Frequency Estimates and Risk Factors for Postoperative Morbidity After Third Molar Removal: A Prospective Cohort Study

Baqain, Zaid H.; Karaky, Ashraf Abu; Sawair, Faleh; Khaisat, Ameen; Duaibis, Ramzi; Rajab, Lamis D.

doi:10.1016/j.joms.2008.06.047

Cited by 96 publications

(88 citation statements)

References 26 publications

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“…Similarly, to what was found in the present study, Kim et al (2006) 9 showed that patients who had deeply impacted teeth which implies in more difficult procedure and larger operation time have significantly higher pain scores compared with short operation times. Baqain et al (2008) 21 observed that postoperative pain was associated with tooth angulation, bone removal, tooth sectioning, lingual flap retraction and operation time, which was basically very similar to our results, except to lingual flap (not evaluated). It may be virtually impossible to preview how someone will behave concerning pain after third molar surgery since, pain can have several modulators and that can range from sex, age, psychological status, previous pain experience, patient's daily medicines and habits, surgical site, health status, the surgery trauma itself and also the postoperative prescriptions.…”

Section: Jcdp Pain Levels After Third Molar Surgical Removal: An Evalsupporting

confidence: 89%

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Bortoluzzi

Guollo²,

Capella³

2011

The Journal of Contemporary Dental Practice

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Aim:The aim of this prospective study was to evaluate the pain course after surgical removal of third molars. Materials and methods:The sample consisted of 100 consecutive patients. Pain intensity was assessed by means of a visual analog scale (VAS).Results: At day 1, moderate and severe pain were observed predominantly in patients who had surgery in the mandible (p < 0.001) and for patients younger than 24 years (p = 0.009), while more patients who weekly consumed mate tea (Ilex paraguariensis) showed pain classified as none or light (p = 0.017). At day 2, the profile of pain moderate/severe was more prevalent for patients who had surgery in the mandible (p < 0.001) with the report of difficult surgery (p = 0.042) and with odontotomy performed (p = 0.033). In the third postoperative day, severe/moderate pain was associated with surgery in the mandible (p < 0.001) and with odontotomy (p = 0.021) and ostectomy (p = 0.028) performed, with report of long and difficult procedure (p = 0.023), surgeries which last more than sixty minutes (p < 0.026), and for those patients who developed postoperative inflammatory complications (p < 0.001). Conclusion:Higher pain complains could be expected for patients who have long and difficult mandibular third molar surgery characterized by odontotomy and ostectomy.Clinical significance: Pain after third molar surgery is a common sequele. It is indispensable for the dentists to be apt in handling and preventing it as far as possible and know possible variables that may influence or increase these pain levels. It can be a clinical advantage. Better understanding the pain characteristics may guide the dentist through preoperative decisions.

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Section: Jcdp Pain Levels After Third Molar Surgical Removal: An Evalsupporting

confidence: 89%

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Bortoluzzi

Guollo²,

Capella³

2011

The Journal of Contemporary Dental Practice

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“…Baqain ZH et al, [7] in their study found that post-operative morbidity increases with longer procedures. A similar finding was obtained in the study of Garcia A et al, [11] that Trismus is less severe after simple (forceps-only, grade I) extractions than after surgical extractions (grades II to IV) and pain also is likewise less severe after simple extractions.…”

Section: Methodsmentioning

confidence: 88%

“…Mandibular third molar's proximity to inferior alveolar canal, position of external oblique ridge as well as impaction status make its extraction more venerable for post-operative complications [1] like pain, swelling and trismus. Not only anatomical factors but bone cutting, sectioning of tooth, flap design [2-4] use of chisel or rotary instrument [5] time taken for surgical procedure [6,7], difficulty of tooth removal and factors associated with operator are also accountable for incidence of complications.Parant, in his paper, classified difficulty of removal of third molar in four grades [8]. Grade I, GradeII, Grade III Grade IV.…”

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confidence: 99%

Grading of Extraction and Its Relationship with Post-operative Pain and Trismus, along with Proposed Grading for Trismus

Pathak¹,

Vashisth²,

Mishra³

et al. 2014

JCDR

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IntrOductIOnExtraction of mandibular third molar is a common practice in dentistry. As mandibular third molar is the last tooth to erupt, due to reduced space between mandibular second molar and ramus of mandible, most of the times it is malaligned, impacted, with hooked or curved root. Mandibular third molar's proximity to inferior alveolar canal, position of external oblique ridge as well as impaction status make its extraction more venerable for post-operative complications [1] like pain, swelling and trismus. Not only anatomical factors but bone cutting, sectioning of tooth, flap design [2-4] use of chisel or rotary instrument [5] time taken for surgical procedure [6,7], difficulty of tooth removal and factors associated with operator are also accountable for incidence of complications.Parant, in his paper, classified difficulty of removal of third molar in four grades [8]. Grade I, GradeII, Grade III Grade IV.These grading are much of practical value as they reflect the difficulty of extraction and chances of damaging adjacent vital structure. Grade I extraction, by means of simple forceps, are convenient and with less chances of damaging the adjacent vital structure while grade IV which is complex extraction usually performed in the teeth with unusual positions or with dilacerations or in ankylosed tooth. Extraction of such teeth requires excessive bone cutting with risk of damaging adjacent vital structure. This damage to adjacent vital structure sometimes leads to unwanted post-operative events like post-operative pain, alveolar osteitis, trismus and infections. Postoperative pain and trismus are the two important post-operative complications which affect the day to day activity of the patient. The purpose of this paper is to find out any significant relationship between grading of extraction and Post-operative pain and trismus so that by assuming the grade of extraction we can predict the occurrence of post-operative events. MAterIAls And MethOdsThe study was done in the department of dental sciences, Sri Ram Murti Smarak Medical College Bareilly from December 2009 to November 2013. In this prospective study 180 consecutive patients presented for third molar extraction, fit in inclusion criteria were included. Patient's brief history and examination details were recorded in a specially designed perform for this purpose. Patients with thyroid disorders, pregnant ladies, women on oral contraceptives [9] uncontrolled diabetics, uncontrolled hypertensive, cardiac patients and patients with chronic renal disease were not included in the study because alteration in post op drug regimen can cause bias. Patients included in the study were advised not to smoke (if they were smokers) at least for three days before surgery to one week after surgery as López-Carriches C et al., [10] found that smoking increases chances of trismus. All the patients taken for study were medically fit and with a valid reason for extraction of third molar.Before extraction all patients were asymptomatic or made asymptomatic by the us...

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“…Le trismus est retrouvé chez 17,6 % des patients, l'alvéolite chez 9,5 % (avec une variation importante selon la littérature de 1 à 45 %) [3]. À la mandibule, les risques opératoires sont représentés gé-néralement par un saignement, un traumatisme sur la dent adjacente ou encore par des lésions nerveuses (nerf alvéolaire inférieur pour 3,4 %, nerf lingual pour 2,7 %).…”

Section: A S C L I N I Q U Eunclassified

Complication de l’avulsion d’une troisième molaire mandibulaire : projection dans l’espace ptérygo-mandibulaire

Lintanf

Poulain

Hauchard

et al. 2017

Med Buccale Chir Buccale

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Mots clés :troisième molaire mandibulaire / avulsion / complication / espace ptérygo-mandibulaire Key words: mandibular third molar / extraction / complication / pterygomandibular space Résumé -Introduction : La projection d'une troisième molaire mandibulaire dans l'espace ptérygo-mandibulaire est une complication exceptionnelle, surtout sans pathologie associée. Observation : Le cas d'une patiente âgée de 19 ans, sans antécédents médicaux particuliers, présentant la dent 48 au sein de l'espace masticateur suite à une avulsion, a été décrit. Discussion : Cet événement survient surtout lorsque la dent est associée à un kyste, ou lorsque le décollement en direction linguale est important et que la dent glisse dans cet espace libre. Conclusion : Il est nécessaire de récupérer rapidement la dent afin d'éviter une infection ou sa migration plus profondément dans les tissus, ce qui entraîne-rait un geste chirurgical plus invasif.Abstract -Mandibular third molar complication: iatrogenic displacement into the pterygomandibular space. Introduction: Accidental displacement of the mandibular third molar into the pterygomandibular space is a rare surgical complication, especially when there is no underlying pathology. Observation: The case of a 19-year-old patient with no general health problems, presented a lower right third molar in the masticator space after its extraction, is reported. Discussion: The ectopic position is more often related to the presence of a cyst, or when the lingual subperiostal dissection is too important leading to a slip of the tooth into that free space. Conclusion : it is necessary to quickly retrieve it in order to avoid an infection or a migration deeper into the soft tissues, which would then require a more invasive surgical procedure. C A S C L I N I Q U E C A S C L I N I Q U Eopératoire survenue lors de l'avulsion des quatre troisièmes molaires incluses sous anesthésie locale. Ce praticien au moment de la luxation-avulsion de la dent 48 a vu la dent glisser et partir sous le lambeau en direction linguale jusque dans l'espace ptérygo-mandibulaire. Cette complication résultait donc d'un acte iatrogène et non d'une position ectopique associée à un kyste plus couramment rencontrée. Devant son impossibilité à localiser et à récupérer la dent, la décision a été prise de refermer le site. Une antibiothérapie (amoxicilline 3 grammes/jour pendant 7 jours) et une corticothérapie (prednisolone 60 milligrammes/jour pendant 3 jours) ont été mises en place, et le chirurgien-dentiste a pratiqué un bilan radiologique (orthopantomogramme, tomographie volumique à faisceau conique de la face ou CBCT -Cone Beam Computed Tomography) dans le but de déterminer la position précise de la dent. La patiente a consulté dans notre service une semaine après cet événement. L'interrogatoire n'a rapporté ni gêne ni douleur. L'examen clinique n'a pas retrouvé de limitation d'ouverture buccale/trismus, la prescription antibiotique ayant probablement permis d'éviter toute complication infectieuse. Ainsi, nous n'avons pas retr...

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Frequency Estimates and Risk Factors for Postoperative Morbidity After Third Molar Removal: A Prospective Cohort Study

Cited by 96 publications

References 26 publications

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Grading of Extraction and Its Relationship with Post-operative Pain and Trismus, along with Proposed Grading for Trismus

Complication de l’avulsion d’une troisième molaire mandibulaire : projection dans l’espace ptérygo-mandibulaire

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Frequency Estimates and Risk Factors for Postoperative Morbidity After Third Molar Removal: A Prospective Cohort Study

Cited by 96 publications

References 26 publications

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Grading of Extraction and Its Relationship with Post-operative Pain and Trismus, along with Proposed Grading for Trismus

Complication de l’avulsion d’une troisième molaire mandibulaire : projection dans l’espace ptérygo-mandibulaire

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Complication de l’avulsion d’une troisième molaire mandibulaire : projection dans l’espace ptérygo-mandibulaire