Background: Postoperative mobidity following third molar surgery is affected by a number of factors. The study of these factors is essential for effective planning and limitation of morbidity. The aim of this study was to determine the effect of age, type of impaction and operative time on immediate postoperative tissue reactions following mandibular third molar surgery.
Methods: Consecutive patients with impacted mandibular third molar teeth were studied. All the third molars were classified according to Winter's classification. Surgical extraction was performed on all the patients by a single surgeon under local anaesthesia. The operation time was determined by the time lapse between incision and completion of suturing. Postoperative pain, swelling and trismus were evaluated.
Results: There were 120 patients with an age range of 19-42 years. Patients in the age range of 35-42 years recorded a lower pain score (p = 0.5) on day 1. The mouth opening was much better in the lower age group on day 2 and 5 (p = 0.007 and p = 0.01 respectively). Pain, swelling and trismus increased with increasing operative time. Distoangular impaction was significantly associated with higher VAS score on day 1 and 2 (p = 0.01, 0.0, 04). Distoangular and horizontal impaction are associated with a higher degree of swelling and reduced mouth opening on postoperative review days. Vertical impaction was associated with the least degree of facial swelling and best mouth opening.
Conclusions: Increasing operating time and advancing age are associated with more postoperative morbidity, likewise distoangular and horizontal impaction types.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114767 | PMC |
| http://dx.doi.org/10.1186/1746-160X-7-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Evaluation of the effects of the third molar on distalization and the effects of attachments on distalization and expansion with clear aligners: Three-dimensional finite element study.
Korean J Orthod
January 2025
Department of Orthodontics, Hacettepe University, Ankara, Türkiye.
Objective: This study aimed to evaluate the effects of attachment design on maxillary molar distalization and simultaneous expansion during distalization, and the influence of third molars on distalization in the clear aligner technique using the finite element method.
Methods: Six models were created to evaluate three different attachment designs on the second molars. Model I: employed a vertical rectangular attachment; Model II: used a vertical rectangular attachment with the presence of the third molar; Model III: used a combined semi-elliptical attachment; and Model IV: featured an opposed semi-elliptical attachment with buccal and palatal components.
[Geostatics in impacted mandibular third molar surgury].
Zhonghua Kou Qiang Yi Xue Za Zhi
January 2025
Department of Oral and Maxillofacial Surgery, Shanxi Medical University School and Hospital of Stomatology, Taiyuan 030001, China.
Exploring the application of minimally invasive techniques in the extraction of impacted mandibular third molar (IMTM), to achieve the treatment goal of "less trauma, short time, fast recovery", remains the focus of dentists. For now, the IMTM are mostly extracted in pieces after removing the crown and root resistance by bone removal and tooth segmentation, using 45°reverse-angle high speed turbine, piezosurgery, chisel or other dynamic system. However, There is a lack of principle-level parsing in different provinces and primary hospitals, while experience is still the main factor in avoiding excessive bone removal in complex IMTM extraction, as well as optimizing the specific position and angle of the parting teeth, finding the fulcrum and designing the best dislocation path when there is root resistance.
View Article and Find Full Text PDFPurpose: To make micro-CT comparison and evaluation of sealant penetration depth in different types of fissures after heating of the material or application of vibrations.
Materials And Methods: One hundred sound third molars have been sealed as follows: group 1 (n = 20), light-cured resin sealant at room temperature, group 2 (n = 20), light-cured resin sealant, preheated to 41.0°C, group 3 (n = 20), light-cured resin sealant, preheated to 51.
Life history data derived from the dental histological analysis of Giraffa camelopardalis: Implications for the palaeohistology of extinct giraffids.
J Anat
January 2025
Department of Biological Sciences, University of Cape Town, Cape Town, Western Cape, South Africa.
The analysis of incremental marks in the enamel, dentine and cementum of extant and extinct species provides important information about the rate and pattern of tooth growth, which permits inferences about key life history traits. Traditionally, such research has mainly focused on primates, while other mammalian groups have remained relatively unexplored. In some cases, this has led to the misidentification of incremental markings and the miscalculation of dental growth parameters in non-primate taxa, which has highlighted the importance of obtaining more reliable comparative frameworks.
View Article and Find Full Text PDFAssessment of complications in third molar surgery performed by resident surgeons: A comprehensive analysis.
Surg Pract Sci
September 2024
Faculty of Medicine, University of Coimbra, Coimbra 3004-561, Portugal.
Introduction: Third molar extractions present a wide spectrum of reported complications, spanning from 2.6 % to 30.9 %, making it challenging to predict outcomes for individual patients.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!