Gömülü Üçüncü Molar Diş Çekimlerinde Cinsiyetin Etkisi: Retrospektif Kesitsel Bir Çalışma

Yıl 2022, , 226 - 230, 30.12.2022

Görkem Tekin , Nesrin Saruhan , Ömür Dereci , Yasin Koşar

https://doi.org/10.34084/bshr.1197597

Öz

Amaç: Gömülü üçüncü molar dişin çekimi oral ve maksillofasiyal cerrahide en sık uygulanan cerrahi işlemdir. Çekim süreleri ve komplikasyonları birçok faktörden etkilenebilmektedir ve bu çalışmada cinsiyetler arasında gömülü üçüncü moların çekim süresi ve komplikasyonları değerlendirildi.
Yöntem: Bu çalışmaya 20 kadın ve 20 erkek olmak üzere 40 hasta dahil edildi. Aynı operatif zorluk skoruna sahip gömülü üçüncü büyük azı dişlerinin çekiminde (skor 4), ameliyat süreleri ve komplikasyonlar cinsiyet açısından değerlendirildi.
Bulgular: Tanımlayıcı istatistiksel analiz ile hastaların ortalama yaşı 26.85 ±8.37, kadın hastaların dortalama diş çekimi süresi 19.65 ± 10.63 dakika, erkek hastaların ortalama diş çekim süresi 14.30 ± 5.55 dakika olarak bulundu. Ameliyat sonrası hastaların 4'ünde (%10) alveolit görüldü. Dehissens görülmedi. Aynı operatif zorluk skoruna sahip gömülü üçüncü molar diş çekiminde, ameliyat süresi açısından cinsiyetler arasında istatistiksel olarak anlamlı bir fark bulundu (p<0.05).
Sonuç: Postoperatif komplikasyonlar açısından cinsiyetler arasında istatistiksel olarak anlamlı fark bulunmadı. Gömülü üçüncü büyük azı diş çekiminde cinsiyet, ameliyatın süresini etkilemektedir.

Anahtar Kelimeler

Cinsiyet, üçüncü molar, süre

The Effect of Gender in Extractions of Impacted Third Molar: A Retrospective Cross-Sectional Study

Öz

Objective: Removing the impacted third molar is the most common surgical procedure in oral and maxillofacial surgery. The removal times and complications can be affected by many factors, and this study evaluated the removal time and complications of the impacted third molar between genders
Methods: This study included 40 patients, 20 female and 20 male patients. In the extraction of impacted third molar teeth with the same operative difficulty score (score 4), operation times and complications were evaluated in terms of gender.
Results: With the descriptive statistical analysis, the average age of the patients was 26.85 ±8.37, the removal time of the female patients was 19.65 ± 10.63 minutes, and the average duration of the male patients was 14.30 ± 5.55 minutes. Postoperatively, 4 (10%) of the patients had alveolitis. Dehiscence was not seen. In the extraction of an impacted third molar with the same operative difficulty score, there was a statistically significant difference between genders in terms of operation time (p <0.05).
Conclusion: In terms of postoperative complications, no statistically significant difference was found between genders. In the impacted third molar tooth extraction, gender affects the duration of the surgery.

Anahtar Kelimeler

Gender, third molar, time

Kaynakça

• Lopes V, Mumenya R, Feinmann C, et al. Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction. Br J Oral Maxillofac Surg. 1995; 33(1): 33-35.
• Jerjes W, El-Maaytah M, Swinson B, et al. Experience versus complication rate in third molar surgery. Head Face Med. 2006;2:14.
• Chaparro-Avendaño A, Pérez-García S, Valmaseda-Castellón E, et al. Morbidity of third molar extraction in patients between 12 and 18 years of age. Med Oral Patol Oral Cir Bucal. 2005; 10(5): 422-431.
• Kilinc A, Ataol M. How effective is collagen resorbable membrane placement after partially impacted mandibular third molar surgery on postoperative morbidity? A prospective randomized comparative study. BMC Oral Health. 2017; 17(1): 126.
• de Boer MP, Raghoebar GM, Stegenga B, et al. Complications after mandibular third molar extraction. Quintessence Int. 1995; 26(11): 779-784.
• Lang MS, Gonzalez ML, Dodson TB. Do Antibiotics Decrease the Risk of Inflammatory Complications After Third Molar Removal in Community Practices?. J Oral Maxillofac Surg. 2017; 75(2): 249-255.
• Al Harbi MJ, Alomaym MAA, Mohammed Aldohan MF, et al. Necessity of Antibiotics to Reduce Inflammatory Complications after Third Molar Extractions: A Prospective Study. J Pharm Bioallied Sci. 2019; 11(1): 13-17.
• Santamaria J, Arteagoitia I. Radiologic variables of clinical significance in the extraction of impacted mandibular third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;84(5):469-473.
• van Gool AV, Ten Bosch JJ, Boering G. Clinical consequences of complaints and complications after removal of the mandibular third molar. Int J Oral Surg. 1977; 6(1): 29-37.
• Baqain ZH, Karaky AA, Sawair F, et al. Frequency estimates and risk factors for postoperative morbidity after third molar removal: a prospective cohort study. J Oral Maxillofac Surg. 2009; 67(3): 706.
• Sisk AL, Hammer WB, Shelton DW, et al. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg. 1986; 44(11): 855-859.
• Renton T, Smeeton N, McGurk M. Factors predictive of difficulty of mandibular third molar surgery. Br Dent J. 2001; 190(11): 607-610.
• Okawa K, Ichinohe T, Kaneko Y. Anxiety may enhance pain during dental treatment. Bull Tokyo Dent Coll. 2005; 46(3): 51-58.
• Hartman B, Adlesic EC. Evaluation and Management of Impacted Teeth in the Adolescent Patient. Dent Clin North Am. 2021; 65(4): 805-814.
• Hupp J. Principles of Management of Impacted Teeth. Contemporary Oral and Maxillofacial Surgery (5th ed). In: Ellis III E, Hupp J, Tucker M (eds). St Louis: Mosby, 1993; s. 153-178.
• Handelman SL, Black PM, Desjardins P, et al. Removal of impacted third molars by oral/maxillofacial surgery and general dentistry residents. Spec Care Dentist. 1993;13(3):122-126.
• Bello SA, Adeyemo WL, Bamgbose BO, et al. Effect of age, impaction types and operative time on inflammatory tissue reactions following lower third molar surgery. Head Face Med. 2011; 7: 8.
• Saruhan N. Gömülü 3. Molar Dişlerin Operatif Zorluk Skoruna ve Komplikasyonlara Göre Değerlendirilmesi. SDÜ Tıp Fak Derg. 2018; 25(3): 282-286
• Yusa H, Onizawa K, Hori M, et al. Anxiety measurements in university students undergoing third molar extraction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98(1): 23-27.
• Thomson WM, Locker D, Poulton R. Incidence of dental anxiety in young adults in relation to dental treatment experience. Community Dent Oral Epidemiol. 2000; 28(4): 289-294.
• Smyth JS. Some problems of dental treatment. Part 1. Patient anxiety: some correlates and sex differences. Aust Dent J. 1993; 38(5): 354-359.
• Kaufman E, Bauman A, Lichtenstein T, et al. Comparison between the psychopathological profile of dental anxiety patients and an average dental population. Int J Psychosom. 1991; 38(1-4): 52-57.
• Boozer CH, Ferraro EF, Weinberg R. The effects of age, race and sex on the interincisal measurement. Ann Dent. 1984; 43(2): 5-7.
• Mezitis M, Rallis G, Zachariades N. The normal range of mouth opening. J Oral Maxillofac Surg. 1989; 47(10): 1028-1029.
• Ezirganlı Ş, Kara Mİ, Küçük D. Investigation amount of maximum mouth opening and association with temporomandibular joint disorders in Turkish adult population. J Dent Fac Ataturk Uni. 2013; 21(1): 58.
• Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg. 2003; 61(12): 1379-1389.
• Fridrich KL, Olson RA. Alveolar osteitis following surgical removal of mandibular third molars. Anesth Prog. 1990; 37(1): 32-41.
• Barclay JK. Metronidazole and dry socket: prophylactic use in mandibular third molar removal complicated by non-acute pericoronitis. N Z Dent J. 1987; 83(373): 71-75.
• MacGregor AJ. Aetiology of dry socket: a clinical investigation. Br J Oral Surg. 1968; 6(1): 49-58.
• Benediktsdóttir IS, Wenzel A, Petersen JK, et al. Mandibular third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97(4): 438-446.
• Bello SA, Olaitan AA, Ladeinde AL. A randomized comparison of the effect of partial and total wound closure techniques on postoperative morbidity after mandibular third molar surgery. J Oral Maxillofac Surg. 2011; 69(6): 24-30.
• Khan MA, Ahmad T, Khadija SH. Frequency of dry socket, pain, wound dehiscence and swelling one week after removal of mandibular third molar impaction. Journl of Khyber College of Dentistry. 2015; 5(2): 20-3.