López-Carriches Carmen, Gómez-Font Rafael, Martínez-González José María, Donado-Rodríguez Manuel
Universidad Europea, Madrid, Spain.
Med Oral Patol Oral Cir Bucal. 2006 Jan 1;11(1):E56-60.
To determine whether smoking influences the postoperative course (pain and trismus) of lower third molar surgery, with a clinical evaluation of surgical wound condition and analysis of the possible differences between smokers and nonsmokers.
The study subjects were randomly distributed into two groups (smokers and nonsmokers) and subjected to lower third molar extraction in the Unit of Oral and Maxillofacial Surgery (Madrid Complutense University, Spain). The study variables were trismus after 7 days, the intensity of pain and the need for rescue medication during a period of one week. The surgical wound was also assessed (color, presence of plaque, etc).
Two cases of postoperative infection were documented among the smokers, and postoperative trismus was found to be greater among the latter (p=0.05).
There were no statistically significant differences between the two groups in terms of pain, though trismus was greater among the smokers. Smoking did not influence wound condition (color, marginal inflammation, appositioning of the margins, ulceration, etc).
通过对手术伤口状况进行临床评估并分析吸烟者与非吸烟者之间可能存在的差异，以确定吸烟是否会影响下颌第三磨牙手术的术后过程（疼痛和牙关紧闭）。
研究对象被随机分为两组（吸烟者和非吸烟者），并在口腔颌面外科（西班牙马德里康普顿斯大学）进行下颌第三磨牙拔除术。研究变量包括7天后的牙关紧闭情况、疼痛强度以及一周内使用急救药物的需求。同时还对手术伤口进行了评估（颜色、菌斑情况等）。
吸烟者中有2例术后感染记录，且发现吸烟者术后牙关紧闭情况更严重（p = 0.05）。
两组在疼痛方面无统计学显著差异，但吸烟者的牙关紧闭情况更严重。吸烟并未影响伤口状况（颜色、边缘炎症、边缘贴合情况、溃疡等）。
