Mandibular Yirmi Yaş Dişi Operasyonlarından Sonra Postoperatif Morbiditenin Değerlendirilmesi

Year 2024, Volume: 12 Issue: 3, 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

References

• Akbulut, N., Kurşun, E. Ş., Bardak, Ç., Kaymak, T. E. & Çölak, G. (2010). Gömük alt yirmi yaş dişi cerrahisi sonrasında görülen erken dönem komplikasyonlar: Retrospektif değerlendirme. European Annals of Dental Sciences 37, 71–76 (2010). Amarillas-Escobar, E. D., et al. Use of Therapeutic Laser After Surgical Removal of Impacted Lower Third Molars. J Oral Maxillofac Surg, 68, 319–324.
• Baloch, P. R., Punjabi, S. K. & Hamid, S. (2019). Relationship between operative time and complications for impacted mandibular third molar removal. J Liaquat Univ Med Heal Sci, 18, 219–224.
• Bamgbose, B. O., Akinwande, J. A., Adeyemo, W. L., Ladeinde, A. L., Arotiba, G. T. & Ogunlewe, M. O. (2005). Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery. Head Face Med, 1, 11.
• Barbosa-Rebellato, N. L., Thomé, A. C., Costa-Maciel, C., Oliveira, J. & Scariot, R. (2011). Factors associated with complications of removal of third molars: A transversal study. Med Oral Patol Oral Cir Bucal, 16, 376–380.
• Benediktsdóttir, I.S., Wenzel, A., Petersen, J.K. & Hintze, H. (2004). Mandibular third molar removal: Risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 97, 438–446.
• Berge, T.I. (1989). The use of a visual analogue scale in observer assessment of postoperative swelling subsequent to third-molar surgery. Acta Odontol Scand, 47, 167–174.
• Berge, T.I. (1988). Visual analogue scale assessment of postoperative swelling: A study of clinical inflammatory variables subsequent to third-molar surgery. Acta Odontol Scand, 46, 233–240.
• Bruce, R.A., Frederickson, G.C. & Small, G.S. (1980). Age of patients and morbidity associated with mandibular third molar surgery. J Am Den. Asso, 101, 240–245.
• Carvalho, R.W.F. & Do Egito Vasconcelos, B.C. (2011). Assessment of factors associated with surgical difficulty during removal of impacted lower third molars. J Oral Maxillofac Surg, 69, 2714–2721.
• Celikoglu, D.M., Kazanci, D.F., Miloglu, D.Ö., Oztek, D.Ö., Kamak, D.H. & Ceylan, P.İ. (2009). Erzurum ve çevresinde yaşayan ve yaşları 12 25 arasında değişen bireylerde gömülü diş sıklığının retrospektif olarak incelenmesi. Atatürk Üniv Diş Hek Fak Derg, 19, 72–75.
• Chiapasco, M., De Cicco, L. & Marrone, G. (1993). Side effects and complications associated with third molar surgery. Oral Surgery Oral Med Oral Pathol, 76, 412–420.
• Chiu, W.K. & Cheung, L.K. (2005). Efficacy of preoperative oral rofecoxib in pain control for third molar surgery. Oral Surgery Oral Med Oral Pathol Oral Radiol Endodontology, 99, 47–53.
• de Boer, M.P., Raghoebar, G.M., Stegenga, B., Schoen, P.J. & Boering, G. (1995). Complications after mandibular third molar extraction. Quintessence Int, 26, 779–784.
• De Santana-Santos, T., De Souza-Santos, J., Martins-Filho, P., Da Silva, L., De Oliveira e Silva, E. & Gomes, A. (2013). Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables. Med. Oral Patol Oral y Cir Bucal, 18, 65–70.
• Freudlsperger, C., Deiss, T., Bodem, J., Engel, M. & Hoffmann, J. (2012). Influence of lower third molar anatomic position on postoperative inflammatory complications. J Oral Maxillofac Surg, 70, 1280–1285.
• Gabka, J. & Matsumura, T. (1971). Measuring techniques and clinical testing of an anti-inflammatory agent (tantum). Munch Med Wochenschr, 113, 198-203.
• Gay-Escoda, C., Gómez-Santos, L., Sánchez-Torres, A. & Herráez-Vilas, J. M. (2015). Effect of the suture technique on postoperative pain, swelling and trismus after removal of lower third molars: A randomized clinical trial. Med Oral Patol Oral y Cir Bucal, 20, 377.
• Gbotolorun, O.M., Arotiba, G.T. & Ladeinde, A. L. (2007). Assessment of Factors Associated with Surgical Difficulty in Impacted Mandibular Third Molar Extraction. J Oral Maxillofac Surg, 65, 1977–1983.
• Jeyashree, T., and M. P. Santhosh Kumar. (2022). “Evaluation of Difficulty Index of Impacted Mandibular Third Molar Extractions.” Journal of Advanced Pharmaceutical Technology & Research, 13(Suppl 1), 98–101.
• Lima, C. J., Silva, L. C. F., Melo, M. R. S., Santos, J. A. S. S. & Santos, T. S. (2012). Evaluation of the agreement by examiners according to classifications of third molars. Med Oral Patol Oral Cir Bucal, 17, 281–286.
• Liu, J., Hua, C., Pan, J., Han, B. & Tang, X. (2018). Piezosurgery vs conventional rotary instrument in the third molar surgery: A systematic review and meta-analysis of randomized controlled trials. J Dent Sci, 13, 342–349.
• Lambade, P., Dawane, P. & Mali, D. (2023). ‘Assessment of Difficulty in Mandibular Third Molar Surgery by Lambade-Dawane-Mali’s Index’. Journal of Oral and Maxillofacial Surgery, 81(6),772–779.
• Laureano Filho, J. R., Maurette, P. E., Allais, M., Cotinho, M. & Fernandes, C. (2008). ‘Clinical Comparative Study of the Effectiveness of Two Dosages of Dexamethasone to Control Postoperative Swelling, Trismus and Pain after the Surgical Extraction of Mandibular Impacted Third Molars.’ CEP, 54753:220.
• Malkawi, Z., Al-Omiri, M.K. & Khraisat, A. (2011). Risk indicators of postoperative complications following surgical extraction of lower third molars. Med Princ Pract, 20, 321–325.
• Marciani, R. D. (2007). Third Molar Removal: An Overview of Indications, Imaging, Evaluation, and Assessment of Risk. Oral Maxillofac Surg Clin North Am, 19, 1–13.
• Mocan, A., Kişnişci, R. & Üçok, C. (1996). Stereophotogrammetric and clinical evaluation of morbidity after removal of lower third molars by two different surgical techniques. J Oral Maxillofac Surg, 54, 171–175.
• Moore, P.A., Brar, P., Smiga, E.R. & Costello, B. J. (2005). Preemptive rofecoxib and dexamethasone for prevention of pain and trismus following third molar surgery. Oral Surgery Oral Med Oral Pathol Oral Radiol Endodontology, 99, 1–7.
• Nakagawa, Y., Ishii, H., Nomura, Y., Watanabe, N.Y. & Hoshiba, D, Kobayashi K, et al. (2007). Third Molar Position: Reliability of Panoramic Radiography. J Oral Maxillofac Surg, 65, 1303–1308.
• Olmedo-Gaya, M.V., Vallecillo-Capilla, M. & Galvez-Mateos, R. (2002). Relation of patient and surgical variables to postoperative pain and inflammation in the extraction of third molars. Europepmc org, 7, 360-369.
• Osunde, O.D. & Saheeb, B.D. (2015). Effect of Age, Sex and Level of Surgical Difficulty on Inflammatory Complications After Third Molar Surgery. J Maxillofac Oral Surg, 14, 7–12.
• Pérez-González, J.M., Esparza-Villalpando, V., Martínez-Rider, R., Noyola-Frías, M.A. & Pozos-Guillén, A. (2018). Clinical and Radiographic Characteristics as Predictive Factors of Swelling and Trismus after Mandibular Third Molar Surgery: A Longitudinal Approach. Pain Res Manag, 2018(1), 7938492.
• Priyanga, R., R. Balamurugan, and P. Santhosh Rajan. (2022). ‘Comparison of Dexamethasone Administration through Sublingual and Intramuscular Routes for Evaluation of Pain, Swelling, and Trismus after Impacted Mandibular Third Molar Surgery—a Prospective Randomized Controlled Study’. Oral and Maxillofacial Surgery, 26(1), 155–159.
• Rakprasitkul, S. & Pairuchvej, V. (1997). Mandibular third molar surgery with primary closure and tube drain. Int J Oral Maxillofac Surg, 26, 187–190.
• Rana, M., Gellrich, N.C., Ghassemi, A., Gerressen, M., Riediger, D. & Modabber, A. (2011). Three-dimensional evaluation of postoperative swelling after third molar surgery using 2 different cooling therapy methods: A randomized observer-blind prospective study. J Oral Maxillofac Surg, 69, 2092–2098.
• Schultze-Mosgau, S., Schmelzeisen, R., Frölich, J. C. & Schmele, H. (1995). Use of ibuprofen and methylprednisolone for the prevention of pain and swelling after removal of impacted third molars. J Oral Maxillofac Surg, 53, 2–7.
• Scott, J. & Huskisson, E.C. (1979). Vertical or horizontal visual analogue scales. Ann Rheum Dis, 38, 560.
• Singh, K., Kumar, S., Singh, S., Mishra, V., Sharma, P. K. & Singh, D. (2018). ‘Impacted Mandibular Third Molar: Comparison of Coronectomy with Odontectomy’. Indian Journal of Dental Research, 29(5), 605–610.
• Suleiman, A. R., A. A., Efunkoya, K. U., Omeje, & I. O. Amole. (2021). ‘The Effect of Dental Anxiety on Surgical Time of Mandibular Third Molar Disimpaction’. Nigerian Journal of Clinical Practice, 24(10), 1430–1437.
• Tiwana, P.S., Foy, S.P., Shugars, D.A., Marciani, R.D., Conrad, S.M., Phillips, C., et al. (2005). The impact of intravenous corticosteroids with third molar surgery in patients at high risk for delayed health-related quality of life and clinical recovery. J Oral Maxillofac Surg, 63, 55–62.
• Van Der Meer, W.J., Dijkstra, P.U., Visser, A., Vissink, A. & Ren, Y. (2014). Reliability and validity of measurements of facial swelling with a stereophotogrammetry optical three-dimensional scanner. Br J Oral Maxillofac Surg, 52, 922–927.
• Vranckx, M., Lauwens, L., Moreno Rabie, C., Politis, C. & Jacobs, R. (2021). Radiological risk indicators for persistent postoperative morbidity after third molar removal. Clin Oral Investig, 25, 4471–4480.
• Xue, P., Wang, J., Wu, B., Ma, Y., Wu, F. & Hou, R. (2015). Efficacy of antibiotic prophylaxis on postoperative inflammatory complications in Chinese patients having impacted mandibular third molars removed: A split-mouth, double-blind, self-controlled, clinical trial. Br J Oral Maxillofac Surg, 53, 416–420.
• Yamamoto, S., Miyachi, H., Fujii, H., Ochiai. S., Watanabe, S. & Shimozato, K. (2016). Intuitive Facial Imaging Method for Evaluation of Postoperative Swelling: A Combination of 3-Dimensional Computed Tomography and Laser Surface Scanning in Orthognathic Surgery. J Oral Maxillofac Surg, 74, 2506.
• Yuasa, H. & Sugiura, M. (2004). Clinical postoperative findings after removal of impacted mandibular third molars: Prediction of postoperative facial swelling and pain based on preoperative variables. Br J Oral Maxillofa. Surg, 42, 209–214.