Can third molar surgery improve quality of life? A 6-month cohort study

McGrath, Colman; Comfort, Margaret B.; Lo, Edward C M; Luo, Yan

doi:10.1016/s0278-2391(03)00150-2

Cited by 81 publications

(67 citation statements)

References 22 publications

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“…Porém, de acordo com Gomes et al 20 , tal acontecimento não apresenta valor significativo quando comparado ao benefício, em longo prazo, proporcionado. Para McGrath et al 21 , o desconforto pós-operatório imediato seria uma etapa passageira para se chegar a uma melhora considerável na qualidade de vida, em longo prazo.…”

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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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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“…Past studies showed that a deterioration in oral health related QOL, occurred in the short term (immediate postoperative) after TMS [19][20][21][22][23]. To deliver the best practices, many guidelines have been proposed for extraction of wisdom teeth [24,25].…”

Section: Discussionmentioning

confidence: 99%

Single-Dose of Submucosal Injection of Dexamethasone Affects the Post Operative Quality of Life After Third Molar Surgery

Deo

2015

J. Maxillofac. Oral Surg.

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Introduction Third molar surgery (TMS) became a routine, safe office procedure with generally predictable outcomes and relative low cost. It affects quality of life (QOL) of patients by causing considerable pain, swelling and trismus; by changing what people eat, their speech in the first few days after surgery. The purpose of the present study was to improve QOL of patient after lower TMS by injecting single dose 8 mg submucosal dexamethasone. Materials and Methods Forty healthy adult subjects of either gender underwent surgical removal of the lower impacted third molar under local anaesthesia and after being randomly assigned to receive either 8 mg dexamethasone submucosal injection or normal saline injection in proximity to surgical site. Statistical Analysis Used Chi-square test, Mann-Whitney U test (Z), t student and unpaired t test, and Fisher extract test were used for calculation of data. Results Facial swelling, trismus showed significant reduction immediate postoperative day in dexamethasone groups. Patient perception postoperative pain on VAS score was not significant. PoSSe statistics, only three out of seven subscales showed a statistically significant difference between groups viz., Eating subscale, Appearance subscale, Sickness subscale but over all improvement in QOL was observed. Conclusions Submucosal dexamethasone effectively reduces postoperative sequelae and improves postoperative QOL after TMS.

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“…The patients should be aware of the risks and benefits of conservative and interventionist management approaches, and patients' perceptions should also be included in the decision-making process to provide a more comprehensive assessment of the effectiveness and value of third molar surgery (2,13). Although a significant deterioration was observed in oral health-related quality of life in the immediate postoperative period following third molar surgery (14), an improvement of these parameters was observed in the later postoperative periods (13). This has implications for patients deciding on third molar surgery and giving informed consent, and for understanding the value of surgery from patients' perspective and assessing health gain.…”

Section: Discussionmentioning

confidence: 99%

Retained Third Molars Removal in a Severely Resorbed Edentulous Mandible. A Case Report

Sverzut¹,

Trivellato²,

Sverzut³

et al. 2013

Braz. Dent. J.

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The presence of asymptomatic third molars can represent a potential problem in the mandible when these teeth are retained and the patient has lost all normally erupted teeth. Once the mandibular first and second molars are removed, the mandibular body becomes weaker with time, increasing the complexity, morbidity and incidence of complication in the surgical procedure to remove the retained third molar. This paper reports a case where the mandibular third molars retained in a severely resorbed mandible were removed in a 54-year-old female patient. The treatment plan was based on the safe surgical removal of the teeth and prosthetic rehabilitation with an implant-supported milled bar overdenture and a bone-mucous-supported complete denture in the mandibular and maxillary arch, respectively. If the removal of a retained third molar is indicated in a severely resorbed edentulous mandible, the treatment plan must involve not only preventive measures in order to avoid mandible fracture during or after tooth removal, but also alternatives that allow an adequate mandibular rehabilitation.

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Can third molar surgery improve quality of life? A 6-month cohort study

Cited by 81 publications

References 22 publications

Qualidade de vida de pacientes submetidos à exodontia de terceiros molares

Qualidade de vida de pacientes submetidos à exodontia de terceiros molares

Single-Dose of Submucosal Injection of Dexamethasone Affects the Post Operative Quality of Life After Third Molar Surgery

Retained Third Molars Removal in a Severely Resorbed Edentulous Mandible. A Case Report

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