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下颌阻生第三磨牙手术拔除术后患者并发症及生活质量评估

Evaluation of complications and quality of life of patient after surgical extraction of mandibular impacted third molar teeth.

作者信息

Gojayeva Gunay, Tekin Gorkem, Saruhan Kose Nesrin, Dereci Omur, Kosar Yasin Caglar, Caliskan Gizem

机构信息

Specialist in Oral and Maxillofacial Surgeon, Private Practice, Eskişehir, Turkey.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, Turkey.

出版信息

BMC Oral Health. 2024 Jan 25;24(1):131. doi: 10.1186/s12903-024-03877-8.

DOI:10.1186/s12903-024-03877-8
PMID:38273294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10811863/
Abstract

BACKGROUND

The aim of our study is to evaluate the postoperative complications after the extraction of impacted third molar teeth and to investigate the effects of these complications on the quality of life of patients.

METHODS

Demographic, clinical, and radiological evaluations were conducted, covering factors like age, gender, and tooth position. Clinical measurements, pain and edema assessments, and quality of life evaluations through OHIP-14 scores were performed. Preoperative and postoperative mouth opening, trismus, alveolitis and dehiscence were evaluated.

RESULTS

A total of 100 patients were included in our study. No significant gender-based differences were found in measurements, pain, or swelling. There was no statistically significant difference between the preoperative and postoperative results of difference A-C, difference B-E, difference A-D, and difference mouth opening. Procedure duration correlated positively with age, alveolar osteitis, trismus, and swelling. Postoperative quality of life, assessed by OHIP-14, demonstrated a negative correlation with age and trismus. It was observed that the gender and the tooth positions of the patients had no effect on the severity of postoperative pain and edema.

CONCLUSIONS

As the age of the patients increases and the duration of the procedure increases, the rate of postoperative complications increases and it is concluded that the quality of life decreases significantly.

摘要

背景

我们研究的目的是评估阻生第三磨牙拔除术后的并发症,并调查这些并发症对患者生活质量的影响。

方法

进行了人口统计学、临床和放射学评估,涵盖年龄、性别和牙齿位置等因素。进行了临床测量、疼痛和水肿评估,并通过OHIP-14评分进行生活质量评估。评估了术前和术后的张口度、牙关紧闭、干槽症和创口裂开情况。

结果

我们的研究共纳入100例患者。在测量、疼痛或肿胀方面未发现基于性别的显著差异。差异A-C、差异B-E、差异A-D和张口度的术前和术后结果之间无统计学显著差异。手术持续时间与年龄、牙槽骨炎、牙关紧闭和肿胀呈正相关。通过OHIP-14评估的术后生活质量与年龄和牙关紧闭呈负相关。观察到患者的性别和牙齿位置对术后疼痛和水肿的严重程度没有影响。

结论

随着患者年龄的增加和手术持续时间的延长,术后并发症的发生率增加,得出生活质量显著下降的结论。

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