Karpe Tanveer, Sanober Arshiya, Nasyam Fazil A, Soumya Sureddy, Seethamsetty Swetcha, Sarepally Godvine
Department of Oral and Maxillofacial Surgery and Diagnostic Science, Faculty of Dentistry, Taif University, Taif, SAU.
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Hyderabad, IND.
Cureus. 2023 Dec 28;15(12):e51207. doi: 10.7759/cureus.51207. eCollection 2023 Dec.
To study the impact of tooth sectioning on postoperative pain, swelling, and trismus after surgical extraction of impacted mandibular third molars.
The present research was conducted on a sample of 100 individuals who were in good health. The participants had an average age of 28 years and were seeking treatment at the Department of Oral and Maxillofacial Surgery for the extraction of impacted mandibular third molars. The participants were allocated randomly to one of the two experimental conditions. The patients in Group A are receiving a surgical procedure to remove the mandibular third molar without the need for tooth sectioning. The study focuses on patients classified as Group B who are having a surgical procedure for the extraction of the mandibular third molar using dental sectioning.
The Group B patients saw a notable decrease in pain intensity on the third and seventh days after the surgery. The mean difference in pain scores was 4.15±0.54 and 1.69±0.11, respectively, indicating statistically significant findings with a p-value of less than 0.05. The study observed statistically significant differences in swelling between the 1st, 3rd, and 7th postoperative days for group II. The mean differences were recorded as 149.85±5.86, 119.25±4.22, and 107.52±, respectively. The significance level was determined to be P<0.05. The study observed that the degree of mouth opening in Group B exhibited a significant rise on the 3rd and 7th postoperative days, with a mean difference of 40.87±3.69 and 43.15±3.29, respectively, as compared to Group A. This difference was found to be statistically significant, with a p-value of less than 0.05. Conclusion: The findings of our research indicate that the technique of sectioning the tooth is the preferable approach for surgical extraction of impacted third molars, as it effectively reduces the occurrence of post-operative problems.
研究牙齿分割对下颌阻生第三磨牙手术拔除术后疼痛、肿胀和张口受限的影响。
本研究以100名健康个体为样本。参与者平均年龄为28岁，因下颌阻生第三磨牙拔除而在口腔颌面外科就诊。参与者被随机分配到两种实验条件之一。A组患者接受无需牙齿分割的下颌第三磨牙拔除手术。本研究重点关注B组患者，他们正在接受使用牙齿分割技术拔除下颌第三磨牙的手术。
B组患者在术后第三天和第七天疼痛强度显著降低。疼痛评分的平均差异分别为4.15±0.54和1.69±0.11，表明p值小于0.05，具有统计学意义。该研究观察到第二组在术后第1天、第3天和第7天的肿胀情况存在统计学显著差异。平均差异分别记录为149.85±5.86、119.25±4.22和107.52±。显著性水平确定为P<0.05。该研究观察到，与A组相比，B组患者在术后第3天和第7天的张口度显著增加，平均差异分别为40.87±3.69和43.15±3.29。发现这种差异具有统计学意义，p值小于0.05。结论：我们的研究结果表明，牙齿分割技术是下颌阻生第三磨牙手术拔除的首选方法，因为它有效地减少了术后问题的发生。
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