Simons Rashida N, Lindeboom Jerome A, Tuk Jacco G, de Lange Jan
Department of Oral Maxillofacial Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Department of Oral Maxillofacial Surgery, Ziekenhuis Amstelland, Amstelveen, The Netherlands.
Gerodontology. 2025 Jun;42(2):269-276. doi: 10.1111/ger.12794. Epub 2024 Oct 27.
The purpose of this study was to investigate the effect of coronectomy on postoperative quality of life in older adults.
Coronectomy is an alternative to complete surgical removal of a mandibular third molar that lies close to the inferior alveolar nerve.
This prospective study included patients >60 years old who had an indication for coronectomy of a mandibular third molar. Patients were asked to complete the Dutch version of the Oral Health Impact Profile-14 (OHIP-14) daily during the first postoperative week. Postoperative pain, swelling, limited mouth opening, chewing ability and infection were also recorded. Furthermore, the effect of the impaction pattern, state of eruption, presence of preoperative pathology, patient health status according to the American Society of Anaesthesiologists score, gender, smoking on the postoperative OHIP-14 and pain scores were investigated.
Thirty patients (16 males, 14 females) with a mean age of 71.2 (SD 8.3, range 60-91) years were included in the study. OHIP-14 and pain scores were highest on the first postoperative day and gradually declined during the first postoperative week. Patients who underwent coronectomy of a fully impacted mandibular third molar had significantly higher OHIP-14 scores on the first postoperative day than those who underwent coronectomy on a (partially) erupted mandibular third molar. We did not observe any postoperative complications up to 1 year after the surgery.
Mandibular third molar coronectomy seems to present a valid treatment option in older adults.
本研究旨在调查冠切除术对老年人术后生活质量的影响。
冠切除术是一种替代方案，用于完全手术切除靠近下牙槽神经的下颌第三磨牙。
这项前瞻性研究纳入了60岁以上有下颌第三磨牙冠切除指征的患者。要求患者在术后第一周每天完成荷兰语版的口腔健康影响程度量表-14（OHIP-14）。还记录了术后疼痛、肿胀、张口受限、咀嚼能力和感染情况。此外，研究了阻生模式、萌出状态、术前病理情况、根据美国麻醉医师协会评分的患者健康状况、性别、吸烟对术后OHIP-14和疼痛评分的影响。
本研究纳入了30例患者（16例男性，14例女性），平均年龄71.2（标准差8.3，范围60 - 91）岁。OHIP-14和疼痛评分在术后第一天最高，并在术后第一周逐渐下降。接受完全阻生下颌第三磨牙冠切除术的患者在术后第一天的OHIP-14评分显著高于接受（部分）萌出下颌第三磨牙冠切除术的患者。术后1年内未观察到任何术后并发症。
下颌第三磨牙冠切除术似乎是老年人一种有效的治疗选择。
