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Early ComplicationsFollowing Impacted Mandibular Third Molar Surgery: A Retrospective Study

Year 2010, Volume: 37 Issue: 2 - Volume: 37 Issue: 2, 71 - 76, 01.10.2010

Abstract

In this study, evaluation of the early complications that occur after extraction of impacted mandibular third molars was aimed. The study was performed on 68 patients in Ankara University Faculty of Dentistry with the extraction indication of impacted mandibular third molars. After surgical operation pain, edema, trismus, alveolitis, paresthesia on lip and tongue, bleeding, open space on wound, dysphagia were assessed. Parameters were transfered to SPSS Statistical Package for Social Sciences 11,5 program for statistical evaluation and percentage of distributions were obtained. 36 male and 32 female patients were included in the study. 34 right and 34 left a total of 68 impacted mandibular third molars were extracted and the complications were assessed after 3 days. 35% pain, 69% edema, 75% trismus, 4% paresthesia on lip, 1% paresthesia on tongue, 18% dysphagia, 1% bleeding and 6% alveolitis were observed. As a result various complications after impacted mandibular third molar extraction may occur, dentists should have enough knowledge and experience about it

References

  • Santamaria J, Arteagoita I. Radiologic variables of clinical significance in the extraction of impacted mandibular third molars. Oral Surg Oral Med Oral Pathol Oral Endod 1997; 84: 469–73.
  • Jerjes W, El-Maaytah M, Swinson B, Banu B, Upile T, D'Sa S, Al-Khawalde M, Chaib B, Hopper C. Experience versus complication rate in third molar surgery. Head Face Med. 2006; 25: 14.
  • Sisk AL, Hammer WB, Shelton DW, Joy ED Jr. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg. 1986; 44: 855–9.
  • Blondeau F, Daniel NG. Extraction of im+pacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc. 2007; 73: 325.
  • Contar CM, de Oliveira P, Kanegusuku K, Berticelli RD, Azevedo-Alanis LR, Machado MA. Complications in third molar removal: a retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal. 2010; 15: e74–8.
  • Archer, WH. Oral and maxillofacial Surgery, Fifth Ed., Vol I, W.B. Saunders Company, Philadelphia. 1975; p: 16–131.
  • Osborn TP, Frederickson G Jr, Small IA, Torgerson TS. A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg 1985; 43: 767–9.
  • Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 1993; 76: 412–20.
  • Poswillo D. Surgical options for third molars: a review. J R Soc Med 1981; 74: 911– 3.
  • Chaparro-Avendaño AV, Pérez- García S, Valmaseda-Castellón E, Berini- Aytés L, Gay-Escoda C. Morbidity of third molar extraction in patients between 12 and 18 years of age. Med Oral Patol Oral Cir Bucal. 2005; 10: 422–31.
  • Fridrich KL, Olson RA. Alveolar osteitis following surgical removal of mandibular third molars. Anesth Prog. 1990; 37:32–41.
  • Köşger HH, Ay S, Polat S, Ozan F, Yeler H. Alveolit görülme sıklığı. Cumhuriyet Ünv. Dişekimliğ Fak. Derg. 2002; 5: 71–4.
  • Edwards DJ, Horton J, Shepherd JP, Brickley MR. Impact of third molar removal on demands for postoperative care and job disruption: does anaesthetic choice make a difference? Ann R Coll Surg Engl. 1999; 81: 119–23.
  • Chaparro-Avendaño AV, Pérez- García S, Valmaseda-Castellón E, Berini- Aytés L, Gay-Escoda C. Morbidity of third molar extraction in patients between 12 and 18 years of age. Med Oral Patol Oral Cir Bucal. 2005; 10: 422–31.
  • Jerjes W, Upile T, Kafas P, Abbas S, Rob J, McCarthy E, McCarthy P, Hopper C. Third molar surgery: the patient's and the clinician's perspective. Int Arch Med. 2009; 2: 32.
  • Jerjes W, Upile T, Shah P, Nhembe F, Gudka D, Kafas P et al. Risk factors associated with injury to the inferior alveolar and lingual nerves following third molar surgery-revisited.Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 335-45.
  • Absi E.G, Shepherd J.P. A comparison of morbidity following the removal of lower third molars by the lingual split and surgical bur methods. J. Oral Maxillofac. Surg. 1993; 22: 149–53.
  • Berge T.I. Visual analogue scale assessment of postoperative swelling. Astudy of clinical inflammatory variables subsequent to third-molar surgery. Acta Odontol Scand. 1988; 46: 233–40.
  • Meral G, Basal Z, Saysel M, Karabu- lut E. Gömülü Yirmi Yaş Cerrahisinde Hasta- ların Operasyon ve İyileşme Dönemi Beklenti- lerini Etkileyen Faktörler. H.Ü. Dişhek. Fak. Derg. 2005; 29: 51–5.

Gömük alt yirmi yaş dişi cerrahisi sonrasında görülen erken dönem komplikasyonlar: Retrospektif değerlendirme

Year 2010, Volume: 37 Issue: 2 - Volume: 37 Issue: 2, 71 - 76, 01.10.2010

Abstract

Bu çalışmada, alt gömük yirmi yaş dişlerinin çekimini takiben görülen erken dönem komplikasyonların değerlendirilmesi amaçlanmıştır. Araştırma, Ankara Üniversitesi Diş Hekimliği Fakültesi’nde alt gömük yirmi yaş dişine çekim endikasyonu koyulmuş ve cerrahisi gerçekleştirilmiş olan 68 hasta üzerinde yapılmıştır. Araştırmada ameliyat sonrası dönemde görülen ağrı, ödem, trismus, alveolit, dudak ve dilde his kaybı, kanama, yara yerinde açıklık ve yutkunma zorluğu gibi parametreler değerlendirilmiştir. İstatistiksel değerlendirmeler için veriler SPSS Statistical Package for Social Sciences 11,5 programında bilgisayara aktarılmış ve yüzde dağılımları elde edilmiştir. Araştırmaya 36 erkek ve 32 kadın hasta dâhil edilmiştir. 34 sağ ve 34 sol olmak üzere toplam 68 alt gömük yirmi yaş dişinin çekim sonrası 3. güne kadar meydana gelen komplikasyonları değerlendirilmiş ve %35’inde ağrı, %69’unda ödem, %75’inde trismus, %4’ünde dudakta his kaybı, %1’inde dilde his kaybı, %18’inde yutkunma zorluğu, %1’inde ikincil kanama ve % 6’sında alveolit görülmüştür. Sonuç olarak alt gömük yirmi yaş dişlerinin çekimi sonrasında oluşabilecek komplikasyonların fazla olması nedeniyle hekimin bu konuyla ilgili hangi komplikasyonun hangi durumda olabileceği konusunda yeterli bilgi ve tecrübeye sahip olması gerekmektedir

References

  • Santamaria J, Arteagoita I. Radiologic variables of clinical significance in the extraction of impacted mandibular third molars. Oral Surg Oral Med Oral Pathol Oral Endod 1997; 84: 469–73.
  • Jerjes W, El-Maaytah M, Swinson B, Banu B, Upile T, D'Sa S, Al-Khawalde M, Chaib B, Hopper C. Experience versus complication rate in third molar surgery. Head Face Med. 2006; 25: 14.
  • Sisk AL, Hammer WB, Shelton DW, Joy ED Jr. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg. 1986; 44: 855–9.
  • Blondeau F, Daniel NG. Extraction of im+pacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc. 2007; 73: 325.
  • Contar CM, de Oliveira P, Kanegusuku K, Berticelli RD, Azevedo-Alanis LR, Machado MA. Complications in third molar removal: a retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal. 2010; 15: e74–8.
  • Archer, WH. Oral and maxillofacial Surgery, Fifth Ed., Vol I, W.B. Saunders Company, Philadelphia. 1975; p: 16–131.
  • Osborn TP, Frederickson G Jr, Small IA, Torgerson TS. A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg 1985; 43: 767–9.
  • Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 1993; 76: 412–20.
  • Poswillo D. Surgical options for third molars: a review. J R Soc Med 1981; 74: 911– 3.
  • Chaparro-Avendaño AV, Pérez- García S, Valmaseda-Castellón E, Berini- Aytés L, Gay-Escoda C. Morbidity of third molar extraction in patients between 12 and 18 years of age. Med Oral Patol Oral Cir Bucal. 2005; 10: 422–31.
  • Fridrich KL, Olson RA. Alveolar osteitis following surgical removal of mandibular third molars. Anesth Prog. 1990; 37:32–41.
  • Köşger HH, Ay S, Polat S, Ozan F, Yeler H. Alveolit görülme sıklığı. Cumhuriyet Ünv. Dişekimliğ Fak. Derg. 2002; 5: 71–4.
  • Edwards DJ, Horton J, Shepherd JP, Brickley MR. Impact of third molar removal on demands for postoperative care and job disruption: does anaesthetic choice make a difference? Ann R Coll Surg Engl. 1999; 81: 119–23.
  • Chaparro-Avendaño AV, Pérez- García S, Valmaseda-Castellón E, Berini- Aytés L, Gay-Escoda C. Morbidity of third molar extraction in patients between 12 and 18 years of age. Med Oral Patol Oral Cir Bucal. 2005; 10: 422–31.
  • Jerjes W, Upile T, Kafas P, Abbas S, Rob J, McCarthy E, McCarthy P, Hopper C. Third molar surgery: the patient's and the clinician's perspective. Int Arch Med. 2009; 2: 32.
  • Jerjes W, Upile T, Shah P, Nhembe F, Gudka D, Kafas P et al. Risk factors associated with injury to the inferior alveolar and lingual nerves following third molar surgery-revisited.Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 335-45.
  • Absi E.G, Shepherd J.P. A comparison of morbidity following the removal of lower third molars by the lingual split and surgical bur methods. J. Oral Maxillofac. Surg. 1993; 22: 149–53.
  • Berge T.I. Visual analogue scale assessment of postoperative swelling. Astudy of clinical inflammatory variables subsequent to third-molar surgery. Acta Odontol Scand. 1988; 46: 233–40.
  • Meral G, Basal Z, Saysel M, Karabu- lut E. Gömülü Yirmi Yaş Cerrahisinde Hasta- ların Operasyon ve İyileşme Dönemi Beklenti- lerini Etkileyen Faktörler. H.Ü. Dişhek. Fak. Derg. 2005; 29: 51–5.
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Nihat Akbulut This is me

E. Şebnem Kurşun This is me

Çağrı Bardak This is me

Tuğrul Emre Kaymak This is me

Gülümser Çölok This is me

Publication Date October 1, 2010
Published in Issue Year 2010 Volume: 37 Issue: 2 - Volume: 37 Issue: 2

Cite

Vancouver Akbulut N, Kurşun EŞ, Bardak Ç, Kaymak TE, Çölok G. Gömük alt yirmi yaş dişi cerrahisi sonrasında görülen erken dönem komplikasyonlar: Retrospektif değerlendirme. EADS. 2010;37(2):71-6.