Ogden G R, Bissias E, Ruta D A, Ogston S
Unit of Oral Surgery & Medicine, Dundee Dental Hospital and School.
Br Dent J. 1998 Oct 24;185(8):407-10. doi: 10.1038/sj.bdj.4809827.
To identify the adverse effects of third molar surgery having the greatest impact on patients' perceived quality of life; and to compare the rankings between patients, dental practitioners (GDPs) and hospital consultants.
Seven adverse effects were identified after interviewing 20 patients. A questionnaire was sent to 120 patients whose third molars had been removed and 121 dental surgeons (100 GDPs and 21 consultants in oral and maxillofacial surgery).
Response rates for patients, GDPs and consultants were 72.5%, 92% and 76.2% respectively. Patients ranked highest the effects on eating, while dental surgeons ranked 'pain' the highest. The mean rankings of consultants and patients generally showed a closer agreement, than with GDPs. However, no statistically significant differences were detected between the mean rankings of GDPs and consultants.
Dental surgeons' perceptions of the impact of third molar surgery on their patients' quality of life show statistically significant differences from those of patients for four of the seven parameters assessed. Clinicians should consider mentioning the effects on ability to eat when obtaining informed consent, since patients would appear to rank this an important side effect.
确定对患者感知生活质量影响最大的第三磨牙手术的不良反应；并比较患者、牙科医生（全科牙医）和医院顾问之间的排名。
在采访20名患者后确定了七种不良反应。向120名已拔除第三磨牙的患者和121名牙科外科医生（100名全科牙医和21名口腔颌面外科顾问）发送了问卷。
患者、全科牙医和顾问的回复率分别为72.5%、92%和76.2%。患者将对进食的影响排在首位，而牙科外科医生将“疼痛”排在首位。顾问和患者的平均排名总体上比与全科牙医的排名更接近。然而，在全科牙医和顾问的平均排名之间未检测到统计学上的显著差异。
在评估的七个参数中的四个方面，牙科外科医生对第三磨牙手术对其患者生活质量影响的认知与患者的认知存在统计学上的显著差异。临床医生在获得知情同意时应考虑提及对进食能力的影响，因为患者似乎将此列为重要的副作用。
