Öz

Amaç: Bu çalışmanın amacı sigara kullanımının gömülü diş çekiminden sonra ağrı, şişlik ve ağız açıklığında kısıtlılığa etkisinin değerlendirilmesidir.Gereç ve Yöntem: Bu prospektif çalışmada cerrahi olarak gömülü 3. Molar diş çekimi yapılacak 147 hasta sigara içen (n=31) ve sigara içmeyen (n= 116) olarak iki gruba ayrılmıştır. Hastaların operasyon öncesi ve operasyonla ilgili bilgileri kaydedilmiş ve hastalardan operasyon sonrasında 6 gün süre ile şişlik, ağrı ve ağız açıklıklarında kısıtlılığı kaydedecekleri bir form doldurmaları istenmiştir. Ağrı Görsel Analog Skala ile 1-10 arasında, şişlik az orta ve şiddetli olarak, değerlendirilmiştir. Ağız açıklığındaki kısıtlılık hastalar tarafından değerlendirilmiş ve evet/hayır olarak kaydedilmiştir. İstatistiksel olarak f= 1;145 hata düzeyinde Tek-Yönlü ANOVA kullanılmıştır.Sonuçlar: Sigara içen hastaların ortalama yaşı 27,75±9,15 , sigara içmeyenlerin 25,7±6,9 ’dır. Sigara içen ve içmeyen grupta operasyon sonrası dönemde ağrı, şişlik ve ağız açıklığında kısıtlılık açısından anlamlı bir farklılık saptanmamıştır.Sonuç: Üçüncü molar cerrahisi sonrası sigara içilmesi ile semptomlar arasında herhangi anlamlı bir ilişki yoktur. Ancak, örneklem büyüklüğü geniş olan daha ileri çalışmalara ihtiyaç vardır

Anahtar Kelimeler

• sigara, diş çekimi, üçüncü molar dişler, ağrı, operasyon sonrası

The Effect of Smoking on Postoperative Period of Extraction of Impacted Mandibular Third Molars

Öz

Objective: The aim of this study was to evaluate the effect of cigarette smoking on the post-operative severity of pain, swelling and limitation of mouth opening after impacted mandibular third molar surgery.Materials and Methods: This prospective comparative study was conducted for 147 cases in two groups of patients, smokers (n=31) and non-smokers (n= 116) who undergoes surgical extractions of impacted third molars. The patients’ pre- and intra-operative findings of the study group were recorded. The patients were asked to fill out a form to record the findings of postoperative pain, swelling and mouth opening limitation for 6 days. Pain was recorded on a visual analog scale from 1 to 10 and swelling was recorded as mild, moderate and severe. The limitation of mouth opening was evaluated by the patient during the postoperative 6 days and was recorded as yes or no. One way ANOVA with f= 1;145 significance level was used as statistical analysis.Results: The mean age of the smokers was 27,75±9,15 while non-smokers was 25,7±6,9 . No significant difference was found at the post-operative period regarding the severity of pain, swelling and mouth opening.Conclusion: Smoking did not considerably made difference in terms of postoperative symptoms followed by third molar surgery. However further studies need to be conducted with including larger sample size

Anahtar Kelimeler

• smoking, tooth extraction, third molars, pain, post-operative

Kaynakça

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