Fathima Tahreem, Kumar M P Santhosh
Department of Oral and Maxillofacial Surgery, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India.
J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S102-S107. doi: 10.4103/japtr.japtr_361_22. Epub 2022 Nov 30.
Among several treatment modalities done in dental clinics, dental extractions are the most frequently carried out treatment. Tooth extraction is indicated in cases such as chronic periodontal disease, abscess, root caries, root stumps, fractured teeth, and failed root canal treatments with the persistence of periapical cysts or granulomas, impacted teeth, or to facilitate orthodontic or prosthodontic rehabilitation. The consequence of routine tooth extraction could lead to dentoalveolar diseases, which cause tooth loss. The various complications of surgical procedures are delayed wound healing, postoperative bleeding, remnant bony spicules, and nerve paresthesia. This study aimed to assess the impact of nonsurgical tooth extraction on the quality of life of patients. Institutional patient data from January 2021 to April 2021 were analyzed, in which 2000 patients who had undergone extractions at our dental institution were included in our study. The data evaluating the patients' quality-of-life postextraction were recorded. It included speech variation, social interaction, postoperative pain, sleep impairment, and inability to work. Data obtained were statistically analyzed using SPSS, and results were obtained. Most men (49%) experienced an inability to work compared to women (25%). 38% of females had moderate-to-severe pain, whereas males (21%) had only mild pain. 21% of males are isolated socially due to feeling sick, whereas 20% of females are isolated socially due to pain. Speech was affected more postextraction. Most of the patients could not go to work for 1-3 days following the removal of the tooth. Most of the patients were pleased with the procedure, with their symptoms disappearing after the procedure, and were not worried about dental extractions.
在牙科诊所进行的多种治疗方式中，拔牙是最常开展的治疗。在慢性牙周病、脓肿、根龋、牙根残端、牙齿折断以及根管治疗失败且伴有根尖囊肿或肉芽肿持续存在、阻生牙等情况下，或者为了便于正畸或修复治疗，会进行拔牙。常规拔牙的后果可能导致牙槽疾病，进而造成牙齿缺失。外科手术的各种并发症包括伤口愈合延迟、术后出血、残留骨尖以及神经感觉异常。本研究旨在评估非手术拔牙对患者生活质量的影响。分析了2021年1月至2021年4月的机构患者数据，其中包括在我们牙科机构接受拔牙的2000名患者。记录了评估患者拔牙后生活质量的数据。包括言语变化、社交互动、术后疼痛、睡眠障碍以及无法工作。使用SPSS对获得的数据进行统计分析，并得出结果。与女性（25%）相比，大多数男性（49%）无法工作。38%的女性有中度至重度疼痛，而男性（21%）只有轻度疼痛。21%的男性因感觉不适而在社交上孤立，而20%的女性因疼痛而在社交上孤立。拔牙后言语受影响更大。大多数患者在拔牙后的1 - 3天无法上班。大多数患者对该手术感到满意，术后症状消失，并且不担心拔牙。
