Patients' perception of recovery after third molar surgery

Conrad, Shawn M.; Blakey, George H.; Shugars, Daniel A.; Marciani, Robert D.; Phillips, Ceib; White, Raymond P.

doi:10.1016/s0278-2391(99)90861-3

Cited by 133 publications

(110 citation statements)

References 8 publications

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“…The pattern reported by Conrad et al 5 for delayed recovery for pain measures compared with lifestyle and oral function measures persisted with our data. The median number of days for recovery for "worst" pain (9 days) and "average" pain (8 days) and days to "no meds" (7 days) exceeded the median days to recovery for lifestyle measures (Յ4 days) and most oral function measures (Յ5 days).…”

supporting

confidence: 91%

“…After surgery, each patient was given the HRQOL instrument or a diary as described by Shugars et al 4 and identical to the one administered in a clinical trial by Conrad et al 5 The patient was instructed to complete the respective 2 pages of the diary each postsurgery day for 14 days. The HRQOL instrument was designed to assess a patient's perception of recovery in 4 main categories: pain, lifestyle, oral function, and other symptoms related to the removal of third molars.…”

Section: Methodsmentioning

confidence: 99%

“…Shugars et al 4 and Conrad et al 5 detailed recovery by assessing HRQOL measures during a 14-day period after surgery. Other authors have reported outcomes for selected lifestyle measures after surgery.…”

mentioning

confidence: 99%

“…Conrad et al 5 reported the most comprehensive data on HRQOL outcomes after third molar surgery. Data from those 201 patients are included in our analysis.…”

mentioning

confidence: 99%

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Recovery after third molar surgery: Clinical and health-related quality of life outcomes

White¹,

Shugars²,

Shafer³

et al. 2003

Journal of Oral and Maxillofacial Surgery

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118

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Purpose:The study goal was to assess both clinical and health-related quality of life (HRQOL) outcomes after third molar surgery. Methods: Patients who were having 4 third molars removed were enrolled in a prospective clinical trial. Baseline data were recorded that included demographics, the patient's and surgeon's assessment of third molar conditions, and details of the surgical procedure. After surgery, clinical data were collected that detailed healing and any treatment that was rendered. Each patient was given an HRQOL instrument to complete on each postsurgery day for 14 days; the instrument was designed to assess a patient's perception of recovery in 4 main categories: pain, lifestyle, oral function, and other symptoms related to the procedure. Results: Recovery data were available for 630 of 740 enrolled patients. The median age of the 630 patients was 21 years, and the median operation time was 30 minutes. Recovery for most HRQOL measures occurred within 5 days after surgery. However, recovery from pain to the criterion of "little or none" was delayed relative to other HRQOL measures. Twenty-two percent of patients were treated for delayed healing after surgery. Conclusions: Having both clinical and HRQOL data on recovery after third molar surgery could assist the surgeon when informing prospective patients about what to expect after surgery to remove third molars. Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 61:535-544, 2003 Patients who seek third molar surgery expect the surgeon to explain the risks and benefits of the planned procedure as well as details of recovery from the surgery. Data from case series on clinical outcomes of third molar surgery such as wound infection rates and the frequency of localized osteitis have been available for more than a decade. 1-3 Recovery for health-related quality of life (HRQOL) measures, a © 2003 American Association of

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supporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

“…Conrad et al 5 reported the most comprehensive data on HRQOL outcomes after third molar surgery. Data from those 201 patients are included in our analysis.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Recovery after third molar surgery: Clinical and health-related quality of life outcomes

White¹,

Shugars²,

Shafer³

et al. 2003

Journal of Oral and Maxillofacial Surgery

Self Cite

118

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“…[22] The reasons for the extractions are in consonance with previous reports [3,23] where chronic irreversible pulpitis, acute pericoronitis and acute pulpitis were predominant, confirming the assertion that the anatomical relationship between the mesio-angularly impacted tooth and the adjacent second molar tooth create stagnation area. The trismus and facial swelling recorded were very minimal compared with those of earlier studies, [20,24] and these resolved completely within 7 days. This means that the patients were able to return to their normal working duties and social life within a short period after the procedure.…”

Section: Discussioncontrasting

confidence: 38%

Surgical Extraction of Mesio-Angularly Impacted Mandibular Third Molars:An Alternative Instrument for the Osteotomy Procedure

Anyanechi

2017

IJMDS

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IJMDS • www.ijmds.org • July 2017; 6(2) 1529Original Article Surgical extraction of mesio-angularly impacted mandibular third molars: an alternative instrument for the osteotomy procedure minutes. The duration of the osteotomy including the delivery of the tooth from their sockets ranged from 3.2 to 7.minutes with mean 5.3±0.7 minutes. The younger the patient's age, the shorter the osteotomy procedure (P=0.001). Conclusion: This study showed that certain mesio-angularly impacted mandibular third molars can be extracted using only Crane pick elevator. Key Words: Crane pick elevator, impaction, mandible, mesio-angular, osteotomy, third molar IntroductionThe bone surrounding mesio-angularly impacted mandibular third molars contributes to the impediments that result in their failure to erupt completely into the oral cavity necessitating surgical procedures for their extractions when there is need. [1,2] As a result of this, osteotomy of the surrounding bone is part of the surgical procedure required for their extraction. [3][4][5] The surgical methods and instruments used for the osteotomy procedure have evolved over the decades, changing in contemporary practice from use of mallet and chisel to dental drill, because most surgeons and patients prefer bone around impacted mandibular third molar to be removed with bur mounted in a hand-piece with adequate moderate speed and high torque powered by a drill. [6][7][8] According to the Pell and Gregory Classification of the degree of the difficulty of an impacted mandibular third molar, the amount of bone removed varies according to angulations of the teeth, depth of the impactions and morphology of the roots.[9] However, bone is rarely removed from the lingual aspect of the mandible during this procedure due to possibility of damage to the lingual nerve. [10,11] Consequently, the extraction of impacted teeth can either be relatively easy, or extremely difficult irrespective of the surgeons' experience. The mesio-angularly impacted tooth is considered to be the least difficult impaction to extract. [5,9] This type of impaction is the most common and comprises about 43% of all impacted mandibular third molars. [12,13] This paper describes the extractions of mesioangularly impacted mandibular third molars with Pell and Gregory Class 2 ramus relationship, Class B depth, and a favorable root morphology (conically shaped and convergent) using only a Crane pick dental elevator for the osteotomy. Materials and MethodsThis was a prospective, clinical study involving 74 patients, between the ages of 18 and 63 years who had extractions of symptomatic mesio- The diagnosis of symptomatic mesioangularly impacted tooth was made from clinical evaluation and radiological interpretation of lateral oblique radiograph of the mandible. Nonsmokers, patients not on steroid therapy or having any systemic condition(s) that may interfere with healing of surgical wounds were included.The mesio-angularly impacted mandibular third molars associated with lesions or made contact with inferior alveola...

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Mucosal Wound Healing

et al. 2006

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It remains unclear whether aging delays wound healing, as past human studies have not adequately controlled for confounding factors such as morbidity and medications. Furthermore, although dermal wounds heal more quickly in women than in men, clinical observations suggest that the opposite may be true for mucosal healing. We assessed age and sex differences in mucosal wound healing, and we hypothesized that aging delays healing and sex modulates healing independent of age. Design and Setting: Clinical experimental study performed from June 2000 to August 2003 involving younger and older adult volunteers from the general community. Participants: Two hundred twelve male and female volunteers aged 18 to 35 years (n = 119) or 50 to 88 years (n=93).Intervention: Standardized 3.5-mm circular wounds were placed on the oral hard palates of volunteers.Main Outcome Measure: Wound videographs were taken daily for 7 days after wounding to assess wound closure.Results: Wounds healed significantly more slowly in older adults compared with younger adults (PϽ.001) regardless of sex. This remained true even when individuals receiving medication and/or having a coexisting medical condition were excluded. Mucosal wounds healed more slowly in women than in men (P =.008) regardless of age. These effects were independent of demographic factors such as ethnicity, alcohol or nicotine use, or body mass index.Conclusions: Wound closure in older individuals was clearly delayed even when eliminating potential agerelated confounds, indicating that aging does slow wound healing. Wound closure in women was also delayed, suggesting that wound healing is modulated by different mechanisms depending on tissue type. These findings may help target patients with increased surgical risks and greater need for postsurgical care.

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Patients' perception of recovery after third molar surgery

Cited by 133 publications

References 8 publications

Recovery after third molar surgery: Clinical and health-related quality of life outcomes

Recovery after third molar surgery: Clinical and health-related quality of life outcomes

Surgical Extraction of Mesio-Angularly Impacted Mandibular Third Molars:An Alternative Instrument for the Osteotomy Procedure

Mucosal Wound Healing

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