Pre-Operative Oral Health-Related Quality of Life in Patients Attending Surgical Removal of Mandibular Third Molar Teeth

Abstract

The study aimed to measure the pre-operative oral health-related quality of life (OHRQoL) and to identify patient and teeth pathologies associated with worse OHRQoL among patients attending mandibular third molar tooth extraction. Data were collected preoperatively from 199 patients attending surgical removal of their mandibular third molar. To that end, we measured the Oral Health Impact Profile-14 (OHIP-14) and analyzed its association with: (1) demographics; (2) health-related behaviors such as smoking, alcohol consumption, physical activity, and dietary habits; (3) Plaque Index (PI); (4) Decay, Missing, and Filled Teeth (DMFT); and (5) clinical characteristics related to third molar extraction, such as the indication for extraction, tooth angulations, and radiographic pathology. The mean age of the study population was 21.5 ± 3.2 years and the mean OHIP-14 global score was 22.5 ± 8.3. The present study identified patient and teeth profiles that are associated with worse pre-operative OHRQoL in patients attending mandibular third molar extraction. The “vulnerable patient” profile includes poor health-related behaviors, particularly the performance of physical activity less than once a week (p = 0.028). The “disturbing teeth” profile includes higher plaque scores (p = 0.023) and specific characteristics of the third molar teeth, such as pericoronitis (p = 0.027) and radiolucency around third molars in panoramic radiography (p < 0.001). These findings support the hypothesis that OHRQoL is a complex phenomenon which is associated with the patient’s health-related behaviors as well as with specific tooth pathologies.

Patient’s perception of recovery after maxillary sinus floor augmentation with autogenous bone graft compared with composite grafts: a single-blinded randomized controlled trial

“…Patient's perception of recovery is also influenced by patient-related predictors, past dental experiences as well as psychological and psychosocial factors, which are rarely assessed [22][23][24][25][26]. Psychologic distressed, high level of anxiety and impaired perception of OHRQoL seem to have a negative impact on postsurgical recovery [22][23][24][25][26].…”

“…Patient´s perception of recovery and assessment of OHRQoL in conjunction with MSFA are seldomly reported [15][16][17][18][19][20][21]. Previous studies have indicated that patient´s perception of recovery is influenced by patientrelated predictors, incidence and severity of complications, presurgical expectations, past dental experiences as well as psychological and psychosocial factors [22][23][24][25][26]. Presurgical psychologic distress, high level of anxiety and impaired perception of OHRQoL seem to have a negative impact on patient´s perception of recovery [22][23][24][25][26].…”

“…Previous studies have indicated that patient´s perception of recovery is influenced by patientrelated predictors, incidence and severity of complications, presurgical expectations, past dental experiences as well as psychological and psychosocial factors [22][23][24][25][26]. Presurgical psychologic distress, high level of anxiety and impaired perception of OHRQoL seem to have a negative impact on patient´s perception of recovery [22][23][24][25][26]. However, association between impaired presurgical OHRQoL and patient's perception of recovery following MSFA have never been assessed.…”

Tratamento de múltiplos cistos dentígeros associados aos terceiros molares: Relato de caso

“…Entre os benefícios da cirurgia de terceiros molares estão o alívio da dor, prevenção da cárie dentária, da doença periodonta l, da formação de cistos, da reabsorção radicular dos segundos molares adjacentes, promoção do tratamen to ortodôntico e diminuição de riscos durante cirurgia ortognática (Cutilli et al, 2013;Cunha-Cruz et al, 2014;Lee et al, 2015;Abramovitz et al, 2021).Presença de dor, formação de cistos e reabsorção radicular foram os achados clínicos e radiográficos do presente estudo, o que evidencia a importante tomada de decisão para a remoção, de forma preventiva, dos terceiros molares.…”

“…As estimativas são que 54% dos terceiros molares inferiores são removidos profilaticamente sem a presença de quaisquer sintomas subjetivos, e 30 -50% dos terceiros molares referidos são removidos sem quaisquer indicações válidas. Diante desses dados, fica evidente que existe a necessidade de um diagnóstico bem realizado através de parâmetros clínicos, bem como através de exames complementares, para que se possa aplicar uma odontologia baseada em evidências (Abramovitz et al, 2021). Outro fator importante a ser considerado no momento do planejamento de exodontia de terceiros molares, é a idade do paciente.…”