Berge T I, Gilhuus-Moe O T
Institute of Oral Surgery and Oral Medicine, University of Bergen, Norway.
Acta Odontol Scand. 1993 Dec;51(6):389-97. doi: 10.3109/00016359309040590.
Per- and post-operative indicators in 25 patients who had lower third-molar surgery performed by 4 general practitioners (GP) in their own practices were compared with those of a control group of 25 patients operated on by an oral surgeon. The preoperative variables age; sex; general health; use of medications, alcohol, and tobacco; and depth, position, and presence of infection of the third molar were considered in individual matching of the patients. The operations performed by the GPs lasted 17.9 min (p = 0.0001) longer than those of the oral surgeon. Increased rates of postoperative alveolitis (p = 0.03) and secondary healing (p = 0.0005) were found in the GP patient group, as was a tendency for increased postoperative pain and consumption of strong analgesics. The number of days unable to work was 1.9 in the GP group, compared with 0.6 in the surgeon group (p = 0.0012). No differences in swelling and trismus were found.
对4名全科医生(GP)在其诊所为25例患者进行下颌第三磨牙手术的术前和术后指标,与由口腔外科医生为25例患者进行手术的对照组指标进行了比较。在对患者进行个体匹配时,考虑了术前变量,包括年龄、性别、总体健康状况、药物、酒精和烟草的使用情况,以及第三磨牙的深度、位置和感染情况。全科医生进行的手术比口腔外科医生进行的手术持续时间长17.9分钟(p = 0.0001)。在全科医生治疗的患者组中,术后牙槽炎(p = 0.03)和二期愈合(p = 0.0005)的发生率增加,术后疼痛加剧和强效镇痛药使用量增加的趋势也很明显。全科医生组无法工作的天数为1.9天,而外科医生组为0.6天(p = 0.0012)。肿胀和牙关紧闭方面未发现差异。