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