Bradshaw Shenan, Faulk Jan, Blakey George H, Phillips Ceib, Phero James A, White Raymond P
University of North Carolina School of Dentistry, Chapel Hill, NC 27599-7450, USA.
J Oral Maxillofac Surg. 2012 Nov;70(11):2494-500. doi: 10.1016/j.joms.2012.05.013. Epub 2012 Aug 3.
Our purpose was to assess the effect of third molar removal on the quality of life in subjects with symptoms of pericoronitis.
Healthy subjects (American Society of Anesthesiologists Classes I and II), aged 18 to 35 years, with minor symptoms of pericoronitis affecting at least 1 mandibular third molar were recruited for an institutional review board-approved study. The exclusion criteria were major symptoms of pericoronitis, generalized periodontal disease, body mass index greater than 29 kg/m(2), and antibiotic or tobacco use. The data from patients undergoing surgery to remove all third molars with a follow-up examination after surgery at least 3 months later were included in these analyses. The clinical, demographic, and quality of life data were collected at enrollment and after surgery. At entry, the debris was removed from symptomatic third molar sites; no attempt was made to mechanically remove nonsheddable biofilm. The patients scheduled surgery electively with a recall examination at least 3 months after surgery.
The median age of the 60 subjects was 21.9 years (interquartile range 20.2 to 24.7). The median postoperative follow-up was 7.7 months (interquartile range 6.0 to 12.4). The proportion of patients reporting the worst pain as severe decreased from enrollment to after surgery from 32% to 3%. Those responding "none" for the worst pain increased from 10% to 78%. Fifteen percent of subjects reported the pain intensity as "nothing," "faint," or "very weak" at enrollment. This increased to 96% after surgery. One third of patients reported the unpleasantness of pain as "neutral," "slightly unpleasant," or "slightly annoying" at enrollment, which increased to 97% after surgery. Also, 22% and 18% of the patients reported "quite a bit" or "lots of difficulty" with eating desired foods and chewing foods at enrollment, respectively; only 1 patient reported this degree of difficulty at the follow-up examination. In contrast, 42% and 37% of the patients reported no difficulty with eating and chewing at enrollment, which had increased to 95% and 93% at the follow-up examination, respectively.
Removal of the third molars positively influenced the quality of life outcomes in those with minor symptoms of pericoronitis.
我们的目的是评估拔除第三磨牙对患有冠周炎症状患者生活质量的影响。
招募年龄在18至35岁、患有影响至少1颗下颌第三磨牙的轻度冠周炎症状的健康受试者（美国麻醉医师协会分级为I级和II级），进行一项经机构审查委员会批准的研究。排除标准包括冠周炎的主要症状、广泛性牙周病、体重指数大于29kg/m²以及使用抗生素或吸烟。纳入这些分析的是接受手术拔除所有第三磨牙且术后至少3个月进行了随访检查的患者的数据。在入组时和术后收集临床、人口统计学和生活质量数据。在入组时，从有症状的第三磨牙部位清除牙菌斑；未尝试机械清除不可脱落的生物膜。患者择期安排手术，并在术后至少3个月进行复诊检查。
60名受试者的中位年龄为21.9岁（四分位间距为20.2至24.7）。术后中位随访时间为7.7个月（四分位间距为6.0至12.4）。报告最严重疼痛为重度的患者比例从入组时的32%降至术后的3%。对最严重疼痛回答“无”的患者比例从10%增至78%。15%的受试者在入组时报告疼痛强度为“无”“轻微”或“非常轻微”。术后这一比例增至96%。三分之一的患者在入组时报告疼痛的不适感为“中性”“稍有不适”或“稍有困扰”，术后增至97%。此外，22%和18%的患者在入组时分别报告在食用想吃的食物和咀嚼食物方面有“相当大”或“很大困难”；在随访检查时只有1名患者报告有这种程度的困难。相比之下，42%和37%的患者在入组时报告在进食和咀嚼方面没有困难，在随访检查时分别增至95%和93%。
拔除第三磨牙对患有轻度冠周炎症状患者的生活质量结果有积极影响。
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