Factors associated with facial swelling severity following impacted lower third molar surgery: A prospective study (original) (raw)
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Assessment of Swelling in Patients After Extraction of Impacted Third Molars
The Professional Medical Journal
Aims: To assess swelling after surgical extraction of impacted mandibular third molar using two different techniques i.e. comma incision and standard Wards incision. Study Design: Cross sectional study. Setting: Dental OPD of Isra Dental College, Isra University. Period: February to August 2017. Materials and Methods: A sample of 70 patients with impacted third molar was selected by non-probability purposive sampling. Patients were distributed in either conventional technique or by coma shaped incision groups. All procedure was carried out at the Department of Oral surgery, Isra Dental College Hospital. Post-operative measurement of swelling was measured on 1st, 3rd and 7th day respectively. Results: Mean ± SD was noted as 28.70 ± 3.89 years respectively. Age distribution was from 20 – 35 years. Gender distribution in group A was 11 (31.4%) males and 24 (68.6%) females while in group B was 17 (48.5%) males and 18 (51.5%) females respectively with X2 = 2.14 and p= 0.22. Swelling was ...
Objective: This paper investigates the relationship between preoperative findings and short-term outcome in third molar surgery. Study design: A prospective study was carried out involving 80 patients who required 160 surgical extractions of impacted mandibular third molars between January 2009 and December 2010. All extractions were performed under local anesthesia by the same dental surgeon. Swelling and maximal inter-incisor distance were measured at 48 h and on the 7th day postoperatively. Mean visual analogue pain scores were determined at four different time periods. Results: One-hundred eight (67.5%) of the 160 extractions were performed on male subjects and 52 (32.5%) were performed on female subjects. Median age was 22.46 years. The amount of facial swelling varied depending on gender and operating time. Trismus varied depending on gender, operating time and tooth sectioning. The influence of age, gender and operating time varied depending on the pain evaluation period (p < 0.05). Conclusions: Short-term outcomes of third molar operations (swelling, trismus and pain) differ depending on the patients' characteristics (age, gender and body mass index). Moreover, surgery characteristics such as operating time and tooth sectioning were also associated with postoperative variables.
Comparison of Various Measurement Methods in the Evaluation of Swelling After Third Molar Surgery
Van Medical Journal, 2021
Nowadays, impacted third molar surgery, with various degrees of complications, is one of the most common surgical procedures in clinical practice. Swelling is the most common complication after surgery and postoperative swelling reaches its maximum in 1-2 days, begins to decrease in 3 days, and often disappears in 5-7 days (1-6). Post-surgical edema is associated with the inflammatory response due to tissue trauma. After tissue injury, vasodilation occurs, and blood flow to the wound area increases. Increased
Impacted Mandibular Third Molar Surgery
The Professional Medical Journal, 2014
Objective: The objective of this study was to evaluate the therapeutic effect of dexamethasone in post-operative edema and trismus after impacted third molar surgery. Materials & Methods: It was a prospective randomized control study carried in Department of Oral & Maxillofacial surgery, BADC, Larkana from March 2012 to Feb 2013. Patients age between 20-45 years of either gender; unilateral mandibular impacted third molars (right or left) were included. Patients divided in two groups by using random allocation number. Patients in Group-A were given intramuscular 8 mg dexamethasone 1 hour before surgery and four tablets (2mg) dexamethasone orally immediate postoperatively and 24 hours after surgery. The facial swelling was checked before surgery, after 24 hours (1st day), after 48 hours (2nd day), after 72 hours (3rd day) and on 7th postoperative day Inter-incisor distance was checked on every follow up. Data was analyzed by SPSS version 17. Mean and standard deviation was calculated...
International Journal of Medical and Surgical Sciences, 2020
Third molars usually erupt within the age of 17-21years. Usually, due to the evolution of human jaws, the size is decreasing leading to the impacted tooth. An impacted tooth may lead to external resorption of the adjacent tooth, trismus, infection, etc. Many studies have been reported in the literature for evaluating the surgical difficulty and postoperative complications secondary to impacted third molars. This study includes a sample of 100 subjects evaluated for the surgical difficulty and postoperative complications. Various demographic, radiological, and intraoperative factors were evaluated which may lead to postoperative complications. Factors responsible for postoperative sequelae were also evaluated with complications. Postoperative pain after 4 hours and 7 days was assessed to mark the factors commonly responsible. Pain at 7 th postoperative day was significant involving factors like fully impacted, horizontal impaction, level C, no/very little retromolar space, and root contact. Postoperative complications were not reported in this study.
Bangabandhu Sheikh Mujib Medical University Journal, 2016
Background: Postoperative morbidity following third molar surgery is affected by a number of factors.The aim of this study was to determine the effect of age on immediate postoperative tissue reactions following mandibular impacted third molar surgery. Objectives: To assess the discomforts after impacted mandibular third molar extraction in different aged patient. Methods : 100 patients, 54 Female and46 Male,aged lSto 42 years comprised the study materials. Tooth extraction was performed with buccal guttering technique after adequate elevation and reflection of fulI thickness mucoperiosteal flap. Pain, swelling and trismus were evaluated preoperatively and on 2nd POD and 7th POD. Data was processed and analyzed using SPSS and was compiled and test of significance was done using Chi square (x2) test and unpaired't' test. Results: Statistical analysis of the data indicated that pain and swelling was significantly less and significant maximum mouth opening was achieved in early aged patient than late age when preoperative and postoperative results were compared. Conclusion: As postoperative immediate tissue reactions are more in late aged patient than younger so impacted mandibular third molar should exhact in early age.
Factors affecting the Duration of Surgical Extraction of Impacted Mandibular Third Molars
World Journal of Dentistry
Aim The aim of this study is to evaluate the effect of demographic, clinical, and radiographic factors on the duration of surgical extraction of impacted lower third molars. Materials and methods This retrospective study included patients who underwent surgical removal of impacted lower third molars, and the investigated factors were demographic data including age and gender, radiographic data including the impacted tooth angulation and depth of impaction and ramus relation, and clinical data including the state of eruption of the impacted teeth. These factors were evaluated for association with the duration of surgery. Descriptive statistical analysis included percentages and mean ± standard deviation (SD). Student's t-test was used to compare means between two groups, while for comparing the means among three or more groups for statistical significance, analysis of variance (ANOVA) test was used. Results Forty patients were included: 20 (50%) males and 20 (50%) females. The ag...
2016
The objective of this research was to analyze the impact of duration of surgery on post-operative pain and swelling after surgical removal of mandibular third molars. This study was planned as double blind randomized clinical trial that comprised of 60 patients experiencing unilateral mandibular third molar extraction who were recruited into two groups before surgery on the basis of bone cutting method. The study duration was three months, executed at Department of Oral and Maxillofacial Surgery, Dow International Dental College, Dow University of Health Sciences, Karachi. Post-operative complications (pain and swelling) were assessed pre operatively and then on 3rd and 7th day post operatively using visual analogue scale and objective scale for swelling measurement using five anatomical points on face. Surgery duration was divided into two groups, 10-20 minutes group and 20 minutes onwards. Mann Whitney test was used to assess the impact of duration on pain and swelling in both gro...
Strategies used to inhibit postoperative swelling following removal of impacted lower third molar
Dental Research Journal, 2011
Postoperative swelling following different surgical strategies is an area of great interest. The main part of literature on the topic deals with swelling after extraction of low impacted third molar. In this review, we have analyzed publications of the last 20 years with a pubmed search using the following key words: impacted third molar, swelling third molar, wisdom tooth, edema jaw, corticosteroids and extraction third molar, antibiotic prophylaxis and tooth extraction. Attention has often been focused on corticosteroid therapy administered by diverse routes (orally, IV, IM, topically) and at different time schedules (before or after surgery or both). This investigation revealed how the use of different molecules and dosages makes the obtained results hardly comparable. Similar conclusions can be drawn from studies aimed at evaluating the effi cacy of antibiotic therapy administered either before or after surgery. A complete review has also to take into account different surgical strategies used including various fl aps, no traumatic osteothomy, and primary or secondary closure. The use of pharmacological therapy and application of an ice pack is critical in the postoperative period and has always provided positive results. However, even if it is diffi cult to come to defi nite conclusions, due to the variability of the design of studies analyzed, the postoperative discomfort identifi ed with edema, pain and trismus following wisdom tooth removal is infl uenced by various factors such as the diffi culty of the surgical procedure involved, age and gender of the patient, and experience of the surgeon. The pharmacological therapy when performed with corticosteroids seems to improve control of the postoperative swelling related with this kind of surgeries.
Relationship between Operative Time and Complications for Impacted Mandibular Third Molar Removal
Journal of Liaquat University of Medical & Health Sciences, 2019
OBJECTIVE: To identify relationship between operative time and surgical complications encountered during and soon after removal of impacted 3rdMolar teeth.METHODOLOGY: This cross-sectional study was conducted at the department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Liaquat University of Medical & Health Sciences, Jamshoro from February 2017 to July 2017. Total ninety two surgical removals were done after pre-operative assessment of impaction. Operative time was recorded. Any intra-operative complication was noted during surgery and postoperative complications were recorded on 3rd, 5th and 7thday. The Data was analysed by statistical software package SPSS version 20.0 Qualitative variables were expressed as absolute frequencies and percentages. The variables were presented as mean, frequencies/percentages.RESULTS: The results of this study showed that surgical removal of third molar was more common in females (58%) with the highest percent of mesioangular (39%).The pr...