ASSESSMENT OF THE RELATIONSHIP BETWEEN EDEMA MEASUREMENT METHODS AFTER IMPACTED MANDIBULAR THIRD MOLAR SURGERY
Yıl 2024,
Cilt: 6 Sayı: 3, 175 - 180, 31.12.2024
Dilek Menziletoğlu
,
Arif Yiğit Güler
,
Funda Baştürk
,
Kübra Yakut
Öz
Aim: The aim of the study was to evaluate edema using two different methods after mandibular impacted third molar surgery and compare these methods with each other.
Materials and Methods: The mandibular impacted third molar teeth in the mesioangular position of the patients were extracted by the same surgeon with the same technique under local anesthesia using rotary instruments with 0.9% saline irrigation. Edema measurements were made on preoperative, postoperative 2nd and postoperative 7th days. Two methods were used to evaluate the edema. In the first method, the distances between certain points on the face were measured by the physician with the help of a paper ruler. In the second method, the edema scale was given to the patients. With the help of this scale, the patients evaluated postoperative swelling themselves. The correlation between two methods was examined. Approval for the study was obtained from the Ethics Committee of Necmettin Erbakan University, Faculty of Dentistry. (Approval number: 2018-05)
Results: Sixty patients (26 females and 34 males) were included in this prospective study (Mean age: 22.39 ± 6.09 years) There was no correlation between the physicians’s measurements and the patient’s scoring. (p>0.05)
Conclusion: In the evaluation of edema in the postoperative period, the edeme scale, which is filled in accordance with the subjective evaluation of the patient, was not sufficient alone. Edema should be by measuring the distance between specific points on the face.
Kaynakça
- Conrad, S. M., Blakey, G. H., Shugars, D. A., Marciani, R. D., Philips, c., White, R.P. (1999). Patients’
perception of recovery after third molar surgery. J. Oral Maxillofac. Surg. 57, 1288–1294 .
DOI: 10.1016/s0278-2391(99)90861-3
- Micó-Llorens, J. M., Satorres-Nieto, M., Gargallo-Albiol, J., Arnabat-Domínguez, J., Berini-Aytés, L., Gay-
Escoda, C. (2006). Efficacy of methylprednisolone in controlling complications after impacted lower
third molar surgical extraction. Eur J Clin Pharmacol, 62(9),693-8. DOI: 10.1007/s00228-006-0164-5
- Berge, T. I. (1989). The use of a visual analogue scale in observer assessment of postoperative swelling
subsequent to third-molar surgery , 47, 167–174. DOI: 10.3109/00016358909007697
- Chaudhary M, Singh M, Singh S, Singh SP, Kaur G. Primary and secondary closure technique following removal
of impacted mandibular third molars: A comparative study. Natl. J. Maxillofac. Surg. 3, 10–14. (2012).
DOI: 10.4103/0975-5950.102141
- Holland, C. S. The development of a method of assessing swelling following third molar surgery. Br. J. Oral Surg.
17, 104–114 (1979). DOI: 10.1016/s0007-117x(79)80037-2.
- Ustün, Y., Erdogan, O., Esen, E. & Karsli, E. D. Comparison of the effects of 2 doses of methylprednisolone on
pain, swelling, and trismus after third molar surgery. Oral Surg. Oral Med. Oral Pathol. Oral Radiol.
Endod. 96, 535–539 (2003). DOI: 10.1016/S1079210403004645
- Dolanmaz, D., Esen, A., Isik, K. & Candirli, C. Effect of 2 flap designs on postoperative pain and swelling after
impacted third molar surgery. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 116, e244–6 (2013).
DOI: 10.1016/j.oooo.2011.11.030
- Pasqualini D, Cocero N, Castella A, et al. Primary and secondary closureof the surgical wound after removal of
impacted mandibular third molars:a comparative study. Int. J. Oral Maxillofac. Surg. 34, 52–56 (2005).
DOI: 10.1016/j.ijom.2004.01.023
- Fonseca, R. J. (2009). Oral and Maxillofacial Surgery (2nd ed). Elsevier Saunders.
Cathcart, R. A. Inflammatory swellings of the head and neck. Surgery 33, 600–606 (2015).
https://doi.org/10.1016/j.mpsur.2015.09.010
- Pedersen A, M.-M. D. Volumetric determination of extraoralswelling from stereophotographs. A method study in
the buccal area. IntJ Oral Surg 14, 229–34 (1985). doi: 10.1016/s0300-9785(85)80033-8
- Pallagatti, S., Sheikh, S., Puri, N., Mittal, A. & Singh, B. To evaluate the efficacy of ultrasonography compared to
clinical diagnosis, radiography and histopathological findings in the diagnosis of maxillofacial swellings.
Eur. J. Radiol. 81, 1821–1827 (2012). doi: 10.1016/j.ejrad.2011.04.065
- Osunde, O. D., Adebola, R. A., Saheeb, B. D. (2012). A comparative study of the effect of suture-less and multiple
suture techniques on inflammatory complications following third molar surgery. Int. J. Oral Maxillofac.
Surg. 41, 1275–1279. doi: 10.1016/j.ijom.2012.04.009. Epub 2012 May 15
- Al-Samman, A. A. & Othman, H. A. (2017). Facial expression drawings and the full cup test: valid tools for the
measurement of swelling after dental surgery. Br. J. Oral Maxillofac. Surg, 55, 22–25.
DOI: 10.1016/j.bjoms.2016.08.015
- Afat, İ. M., Akdoğan, E.T., Gönül, O., Göker, M.K. (2018). Gömülü 3. molar dişlerin cerrahi çekimleri sonrası
gönüllülerin kendi değerlendirdikleri VAS ödem skorlamalarının, hekim tarafından yüzde yapılan ödem
ölçümleri ile korelasyonunun değerlendirilmesi. 7 Tepeklinik, 14, 25–30.
DOI: 10.5505/yeditepe.2017.72792
Yıl 2024,
Cilt: 6 Sayı: 3, 175 - 180, 31.12.2024
Dilek Menziletoğlu
,
Arif Yiğit Güler
,
Funda Baştürk
,
Kübra Yakut
Kaynakça
- Conrad, S. M., Blakey, G. H., Shugars, D. A., Marciani, R. D., Philips, c., White, R.P. (1999). Patients’
perception of recovery after third molar surgery. J. Oral Maxillofac. Surg. 57, 1288–1294 .
DOI: 10.1016/s0278-2391(99)90861-3
- Micó-Llorens, J. M., Satorres-Nieto, M., Gargallo-Albiol, J., Arnabat-Domínguez, J., Berini-Aytés, L., Gay-
Escoda, C. (2006). Efficacy of methylprednisolone in controlling complications after impacted lower
third molar surgical extraction. Eur J Clin Pharmacol, 62(9),693-8. DOI: 10.1007/s00228-006-0164-5
- Berge, T. I. (1989). The use of a visual analogue scale in observer assessment of postoperative swelling
subsequent to third-molar surgery , 47, 167–174. DOI: 10.3109/00016358909007697
- Chaudhary M, Singh M, Singh S, Singh SP, Kaur G. Primary and secondary closure technique following removal
of impacted mandibular third molars: A comparative study. Natl. J. Maxillofac. Surg. 3, 10–14. (2012).
DOI: 10.4103/0975-5950.102141
- Holland, C. S. The development of a method of assessing swelling following third molar surgery. Br. J. Oral Surg.
17, 104–114 (1979). DOI: 10.1016/s0007-117x(79)80037-2.
- Ustün, Y., Erdogan, O., Esen, E. & Karsli, E. D. Comparison of the effects of 2 doses of methylprednisolone on
pain, swelling, and trismus after third molar surgery. Oral Surg. Oral Med. Oral Pathol. Oral Radiol.
Endod. 96, 535–539 (2003). DOI: 10.1016/S1079210403004645
- Dolanmaz, D., Esen, A., Isik, K. & Candirli, C. Effect of 2 flap designs on postoperative pain and swelling after
impacted third molar surgery. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 116, e244–6 (2013).
DOI: 10.1016/j.oooo.2011.11.030
- Pasqualini D, Cocero N, Castella A, et al. Primary and secondary closureof the surgical wound after removal of
impacted mandibular third molars:a comparative study. Int. J. Oral Maxillofac. Surg. 34, 52–56 (2005).
DOI: 10.1016/j.ijom.2004.01.023
- Fonseca, R. J. (2009). Oral and Maxillofacial Surgery (2nd ed). Elsevier Saunders.
Cathcart, R. A. Inflammatory swellings of the head and neck. Surgery 33, 600–606 (2015).
https://doi.org/10.1016/j.mpsur.2015.09.010
- Pedersen A, M.-M. D. Volumetric determination of extraoralswelling from stereophotographs. A method study in
the buccal area. IntJ Oral Surg 14, 229–34 (1985). doi: 10.1016/s0300-9785(85)80033-8
- Pallagatti, S., Sheikh, S., Puri, N., Mittal, A. & Singh, B. To evaluate the efficacy of ultrasonography compared to
clinical diagnosis, radiography and histopathological findings in the diagnosis of maxillofacial swellings.
Eur. J. Radiol. 81, 1821–1827 (2012). doi: 10.1016/j.ejrad.2011.04.065
- Osunde, O. D., Adebola, R. A., Saheeb, B. D. (2012). A comparative study of the effect of suture-less and multiple
suture techniques on inflammatory complications following third molar surgery. Int. J. Oral Maxillofac.
Surg. 41, 1275–1279. doi: 10.1016/j.ijom.2012.04.009. Epub 2012 May 15
- Al-Samman, A. A. & Othman, H. A. (2017). Facial expression drawings and the full cup test: valid tools for the
measurement of swelling after dental surgery. Br. J. Oral Maxillofac. Surg, 55, 22–25.
DOI: 10.1016/j.bjoms.2016.08.015
- Afat, İ. M., Akdoğan, E.T., Gönül, O., Göker, M.K. (2018). Gömülü 3. molar dişlerin cerrahi çekimleri sonrası
gönüllülerin kendi değerlendirdikleri VAS ödem skorlamalarının, hekim tarafından yüzde yapılan ödem
ölçümleri ile korelasyonunun değerlendirilmesi. 7 Tepeklinik, 14, 25–30.
DOI: 10.5505/yeditepe.2017.72792