van Wijk Arjen, Kieffer Jacobien M, Lindeboom Jerome H
Department of Social Dentistry and Behavioural Sciences, Academic Centre for Dentistry Amsterdam, Universiteit van Amsterdam, Amsterdam, The Netherlands.
J Oral Maxillofac Surg. 2009 May;67(5):1026-31. doi: 10.1016/j.joms.2008.12.041.
The present study investigated the effect of third molar surgery on oral health-related quality of life, related to pain and clinical variables, in the first postoperative week using the Dutch version of the 14-item Oral Health Impact Profile.
A total of 50 patients, referred to the Department of Oral and Maxillofacial Surgery of the Academic Medical Center for surgical removal of their impacted third molars, were included in this study. The patients answered the Oral Health Impact Profile-14 pre- and postoperatively and questions about pain in the postoperative week. The pre- and postoperative complications, as well as the number of molars removed, were measured.
A significant increase in the mean total and subscale scores was found (reduced quality of life). The presence of pre- or postoperative complications increased the effect on quality of life. No differences in the effect on quality of life could be shown between patients having 1 or 2 molars extracted.
The results of our study have shown that the short-term consequences of third molar surgery have a strong effect on patients' quality of life. Experiencing postoperative complications substantially amplifies this effect.
本研究使用14项口腔健康影响量表的荷兰语版本,调查了在术后第一周,第三磨牙手术对与疼痛及临床变量相关的口腔健康相关生活质量的影响。
本研究纳入了50名转诊至学术医疗中心口腔颌面外科接受阻生第三磨牙手术拔除的患者。患者在术前和术后回答了口腔健康影响量表-14,并回答了术后一周内有关疼痛的问题。测量了术前和术后的并发症以及拔除的磨牙数量。
发现平均总分和各子量表得分显著增加(生活质量下降)。术前或术后出现并发症会增加对生活质量的影响。拔除1颗或2颗磨牙的患者在对生活质量的影响方面未显示出差异。
我们的研究结果表明,第三磨牙手术的短期后果对患者的生活质量有很大影响。经历术后并发症会显著放大这种影响。