Low-intensity laser efficacy in postoperative extraction of third molars

Low-intensity laser efficacy in postoperative extraction of third molars

Qualidade de vida de pacientes submetidos à exodontia de terceiros molares

Comparison Between Dexamethasone and Cool Jaw Wrap on Postoperative Pain After Surgical Removal of Lower Wisdom Teeth

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