Mandibular Yirmi Yaş Dişi Operasyonlarından Sonra Postoperatif Morbiditenin Değerlendirilmesi

Year 2024, , 829 - 842, 21.10.2024

Bahadır Sancar , İrfan Üstündağ

https://doi.org/10.33715/inonusaglik.1463186

Abstract

Bu çalışmanın amacı; gömülü yirmi yaş dişinin cerrahi çekimi takiben cinsiyetin ve dişin sağda ya da solda olmasının; operayon süresi, ödem, trismus ve ağrı üzerindeki etkisini değerlendirmektir. Bu prospektif çalışma İnönü Üniversitesinde yapılmıştır. 104 tane kemik retansiyonlu mandibular yirmi yaş dişi çalışmaya dahil edildi. 104 tane hastanın 55’i kadın, 49’u erkektir ve 53 tanesi sol, 51 tanesi sağ mandibular yirmi yaş dişidir. Ameliyatlar aynı cerrah tarafından aynı ameliyathanede gerçekleştirildi. Her ameliyatta insinyonla sütur arasındaki süre hesaplanarak operasyon süresi olarak kaydedildi. Hastalar; ameliyat öncesi, ameliyat sonrası 2. gün ve ameliyat sonrası 7. gün de fasiyal şişlik, ağrı ve trismus açısından karşılaştırıldı. Veriler IBM SPSS V23 ile analiz edildi.
Sol mandibular yirmi yaş dişinin çekimi sağ mandibular yirmi yaş dişinden daha uzun sürmektedir. Operasyon süresi daha fazla olan 38 nolu dişlerde şişlik, ağrı ve trismus daha çok görülmektedir. Sağ elini kullanan cerrahlar 48 nolu dişlerin çekiminde, daha az postoperatif morbiditiye neden olmaktadır. Gömülü diş çekimlerinin yapıldığı kliniklerde hem sağ elini kullanan cerrahların hem de sol elini kullanan cerrahların çalışmasını önermekteyiz.

Keywords

Gömülü Yirmi Yaş Cerrahisi, Postoperatif Morbidite, Sağ-sol Mandibular Yirmi Yaş Dişi

Ethical Statement

İnönü Üniversitesi Bilimsel Araştırmalar ve Yayın Etiği Kurulu 2022/2963

EVALUATION OF POSTOPERATİVE MORBİDİTY FOLLOWİNG OPERATIONS OF IMPACTED MANDIBULAR THIRD MOLARS WITH BONE RETENTION

Abstract

This study is aimed to see how gender and whether tooth is placed on the right or left affected the length of the operation, edema, trismus, and discomfort after surgical extraction of an impacted mandibular third molar. This prospective study was conducted in the Inonu University. The study included 104 mandibular wisdom tooth with bone retention. There were 55 females and 49 males among the 104 patients, with 53 left and 51 right impacted mandibular third molar. The operations were performed by the same surgeon in the same operating room. The time between the incision and the suture was determined and recorded as the operation time for each procedure. Before surgery, on the 2nd postoperative day, and on the 7th postoperative day, the patients were compared in terms of facial swelling impacted mandibular third molar, discomfort, and trismus. IBM SPSS V23 was used to evaluate the data. The left impacted mandibular third molar extraction takes longer than the right impacted mandibular third molar extraction. Tooth 38, which have a longer operation time, are more prone to swelling, discomfort, and trismus. When tooths are extracted, right-handed surgeons cause less postoperative morbidity 48. We recommend that both right-handed, left-handed surgeons operate in clinics that conduct impacted tooth extractions.

Keywords

Impacted wisdom surgery, Postoperative morbidity, Right-left impacted mandibular third molar

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