Departments of Oral and Maxillofacial Surgery,Amsterdam UMC University of Amsterdam and Amstelland Hospital Amstelveen Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
Med Oral Patol Oral Cir Bucal. 2021 Sep 1;26(5):e561-e567. doi: 10.4317/medoral.24506.
Coronectomy of a mandibular impacted third molar is a surgical treatment to minimize the risk for inferior alveolar nerve damage. We aimed to determine whether this procedure affected the oral health-related quality of life (OHRQoL) within the first postoperative week.
This prospective study included 50 patients that underwent a coronectomy for an impacted mandibular third molar. The patients completed the Oral Health Impact Profile-14 (OHIP-14) questionnaire and questions about pain and analgesic intake on every day during the first postoperative week.
Mean OHIP-14 scores were highest during the first three postoperative days; the highest mean score (26.40, SD: 8.67) was observed on the first postoperative day. Mean OHIP scores gradually declined during the first postoperative week, and the mean OHIP-14 score was 9.82 (SD: 9.15) on the seventh day. Physical pain was the highest contributor to the overall OHIP-14 score. Pain gradually declined with time; the lowest mean pain score (3.38, SD: 2.2) was observed on the seventh day. OHIP-14 and pain scores were not significantly different between sexes or between different grades of impaction. OHIP-14 scores were positively correlated with pain scores.
A mandibular third molar coronectomy had a strong effect on patient OHRQoL, particularly during the first three postoperative days.
下颌阻生第三磨牙的冠切除术是一种降低下牙槽神经损伤风险的手术治疗方法。我们旨在确定该手术是否会在术后第一周内影响口腔健康相关生活质量（OHRQoL）。
本前瞻性研究纳入了 50 例因下颌阻生第三磨牙而行冠切除术的患者。患者在术后第一周的每一天填写口腔健康影响程度量表 14 项（OHIP-14）问卷和关于疼痛及镇痛药摄入的问题。
OHIP-14 评分在术后前 3 天最高；术后第一天的平均评分最高（26.40，SD：8.67）。OHIP 评分在术后第一周逐渐下降，第 7 天的平均 OHIP-14 评分为 9.82（SD：9.15）。身体疼痛是导致总体 OHIP-14 评分最高的因素。疼痛随时间逐渐减轻；第 7 天的平均疼痛评分最低（3.38，SD：2.2）。性别或不同阻生程度之间的 OHIP-14 和疼痛评分无显著差异。OHIP-14 评分与疼痛评分呈正相关。
下颌第三磨牙冠切除术对患者的 OHRQoL 有强烈影响，尤其是在术后前 3 天。
