scholarly journals Postoperative Complications of Impacted Mandibular Third Molar Extraction Related to Patient’s Age and Surgical Difficulty Level: A Cross-Sectional Retrospective Study

2022 ◽  
Vol 2022 ◽  
pp. 1-6
Author(s):  
Andra Rizqiawan ◽  
Yeni Dian Lesmaya ◽  
Anindita Zahratur Rasyida ◽  
Muhammad Subhan Amir ◽  
Shigehiro Ono ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Third Molar ◽  
Difficulty Level ◽  
Age Group ◽  
Cross Sectional ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Surgical Difficulty ◽  
Molar Extraction

Mandibular third molar surgical extraction, either partially erupted or fully impacted, is the most common surgical procedure in oral and maxillofacial surgery (OMFS). However, this procedure can be associated with many postoperative complications including persistent pain, swelling, trismus, and paresthesia due to nerve injury. This study aimed to identify the correlation of postoperative complications with patient’s age, sex, and surgical difficulty level. This study was a cross-sectional retrospective and single-center research conducted on patients with a history of mandibular third molar surgical extraction in the period between 2017 and 2019 at Dental and Oral Hospital Universitas Airlangga, Surabaya, Indonesia. The researchers assessed the factors of age, sex, and surgical difficulty level regarding postoperative complications on the first day of the surgery and after one week on the 7th day of it. Among 916 respondents, the majority of the sample was females (59%) and the dominant age group (60.9%) was the age group of 21–30 years while the dominant surgical difficulty level was shown by the advanced cases group (77%). The statistical analysis showed that there was a significant correlation between surgical difficulty level and postoperative complications including pain, trismus, and paresthesia on the first-day assessment. On the other hand, age was significantly related to complications like pain, swelling, and trismus on the first-week assessment. Age and surgical difficulty level were the most common risk factors of the mandibular third molar extraction postoperative complications. Dentists should take into consideration that older patients (≥51 years) and patients with complex surgical level are more vulnerable to severe postoperative complications.

Effect of Age, Gender, Side and Impaction Types on Surgical Difficulty During Mandibular Third Molar Extraction.

2018 ◽  
Vol 17 (2) ◽  
pp. 11
Author(s):  
Krishna Gopal Bhuju ◽  
Sujita Shrestha ◽  
Riwaj Karki ◽  
Sameer Aryal
Keyword(s):  
Third Molar ◽  
Objective Measure ◽  
Operation Time ◽  
Significance Level ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Duration Of Surgery ◽  
Surgical Difficulty ◽  
Effect Of Age ◽  
Molar Extraction

<p><strong>Aim</strong>: To study the effect of age, gender, side and impaction types on surgical difficulty during mandibular third molar extraction through the data collected over a period of one year by single maxillofacial surgeon. All the extractions were performed under the same environment and conditions.</p><p><strong>Methods</strong>: Descriptive clinical study of 401 patients was carried out between the ages of 16 to 45years. Age, gender, impaction side and impaction types (according to the winter classification) were recorded on proforma. Duration of surgery for each patient was recorded after starting incision to the completion of suture which was divided into less than 10 minutes (mild), 11 to 20 minutes (moderate) and above 21 minutes (severe). Pearson’s Chi-square test was used for data analysis and significance level was less than or equal to 0.05.</p><p><strong>Results</strong>: Among 401 participants, 225 (56.1%) were male and 176 (43.9%) were female. Mean age was 31.5 years and mean operation time was 17.59 minutes. After statistical analysis there was a significant correlation among gender and side of impaction where <em>p </em>value is 0.043 0.048 respectively.</p><p><strong>Conclusion</strong>: There is a statistically significant correlation between gender and side of impaction with duration of surgery which is considered as the objective measure of surgical difficulty whereas age and impaction types didn’t show any significant correlation. </p>

scholarly journals Effect of Age, Gender, Side and Impaction Types on Surgical Difficulty During Mandibular Third Molar Extraction.

2018 ◽  
Vol 17 (1) ◽  
pp. 11-17
Author(s):  
Krishna Gopal Bhuju ◽  
Sujita Shrestha ◽  
Riwaj Karki ◽  
Sameer Aryal
Keyword(s):  
Third Molar ◽  
Operation Time ◽  
P Value ◽  
Significance Level ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Duration Of Surgery ◽  
Surgical Difficulty ◽  
Effect Of Age ◽  
Molar Extraction

Aim: To study the effect of age, gender, side and impaction types on surgical difficulty during mandibular third molar extraction through the data collected over a period of one year by single maxillofacial surgeon. All the extractions were performed under the same environment and conditions.Methods: Descriptive clinical study of 401 patients was carried out between the ages of 16 to 45years. Age, gender, impaction side and impaction types (according to the winter classification) were recorded on proforma. Duration of surgery for each patient was recorded after starting incision to the completion of suture which was divided into less than 10 minutes (mild), 11 to 20 minutes (moderate) and above 21 minutes (severe). Pearson’s Chi-square test was used for data analysis and significance level was less than or equal to 0.05.Results: Among 401 participants, 225 (56.1%) were male and 176 (43.9%) were female. Mean age was 31.5 years and mean operation time was 17.59 minutes. After statistical analysis there was a significant correlation among gender and side of impaction where p value is 0.043 0.048 respectively.Conclusion: There is a statistically significant correlation between gender and side of impaction with duration of surgery which is considered as the objective measure of surgical difficulty whereas age and impaction types didn’t show any significant correlation. 

scholarly journals Surgical difficulty assessment in patients undergoing impacted mandibular third molar extraction. A single center evaluation in Najran, Kingdom of Saudi Arabia

2021 ◽  
Vol 8 (3) ◽  
pp. 163
Author(s):  
RamatOyebunmi Braimah ◽  
Dawood Ali-Alsuliman ◽  
AbdulrazaqOlanrewaju Taiwo ◽  
AdebayoAremu Ibikunle ◽  
RehamMohammed Hassan Makarami ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Third Molar ◽  
Single Center ◽  
Kingdom Of Saudi Arabia ◽  
Third Molar Extraction ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Surgical Difficulty ◽  
Molar Extraction

scholarly journals Antibiotic Prophylaxis in the Prevention of Postoperative Infections in Mandibular Third Molar Extractions: Systematic Review and Meta-Analysis

2021 ◽  
Vol 11 (20) ◽  
pp. 9449
Author(s):  
Saturnino Marco Lupi ◽  
Giorgia Olivieri ◽  
Jessica Landini ◽  
Andrea Ferrigno ◽  
Plinio Richelmi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antibiotic Prophylaxis ◽  
Meta Analysis ◽  
Third Molar ◽  
Extraction Methods ◽  
Manual Search ◽  
Third Molar Extraction ◽  
Mandibular Third Molar ◽  
Surgical Difficulty ◽  
Molar Extraction

Background: This systematic review and meta-analysis aims to evaluate the effectiveness of antibiotic prophylaxis in the prevention of surgical wound infection (SWI) following mandibular third molar extraction. Methods: A systematic search on electronic databases and a manual search on paper journals was carried out. Two independent reviewers selected the studies. The onset of SWI was used as the main outcome. The data from the studies were analyzed, both with the fixed and the random models, according to the type of antibiotic and the method of administration; a further stratification was adopted, if possible, based on surgical difficulty. The risk of bias and heterogeneity were evaluated. Results: 15 studies were included. Antibiotic prophylaxis, especially in pre-surgical administration and in case of osteotomy, is effective in the prevention of SWI in case of mandibular third molar extraction. Post-surgical administration of prophylaxis, although effective, does not seem to be fully supported by the literature. Pre- and post-surgical prophylaxis did not demonstrate superiority compared to pre-surgical administration alone. Conclusions: Antibiotic prophylaxis is effective in reducing SWI after third molar extraction; pre-surgical administration, minimizing antibiotics administration, allows one to reduce complications related to antibiotic and risk of onset of antibiotic resistance.

scholarly journals An Unconventional Approach for Distoangular Mandibular Third Molar Extraction- Case Series

2019 ◽  
Author(s):  
Archana H Dhusia ◽  
Samar Salim Shemna ◽  
Prita Abhay Dhaimade ◽  
Prerana N. Dubey ◽  
Hetal N. Patel
Keyword(s):  
Soft Tissue ◽  
Third Molar ◽  
Case Series ◽  
Soft Tissue Trauma ◽  
Third Molar Extraction ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Tissue Trauma ◽  
Molar Extraction

Background: The classical technique of surgical extraction of a distoangular impacted mandibular third molar results in significant amount of bone and soft tissue trauma. Aim: We aim to describe an alternative, intra-alveolar approach to extraction of distoangular impacted mandibular third molar by presenting a series of 30 cases recorded. Materials And Methods: In appropriate cases, beaks of cowhorn forceps were engaged in the interdental space between mandibular second and third molar and pressure applied by closing the beaks, while simultaneously maintaining digital pressure on the occlusal surface of the mandibular second molar. In majority of cases, the third molar would pop out in the arc of rotation. Conclusion: This alternative technique if applied in cases where indicated, could substantially reduce bone and soft tissue trauma, and also required lesser armamentarium. Keywords: distoangular mandibular third molar, third molar extraction, mandibular cowhorn extraction forceps

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