de Carvalho Ricardo Wathson Feitosa, do Egito Vasconcelos Belmiro Cavalcanti
School of Dentistry, University of Pernambuco, Avenida General Newton Cavalcanti, No. 1650, 54753-220 Camaragibe, PE, Brazil.
ScientificWorldJournal. 2014;2014:589856. doi: 10.1155/2014/589856. Epub 2014 Dec 8.
Being overweight is recognised as a significant risk factor for several morbidities; however, the experience of the dentistry faculties focusing on this population is still low. The aim of the present study was to determine the occurrence of adverse events during removal of impacted lower third molars in overweight patients. A prospective cohort study was carried out involving overweight patients subjected to surgical removal of impacted lower third molar as part of a line of research on third molar surgery. Predictor variables indicative of the occurrence of adverse events during surgery were classified by their demographic, clinical, radiographic, and surgical aspects. Descriptive and bivariate statistics were computed. In total, 140 patients fulfilled the eligibility criteria, and 280 surgeries were performed. Patients' mean age was 25.1±2.2 years, and the proportion of women to men was 3:1. Eight different adverse events during surgery were recorded. These events occurred in approximately 29.3% of cases and were significantly associated with predictor variables (P<0.05). Excess weight is recognised as a risk factor for the high rate of adverse events in impacted third molar surgery. The study suggests that overweight patients are highly likely to experience morbidities.
超重被认为是多种疾病的重要风险因素；然而，牙科专业关注这一人群的经验仍然较少。本研究的目的是确定超重患者拔除下颌阻生第三磨牙过程中不良事件的发生率。开展了一项前瞻性队列研究，纳入接受下颌阻生第三磨牙手术拔除的超重患者，作为第三磨牙手术系列研究的一部分。根据人口统计学、临床、影像学和手术方面的因素，对提示手术中不良事件发生的预测变量进行分类。计算了描述性和双变量统计数据。共有140名患者符合纳入标准，共进行了280例手术。患者的平均年龄为25.1±2.2岁，女性与男性的比例为3:1。记录了手术过程中的8种不同不良事件。这些事件发生在约29.3%的病例中，并且与预测变量显著相关（P<0.05）。超重被认为是阻生第三磨牙手术中不良事件发生率高的一个风险因素。该研究表明超重患者很可能出现疾病。
