scholarly journals Anxiety Measurements among Dental Students undergoing Third Molar Removal

2011 ◽  
Vol 3 (1) ◽  
pp. 21-27
Author(s):  
Channaveer Pattanshetti ◽  
Rajendra Desai

Abstract Background and objective This study was conducted to quantify the anxiety associated with third molar extraction in dental students. And to compare the anxiety levels between males and females, among impacted and non-impacted groups. Methods The study included 100 dental students who reported to Department of Oral and Maxillofacial Surgery, College of Dental Sciences, requiring mandibular third molar removal. Only those patients who met the inclusion and exclusion criteria were selected. The anxiety levels were evaluated based on the scores of the Corah's Dental Anxiety Scale. Results Results showed scores among female patients was higher than males; however the difference between male and female patients was statistically not significant. Among impacted and non-impacted groups score was higher among the impacted group, but the difference between impacted and non-impacted groups was statistically not significant too. Conclusion To conclude, maxillofacial surgeons should consider patients who visit dental offices for third molar impaction surgery as most prone to anxiety which could either result from conditioning or learned responses from their peers. Noteworthy, prior awareness of the patient's psychologic makeup and susceptibility to anxiety may be of value, thus enabling appropriate therapy and improved recovery postoperatively.

2020 ◽  
Vol 11 (3) ◽  
pp. 4479-4486
Author(s):  
Janani Kandamani ◽  
Divya Sanjeevi Ramakrishnan ◽  
Sudarssan Subramaniam Gouthaman ◽  
Santhosh Kumar M P

Third molar extraction is one of the most commonly performed minor surgical procedure in any dental practice worldwide, often accompanied by various postoperative sequelae such as swelling pain and trismus which intern affects the quality of life of a patient. Over the past few decades, different methods have been proposed in the literature and were clinically evaluated to reduce the postoperative discomfort after mandibular third molar impaction and out of which corticosteroids, have shown promising results. Dexamethasone (administered either orally, submucosally, IV or IM), methylprednisolone acetate and methylprednisolone sodium succinate (IV or IM or submucosal) are most commonly preferred corticosteroids in oral and maxillofacial surgery. The main objective is to systematically review the comparison of the effectiveness of submucosal administration of dexamethasone with methylprednisolone following mandibular third molar impaction in reducing the postoperative sequelae, and its discomfort and searches were performed in the PubMed, Medline, Scopus, and Cochrane Library databases. Two articles were most relevant, and the results of the comparison of the selected articles were analysed. From this deliberate audit, it is very well may be inferred that submucosal injection of dexamethasone plays a promising role in reducing the postoperative sequelae which includes swelling, pain and trismus and its discomfort following mandibular third molar impaction when compared with that of methylprednisolone.


2018 ◽  
Vol 1 (1) ◽  
pp. 17-20
Author(s):  
Sergio Olate ◽  
Juan Alister ◽  
David Thomas ◽  
Ricardo Alveal ◽  
Alejandro Unibazo

The aim of this research was to find the influence of lower third molar position in surgical time required for extraction of this molar. A prospective study was designed in patients at the Division of Oral and Maxillofacial Surgery at Universidad de La Frontera. Patients with ASA I and II and without oral diseases as aggressive periodontitis and oral infections were included. The third molar position was established in relation to Pedersen scale, Winter scale and Pell and Gregory scale, considering surgical time between the start of surgery and finalization of the procedure; data analyses was carried out with t test with statisticaldifferences when p<0.05. Surgical time of 12±9 minutes was registered, and this was statistically associated to dental position and difficulty observed. It is therefore concluded that the position of the molar has an influence on surgical time.


Author(s):  
Karan V. Panchal ◽  
Navin S. Shah ◽  
Pratik Agrawal ◽  
Parshwa N. Shah

Background: Surgical extraction of mandibular third molar is one of the most commonly performed procedure in oral and maxillofacial surgery. Its removal causes swelling, trismus, and moderate to severe pain which can be treated with various NSAID’s drugs, which have numerous side effects and gastric disturbances. In order to bypass such disturbances, Tramadol may be considered as an alternative for such patients. The aim of the study was to evaluate analgesic efficacy of submucosal tramadol and its implication over swelling and mouth opening after mandibular third molar surgery.Methods: This is a prospective study where in after post-surgical extraction of mandibular third molar, efficacy of submucosal injection of tramadol is evaluated in terms of pain and its implication over swelling and mouth opening.Results: The present study suggested there was statistically significant VAS score for pain after submucosally injecting tramadol post-surgical extraction of mandibular third molar in the following visits- 4hourly, 8hourly and 24hourly. In respect to swelling, statistically significant values was noted during 24hr and 72 h our post extraction. Also in case of mouth opening, statistically significant values were found 24 hourly.Conclusions: The present pilot study concluded that submucosal tramadol post mandibular third molar extraction has been effective in reducing pain, limiting post-extraction swelling and less impacting mouth opening by inducing less complications thereby bypassing gastric disturbances.


2018 ◽  
Vol 17 ◽  
pp. e18224
Author(s):  
Yeon Jung Kim ◽  
Ana Maria Barg da Silva ◽  
Mirko Dennys Ayala Perez ◽  
Heloisa F. Marão ◽  
Debora Pallos

The most commonly performed surgical procedure in Oral and Maxillofacial Surgery practices are the removal of impacted third molars. Extensive training, skill and experience allow this procedure to be performed in an atraumatic approach. The aim of this study was to drawing attention to the importance of the correct management of the complications cases of foreign body inside maxillary sinus after surgical removal of maxillary third molars. This is an unusual clinical case of a dental surgical bur accidentally displacement into the maxillary sinus during an upper third molar extraction surgery. After removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical examination to achieve a correct diagnosis and an appropriate treatment plan, which is essential for a favorable prognosis.


2017 ◽  
Vol 35 (75) ◽  
Author(s):  
Francisco Cázares de León ◽  
Alberto José Lozano Laín ◽  
Pedro Gutiérrez Lizardi ◽  
Alfredo Salinas Noyola

RESUMEN. Antecedentes: La ansiedad dental es común en los procedimientos de odontología y particularmente en los de cirugía oral Objetivo: Determinar el grado de ansiedad que se manifiesta ante la extracción quirúrgica de un tercer molar impactado y comparar los resultados de acuerdo a género. Métodos: El tipo de estudio es no experimental, con un diseño transversal, descriptivo y comparativo. La muestra estuvo conformada por 80 pacientes que acudieron a consulta odontológica de ambos géneros (28 varones y 52 mujeres) de entre 17 y 62 años de edad (media de 35.5 años). Resultados: Las mujeres tuvieron grados de ansiedad en un 56.3 %   contra un 27.5 % de los hombres, lo que indica que la proporción de ansiedad es mayor estadísticamente significativa para el género femenino. Conclusiones: la ansiedad es una emoción muy frecuente en los pacientes odontológicos particularmente en los que acuden a cirugía oral y específicamente en las extracciones de terceros molares. Existen diferencias entre géneros ya que el género femenino es el que presenta grados de ansiedad extrema, aunque hay que señalar que se deben considerar los factores socioculturales los cuales pueden determinar el comportamiento de cada individuo. Por último, es muy importante que el odontólogo haga uso de todas las técnicas y destrezas para evitar grados de ansiedad que pudieran conducir a estados críticos durante el tratamiento dental.ABSTRACT. Background: Dental anxiety is common in dental procedure and particular in dental surgery. Purpose: to determine the level of anxiety that is manifested before surgical removed of an impacted third molar and compare the results between the different gender. Methods: the type of study is not experimental design is transversal, but descriptive and comparative analysis. The sample consisted of 80 patients attending dental office of both male and female sex (28 males and 52 females) aged between 17 and 62 years old (mean 35.5 years). Results: the results showed that women anxiety levels showed at 53.4 % against 24.7 % of men, indicating that the proportion of anxiety is significantly higher for women. Conclusions: anxiety is a common emotion in dental patients particularly those who come to oral surgery and specifically in the third molar extractions. There are differences between genders and the female is the one with degrees of extreme anxiety, although it should be noted to consider the sociocultural factors which can determine the behavior of each individual. Finally, it is very important that the dentist makes use of all the techniques and skills to avoid anxiety levels that could lead to critical states during dental treatment.


2021 ◽  
Vol 10 (26) ◽  
pp. 1954-1956
Author(s):  
Karthik Ragupathy ◽  
Geetha Rajendran ◽  
Sanjay Pasupathy ◽  
Ganesh Ramakrishnan ◽  
Kiruthika Shriranjani

Third molar extraction remains one of the most common surgical procedures performed in dentistry either by intra-alveolar or trans alveolar methods; yet such a common surgical procedure sometimes results in relatively rare complications. The incidence of complications can be reduced by proper preoperative planning, knowledge of the surgical anatomy, good surgical technique and recognition of complications. Sub conjunctival haemorrhage after maxillary third molar extraction is one such complication, which till now not more than three cases of similar findings have been reported in the literature. The purpose of this article is to present a rare case of sub conjunctival haemorrhage after maxillary right third molar extraction in a 56-year-old female reported at The Department of Oral and Maxillofacial Surgery, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India.


2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Omur Dereci ◽  
Nesrin Saruhan ◽  
Gorkem Tekin

Background. The aim of the present study is to compare the dental anxiety levels between two outpatient clinics. Methods. Two hundred and seventy patients treated in two different clinics of minor oral surgery and dental extraction polyclinic in the Dental Faculty of Eskisehir Osmangazi University were included in the study. The impacted third molar surgery group and conventional dental extraction group consisted of 101 and 169 patients, respectively. The Modified Dental Anxiety Scale (MDAS) and Dental Fear Scale (DFS) were used to measure anxiety levels in patients treated in both clinics. Tests were made in an isolated room preoperatively. The differences in anxiety levels according to education status and gender were also evaluated. Results. The impacted third molar surgery group showed a significant increase in dental anxiety measured with DFS questionnaire ( p < 0.05 ). However, MDAS revealed that there was no difference between anxiety levels between the impacted third molar surgery and conventional dental extraction groups ( p > 0.05 ). There was also no difference in anxiety levels between patients with different education status ( p > 0.05 ). Female patients demonstrated higher levels of anxiety in both MDAS and DFS indexes ( p < 0.05 ). Conclusion. Dental anxiety may be higher in patients treated with impacted third molar surgery compared with conventional dental extraction. The education status of patients may not affect dental anxiety. Female patients may show increased levels of dental anxiety in conventional dental and impacted third molar extractions.


Author(s):  
Ibrahim Almutairi ◽  
Abdullah AlQarni ◽  
Mohammad Alharbi ◽  
Ahmed Almutairi ◽  
Mohammed Aldohan ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaolan Li ◽  
Yanbo Shan ◽  
Yangjingwen Liu ◽  
Yingwen Lin ◽  
Lin Li ◽  
...  

Abstract Background The National Dental Undergraduate Clinical Skills Competition known as the Guanghua Cup was held in Guangzhou, China, for three consecutive years from 2017 to 2019 to promote the clinical teaching of undergraduate dental education and to enhance communication among different universities. The present study aimed to introduce the organization, procedures, and consequences of the competition, in addition to analyzing the influences of competition on the reform of undergraduate dental education. Methods By analyzing the descriptive statistics of the Guanghua Cup, the competitions’ organization, the participating students’ performances, and the outcomes of competitions were analyzed. After distributing questionnaires to all participants of the 2nd and 3rd Cups, their attitudes towards the competition and their evaluation of the role of the competitions in promoting undergraduate dental education were analyzed. Results A total of 24 schools participated in the 3 competition years. The contents of the competitions covered cariology, endodontics, periodontology, prosthodontics, oral and maxillofacial surgery, dental anatomy, and first aid (e.g., operative skills and theoretical knowledge). Compared with those of the 2nd Cup, the mean scores of the operative skills significantly improved in the stations related to periodontology, prosthodontics, and dental anatomy (p < 0.05) in the 3rd Cup. In addition, 338 valid questionnaires were collected, for a response rate of 87.79 %. Overall, the participants spoke highly of the Guanghua Cup. Based on their self-perception and self-evaluation, the majority of interviewees agreed that the competition helped develop collegiality and teamwork among the participating students, improved the students’ clinical skills and promoted the improvement of teaching resources (e.g., purchasing and updating equipment, models or experimental materials). Conclusions The competition enjoyed the widest coverage since it involved dental schools from all of the different geographical regions of China. Dental students could exhibit their clinical skills in a competitive environment and develop collegiality and teamwork. Future competitions should be optimized through their organization and contents. The education quality of the participating schools affected by such competition should be investigated in a more objective and comparable way.


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