Postoperative Complications of Impacted Mandibular Third Molar Extraction Related to Patient’s Age and Surgical Difficulty Level: A Cross-Sectional Retrospective Study (original) (raw)
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Evaluation of risk factors predisposing to complications after mandibular third molar surgery
IP Innovative Publication Pvt. Ltd, 2017
Aim: The aims of the study is to assess the risk factors like age, gender, smoking etc. which predispose to complications in mandibular third molar surgery. Materials and Method: Sixty two patients were selected for mandibular third molar extraction. The tooth was extracted using Ward's and modified ward's incision. The duration of the procedure was recorded. The parameters measured post-operatively included Pain, Swelling, Trismus, Infection, Nerve Injury and Dry socket. They were compared on the basis of Age, Gender, Smoking habit, Angulation of roots, type of Impaction etc. Result: No significant effect of age was seen on the pain, swelling or trismus. Though, pain was recorded more in female patients, the male patients reported with higher swelling and trismus. All the parameters were high for the smoker group. The duration of the surgery was higher in less experienced surgeons. Conclusion: Within the limitations of the study, it was concluded that Human factors like age, sex, smoking habit of the patient and expertise of the surgeon have a great role in the degree of complications which occur after third molar surgery. Anatomical risk factors i.e. the angulation of third molar, root form and proximity of the third molar root apex to the inferior alveolar nerve determines the difficulty in third molar extraction.
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.
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...
2019
The extraction of impacted third molars is among the most common surgical procedures carried out in the field of Oral and Maxillofacial Surgery. For proper planning of surgical extraction, especially for impacted mandibular third molars the estimated level of surgical difficulty of the case is important. This study was conducted to evaluate the intraoperative risk factors contributing to surgical difficulty in extraction of impacted mandibular third molars and consequently the post-operative outcome. Here, we have undertaken a study in which the intraoperative variables were considered, to evaluate their contribution for surgical difficulty and postoperative complications in surgical removal of 100 impacted mandibular third molars. Three variables were found significant associated with total surgical time intervention, i.e., surgeon’s experience (p=0.006), Inter-incisal opening (p=0.032), and cheek flexibility (p=0.004). Total surgical time intervention for ‘right side’ was higher w...
Journal of Oral and …, 2007
The aim of this prospective study was to investigate radiologic and clinical factors associated with increased difficulty in the removal of impacted mandibular third molars. We also aimed to form an index to measure the difficulty of removal of the impacted molars preoperatively. Patients and Methods: A total of 87 patients who required 90 surgical extractions of impacted mandibular third molars from November 2003 to May 2004 were involved in the study. Radiologic and clinical data were taken preoperatively. All extractions were performed under local anesthesia by a single operator. Surgical difficulty was measured by the total intervention time. Results: Increased surgical difficulty was associated with increasing age and body mass index. It was also associated with the curvature of roots of the impacted tooth and the depth from point of elevation (P Ͻ .05). Conclusion: Both clinical and radiologic variables are important in predicting surgical difficulty in impacted mandibular third molar extractions.
The journal of contemporary dental practice, 2010
Prophylactic surgical extraction of impacted third molars is a common practice throughout the world justified on the presumption that the risk of surgical morbidity increases with increasing age, among other reasons. The aim of this study was to analyze and compare surgical morbidity associated with third-molar extractions in young and aging populations. A review of records for all patients who underwent the surgical extraction of impacted third molars between April 2001 and June 2006 at the Lagos University Teaching Hospital was carried out. A total of 506 patients had surgical extractions of impacted third molars under local anaesthesia during the period of the study. Of these, 470 (92.9 percent) patients were below the age of 40 years (Group A) and 36 (7.1 percent) patients were 40 years of age and older (Group B). No incidences of severe intraoperative complications (excessive bleeding or mandibular fractures) were recorded in either group, but other postoperative complications ...
Journal of Oral and Maxillofacial Surgery, 2008
Purpose: The aim of this study was to estimate the frequency of postoperative complications after mandibular third molar (M3) surgery and identify the risk indicators. Patients and Methods: This was a prospective cohort study of a sample of subjects having at least 1 mandibular M3 surgically extracted at a teaching hospital in Jordan. The predictor variables were categorized as patient, anatomic, and operative specific. The outcome variables were postoperative complications recorded as present or absent. Bivariate analyses were computed, then a multivariate logistic regression model was used to identify independent predictors for the common postoperative complications. Results: The study sample was comprised of 149 patients who had 245 extractions. The mean age was 21.6 Ϯ 3.32 years; 64.9% were females. In the multivariate logistic regression model, age (P ϭ .033, odds ratio [OR] ϭ 1.178), M3 side in relation to the handedness of the operator (P ϭ .048, OR ϭ 4.078), and lingual retraction (P ϭ .001, OR ϭ 11.293) were the variables found as independent predictors for alveolar osteitis. The level of impaction had a significant association with trismus, and operation time acted as an independent predictor for pain (P Ͻ .001, OR ϭ 1.085). Conclusion: Postoperative morbidity increases with older age, deeper impaction, M3 side differing from the handedness of the operator, and longer procedures.
SciDoc Publishers, 2021
Mandibular third molars are the most common teeth requiring removal for prophylactic or symptomatic reasons. It is important to be able to judge and choose the appropriate surgical approach for treating third molars requiring removal from the oral cavityWhether it needs a trans alveolar or intra alveolar approach. The aim of this study is to determine the frequency of mandibular third molars undergoing intra alveolar extraction and its correlation to age and gender of the patient. This is a single centre retrospective study done from June 2019 – March 2020. The study samples were collected from a pooled patient data of 21000 patients. Based on the set inclusion and exclusion criterias, 1683 patients who underwent extraction of their mandibular third molars were considered. The parameters were examined and processed with relevance to the extracted mandibular third molar teeth on the basis of age and gender of the patient. IBM SPSS Version 20 was used for statistical analysis. Out of a total of 1683 patients considered for mandibular third molar extraction, the most prevalent age group was 21-30 years of age (25.1%). 45% were over 30 years to 50 years of age and interestingly 28.1% were over 50 to 90 years of age. Out of a total of 1682 patients, (51.2%) 862 patients were female patients and (48.8%) 820 patients were male patients More than half the total patients considered required extraction of mandibular third molars on the left side (52.6%). The correlation of age and gender on the mandibular third molar seems statistically insignificant as p=0.926 > 0.05 and p=0.520 > 0.05 respectively. This study concludes to establish that though the predominance of mandibular third molar extractions arise in the age group of 21-30 years, they made only one quarter of the total sample population. The overall majority of patients requiring mandibular third molar extraction among our population were over 30 years of age. Gender predilection was females over males in our population.