Short-term Association Between Anxiety, Self-Medication and Subjective Postoperative Clinical Signs in Norwegian Patients Following Surgical Removal of Third Molar Teeth

Introduction: Surgery of mandibular third molar teeth for removal is one of the most common procedures undertaken in oral and maxillofacial surgery departments. The complications created by the post extraction wound healing and physiological consecution of third molar surgery can affect patients' quality of life. Platelet rich plasma (PRP) is an autologous concentrate of platelets suspended in the Plasma that accelerates healing by concentration of growth factors which lessen the inflammation and as a result pain and trismus. Materials and methods: A Study was conducted on 130 patients at the department of Oral and Maxillofacial Surgery, FUCD Islamabad, for a period of 6 months after ethical approval. The patients with impacted mandibular wisdom teeth were selected and divided equally into two equal groups. The pain score was measured using the visual analogue scale (VAS) and trismus was measured using Vernier caliper before the surgery, immediately after surgery, on 3rd and 7th follow up visits. Results: The mean postoperative pain on 7th day was significantly lower in the PRP group with statistically significant P-value <0.0001. Trismus was also less reported in the PRP group with P-value <0.00065. Conclusion: Platelet Rich Plasma is effective to lessen trismus and pain after surgical removal of mandibular third molar teeth.

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Short-Term Evaluation of Gustatory Changes After Surgical Removal of Mandibular Third Molar—A Prospective Randomized Control Trial

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2017.06.028 ◽

2018 ◽

Vol 76 (2) ◽

pp. 258-266 ◽

Cited By ~ 3

Author(s):

Rahul Anand ◽

Dhayasankar Prabhu Shankar ◽

Pedamally Manodh ◽

Pradeep Devadoss ◽

Murugan Aparna ◽

...

Keyword(s):

Randomized Control Trial ◽

Third Molar ◽

Surgical Removal ◽

Short Term ◽

Prospective Randomized Control Trial ◽

Mandibular Third Molar ◽

Short Term Evaluation ◽

Term Evaluation ◽

Randomized Control

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Pre-Operative Oral Health-Related Quality of Life in Patients Attending Surgical Removal of Mandibular Third Molar Teeth

Healthcare ◽

10.3390/healthcare9010085 ◽

2021 ◽

Vol 9 (1) ◽

pp. 85

Author(s):

Itzhak Abramovitz ◽

Evgeny Zakopay ◽

Avraham Zini ◽

Harry Chweidan ◽

Daniel Balakirski ◽

...

Keyword(s):

Oral Health ◽

Third Molar ◽

Surgical Removal ◽

Third Molar Extraction ◽

Mandibular Third Molar ◽

Health Related Behaviors ◽

Related Quality ◽

Health Related ◽

Molar Teeth

The study aimed to measure the pre-operative oral health-related quality of life (OHRQoL) and to identify patient and teeth pathologies associated with worse OHRQoL among patients attending mandibular third molar tooth extraction. Data were collected preoperatively from 199 patients attending surgical removal of their mandibular third molar. To that end, we measured the Oral Health Impact Profile-14 (OHIP-14) and analyzed its association with: (1) demographics; (2) health-related behaviors such as smoking, alcohol consumption, physical activity, and dietary habits; (3) Plaque Index (PI); (4) Decay, Missing, and Filled Teeth (DMFT); and (5) clinical characteristics related to third molar extraction, such as the indication for extraction, tooth angulations, and radiographic pathology. The mean age of the study population was 21.5 ± 3.2 years and the mean OHIP-14 global score was 22.5 ± 8.3. The present study identified patient and teeth profiles that are associated with worse pre-operative OHRQoL in patients attending mandibular third molar extraction. The “vulnerable patient” profile includes poor health-related behaviors, particularly the performance of physical activity less than once a week (p = 0.028). The “disturbing teeth” profile includes higher plaque scores (p = 0.023) and specific characteristics of the third molar teeth, such as pericoronitis (p = 0.027) and radiolucency around third molars in panoramic radiography (p < 0.001). These findings support the hypothesis that OHRQoL is a complex phenomenon which is associated with the patient’s health-related behaviors as well as with specific tooth pathologies.

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Bilateral surgical removal of impacted mandibular third molar teeth as a model for drug evaluation: A test with oxyphenbutazone (Tanderil®)

International Journal of Oral Surgery ◽

10.1016/s0300-9785(77)80051-3 ◽

1977 ◽

Vol 6 (3) ◽

pp. 177-189 ◽

Cited By ~ 40

Author(s):

Bjørn Album ◽

Ingar Olsen ◽

Per Løkken

Keyword(s):

Drug Evaluation ◽

Third Molar ◽

Surgical Removal ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar ◽

Molar Teeth

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An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth

Case Reports in Surgery ◽

10.1155/2019/8360357 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6

Author(s):

Johnson Cheung ◽

Ayham Al Afif ◽

Martin Joseph Bullock ◽

Chad Robertson ◽

Robert Hart ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Squamous Cell ◽

Clinical Signs ◽

Third Molar ◽

Surgical Removal ◽

Histopathological Analysis ◽

Diagnostic Challenge ◽

Oral Mucosal Lesion ◽

Facial Swelling

Squamous cell carcinoma is the most common head and neck malignancy. It can occur in the mandible or maxilla without a preexisting oral mucosal lesion. Often, the clinical and radiographic presentation of SCC directs the clinician to favour malignancy over other pathological conditions. However, SCC may also mimic an infectious condition and therefore can pose a diagnostic challenge even for the most experienced clinicians. Herein, we report a case of mandibular squamous cell carcinoma in a 53-year-old male who presented with symptoms of right facial swelling, trismus, pain, and right-sided lip paresthesia. The patient underwent a surgical removal of the presumed infected third molar of the right mandible, but histopathological analysis of the associated soft tissue unexpectedly yielded squamous cell carcinoma. Given the biopsy-proven diagnosis, the patient received a mandibular resection of the tumor followed by primary reconstruction with a fibular free flap. Patients presenting with symptoms mimicking odontogenic infections should receive vigilant attention by clinicians with regard to the disease history, clinical signs, radiographic evidence, and decision for histopathological analysis. This is especially true in the context of impacted dentition, where malignancy must be considered when formulating a differential diagnosis.

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