Comparison of Pre-Operative Difficulty estimation and Postoperative Morbidity in Third Molar Extraction
Küçük Resim Yok
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bayrakol Medical Publisher
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: The purpose of this study is to evaluate the preexisting factors that affect the surgical difficulty of third molar extractions and Its relationship between postoperative morbidity. Materials and Methods: Fifty patients were enrolled in this study. The Pederson Difficulty Index (PDI) (angulation, ramus distance, depth) was used to evaluate the difficulty of third molar extractions as well as operation time (OT) and general pain thresholds (GPT) of the patients. Postoperative edema (pre-operative, postoperative 1st day and 7th day) and maximum interincisal opening (MIO) of the patients (pre-operative, postoperative 1st day and 7th day) were measured. Also; VAS (Visual Analogue Scale) was filled (each day for one week after extraction) by patients. Results: According to the PDI, eight extractions were slightly difficult while 28 were moderately and 14 were very difficult Fourteen teeth were mesioangular, six were distoangular, 14 were vertical and 16 teeth were horizontal. The shortest OT was 4 minutes while the longest was 55 minutes and the mean time was 11,32 min. On first postoperative day, trismus significantly increased with difficulty (P<0,001). However, there was no relationship between postoperative edema and pain with PDI. OT and 1st postoperative- day edema significantly increased as ramus distance decreased (P<0,05). OT, 1st and 7th day edema significantly increased with tooth depth (P<0,05) Discussion: Postoperative morbidity is strongly related with operation time, extraction technique and ramus distance rather than the Pederson difficulty index and angulation. In addition, general pain perception of the individual is a determining factor for post-operative MIO. As a conclusion, extraction technique and operation time might be considered as determining factors as well as pre-operative demographic findings for postoperative morbidity estimation.
Açıklama
Anahtar Kelimeler
Tooth Extraction, Third Molar, Morbidity, Surgical Difficulty, Pain, Removal
Kaynak
Annals Of Clinical And Analytical Medicine
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
10
Sayı
5
