Comparison of Pre-Operative Difficulty estimation and Postoperative Morbidity in Third Molar Extraction

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dc.authoridSoylu, Emrah/0000-0002-9828-5096
dc.authoridÇanakçi, F. Gülfeşan/0000-0001-7553-7062
dc.authorwosidSoylu, Emrah/B-7497-2018
dc.authorwosidÇanakçi, F. Gülfeşan/AAC-3449-2022
dc.contributor.authorSoylu, Emrah
dc.contributor.authorAkcay, Huseyin
dc.contributor.authorCanakci, Gulfesan
dc.contributor.authorEtoz, Osman A.
dc.contributor.authorAlkan, Alper
dc.date.accessioned2024-06-12T11:16:29Z
dc.date.available2024-06-12T11:16:29Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAim: 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.en_US
dc.identifier.doi10.4328/ACAM.20026
dc.identifier.endpage548en_US
dc.identifier.issn2667-663X
dc.identifier.issue5en_US
dc.identifier.startpage544en_US
dc.identifier.urihttps://doi.org/10.4328/ACAM.20026
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24339
dc.identifier.volume10en_US
dc.identifier.wosWOS:000512905300006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherBayrakol Medical Publisheren_US
dc.relation.ispartofAnnals Of Clinical And Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTooth Extractionen_US
dc.subjectThird Molaren_US
dc.subjectMorbidityen_US
dc.subjectSurgical Difficultyen_US
dc.subjectPainen_US
dc.subjectRemovalen_US
dc.titleComparison of Pre-Operative Difficulty estimation and Postoperative Morbidity in Third Molar Extractionen_US
dc.typeArticleen_US

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