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

White, Raymond P.; Shugars, Daniel A.; Shafer, David; Laskin, Daniel M.; Buckley, Michael; Phillips, Ceib

doi:10.1053/joms.2003.50106

Cited by 118 publications

(94 citation statements)

References 14 publications

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“…The most important point against the use of corticosteroids is the suppression of the normal function of the hypothalamus-hypophysial adrenergic system (HPS). Fortunately, high doses ofcorticosteroids used for short periods Ii:..' not significantly alter the HPS (2,8,(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40).…”

mentioning

confidence: 99%

The Efficacy of Four Ways of Administrating Dexamethasone during Surgical Extraction of Partially Impacted Lower Third Molars

Puzzo

Cappello

et al. 2007

Eur J Inflamm

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Glucocorticoids are drugs noted for their potent anti-inflammatory effect and long lasting half-life. Various studies have been carried out to identify which of these molecules is best for reducing the postoperative sequelae after surgical extraction of the impacted lower third molar. This study examines four different ways of administering dexamethasone after surgical extraction of impacted lower third molars: endoalveolar application, submucous injection, intravenous administration and intramuscular injection, with the aim of identifying which method gives the least discomfort to the patient in regard to reduction of pain, edema and post-operative lock-jaw. Results show that a greater reduction of the postoperative sequelae was obtained in the group of patients treated with dexamethasone intravenously. Satisfying results were also obtained in the group treated with a topical administration of dexamethasone in powder form and in the group which was given dexamethasone through an intramuscular injection. These last two groups had similar results. Instead, the results obtained in the group that received dexamethasone through local submucous injection were not satisfactory.Excision of the third lower molar under local anesthetic is one of the most frequently performed interventions in oral surgery. This intervention is usually associated with post-operative pain, edema and trismus, as direct consequences immediately after surgery, influencing the quality of life of the patient. Various studies have therefore been carried out on the control ofthis post-operative reaction and various perioperative strategies have been proposed aimed at preventing the onset of inflammation which is the cause of pain. The introduction of NSAIDs (non-steroidal anti-inflammatory drugs) has greatly modified the way in which post-operative pain is dealt with in dentistry and medicine in general in However, the prescription of NSAIDs, in particular aspirin, is often cause for concern as these drugs cause the inhibitionof the platelet aggregation with a possible increase of intra-and post-operative bleeding and the formationof post-operativehematomas and ecchymosis. Therefore, a valid preventive strategy, as an alternative to the use of NSAIDs for limiting edema, pain and 1721-727 (2007)

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mentioning

confidence: 99%

The Efficacy of Four Ways of Administrating Dexamethasone during Surgical Extraction of Partially Impacted Lower Third Molars

Puzzo

Cappello

et al. 2007

Eur J Inflamm

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“…PONV can occur after TMS under local anaesthesia due to result of swallowed blood, discomfort, drugs (analgesic, antibiotics). There are not many data available on the incidence of PONV which is commonly reported in different ambulatory procedures under general anaesthesia (18-58 %) [19,28]. However, the recent studies did not find any differences in incidence of PONV in setting of TMS under local and general anaesthesia.…”

Section: Discussionmentioning

confidence: 96%

“…It decreased swelling associated with the appearance and interference with daily activities subscales. The patient's satisfaction and comfort was directly related to decrease in postoperative trismus, pain, sickness subscales [13,16,19,28].…”

Section: Discussionmentioning

confidence: 99%

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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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“…11 Therefore, the purpose of this study was to investigate the perioperative (preoperative, intraoperative, and postoperative phases) perception of patients who presented for extraction of third molars.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Patients' Knowledge for Third Molar Removal

Samson¹,

Edward²,

Ziaudeen³

2017

IJPCDR

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Purpose: Dental patients feel anxious before most dental treatments presuming that the procedure will cause pain and discomfort. Extraction in oral surgery has been reported to induce highest level of anxiety among other procedures. The surgical removal of mandibular and maxillary third molars is the most commonly performed dentoalveolar procedures in oral and maxillofacial surgery. Individuals who lack knowledge about the procedure are the ones who have preoperative anxiety. Materials and methods:Preoperative information about the procedure significantly reduces patients' anxiety. In this study, several preoperative variables were recorded (during preoperative, intraoperative, and postoperative phases) and patients' anxiety regarding third molar extraction was assessed through the use of questionnaire. Results:The sample was composed of 100 patients (50 female patients and 50 male patients) divided into two groups. The first had some previous experience with extractions (50 patients) and the second had no experience (50 patients). The most frequent questions regarded the number of teeth to be extracted, and the most prevalent misconception was about medications before surgery. Patients with a previous history of dental extractions had more questions about use of medication before surgery. Patients without previous experience with extraction had more concerns about local anesthesia techniques. Conclusion:Patients with a history of tooth extraction and those without it presented variation of knowledge about third molar surgery. Both groups of patients needed detailed perioperative instructions about the procedure. These results may provide oral and maxillofacial surgeons with useful information about patients' knowledge throughout the surgical process.

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

Cited by 118 publications

References 14 publications

The Efficacy of Four Ways of Administrating Dexamethasone during Surgical Extraction of Partially Impacted Lower Third Molars

The Efficacy of Four Ways of Administrating Dexamethasone during Surgical Extraction of Partially Impacted Lower Third Molars

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

Evaluation of Patients' Knowledge for Third Molar Removal

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