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Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions

Wisdom tooth extraction is one of the most commonly performed procedures by oral maxillofacial surgeons. Delayed-onset infection (DOI) is a rare complication of wisdom tooth extraction, and it occurs ~1–4 weeks after the extraction. In the present study, risk factors for DOI were investigated by ret...

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Autores principales: Miyazaki, Ryo, Sukegawa, Shintaro, Nakagawa, Ken, Nakai, Fumi, Nakai, Yasuhiro, Ishihama, Takanori, Miyake, Minoru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048475/
https://www.ncbi.nlm.nih.gov/pubmed/36981527
http://dx.doi.org/10.3390/healthcare11060871
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author Miyazaki, Ryo
Sukegawa, Shintaro
Nakagawa, Ken
Nakai, Fumi
Nakai, Yasuhiro
Ishihama, Takanori
Miyake, Minoru
author_facet Miyazaki, Ryo
Sukegawa, Shintaro
Nakagawa, Ken
Nakai, Fumi
Nakai, Yasuhiro
Ishihama, Takanori
Miyake, Minoru
author_sort Miyazaki, Ryo
collection PubMed
description Wisdom tooth extraction is one of the most commonly performed procedures by oral maxillofacial surgeons. Delayed-onset infection (DOI) is a rare complication of wisdom tooth extraction, and it occurs ~1–4 weeks after the extraction. In the present study, risk factors for DOI were investigated by retrospectively analyzing the cases of 1400 mandibular wisdom tooth extractions performed at Kagawa University Hospital from April 2015 to June 2022. Inclusion criteria were patients aged >15 years with a wisdom tooth extraction per our procedure. The exclusion criteria were patients with insufficient medical records, a >30-mm lesion around the wisdom tooth shown via X-ray, colonectomy, radiotherapy treatment of the mandible, the lack of panoramic images, and lesions other than a follicular cyst. The DOI incidence was 1.1% (16 cases), and univariate analyses revealed that the development of DOI was significantly associated with the Winter classification (p = 0.003), position (p = 0.003), hypertension (p = 0.011), and hemostatic agent use (p = 0.004). A multivariate logistic regression analysis demonstrated that position (OR = B for A, 7.75; p = 0.0163), hypertension (OR = 7.60, p = 0.013), and hemostatic agent use (OR = 6.87, p = 0.0022) were significantly associated with DOI development. Hypertension, hemostatic use, and position were found to be key factors for DOI; long-term observation may thus be necessary for patients with these risk factors.
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spelling pubmed-100484752023-03-29 Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions Miyazaki, Ryo Sukegawa, Shintaro Nakagawa, Ken Nakai, Fumi Nakai, Yasuhiro Ishihama, Takanori Miyake, Minoru Healthcare (Basel) Article Wisdom tooth extraction is one of the most commonly performed procedures by oral maxillofacial surgeons. Delayed-onset infection (DOI) is a rare complication of wisdom tooth extraction, and it occurs ~1–4 weeks after the extraction. In the present study, risk factors for DOI were investigated by retrospectively analyzing the cases of 1400 mandibular wisdom tooth extractions performed at Kagawa University Hospital from April 2015 to June 2022. Inclusion criteria were patients aged >15 years with a wisdom tooth extraction per our procedure. The exclusion criteria were patients with insufficient medical records, a >30-mm lesion around the wisdom tooth shown via X-ray, colonectomy, radiotherapy treatment of the mandible, the lack of panoramic images, and lesions other than a follicular cyst. The DOI incidence was 1.1% (16 cases), and univariate analyses revealed that the development of DOI was significantly associated with the Winter classification (p = 0.003), position (p = 0.003), hypertension (p = 0.011), and hemostatic agent use (p = 0.004). A multivariate logistic regression analysis demonstrated that position (OR = B for A, 7.75; p = 0.0163), hypertension (OR = 7.60, p = 0.013), and hemostatic agent use (OR = 6.87, p = 0.0022) were significantly associated with DOI development. Hypertension, hemostatic use, and position were found to be key factors for DOI; long-term observation may thus be necessary for patients with these risk factors. MDPI 2023-03-16 /pmc/articles/PMC10048475/ /pubmed/36981527 http://dx.doi.org/10.3390/healthcare11060871 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Miyazaki, Ryo
Sukegawa, Shintaro
Nakagawa, Ken
Nakai, Fumi
Nakai, Yasuhiro
Ishihama, Takanori
Miyake, Minoru
Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions
title Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions
title_full Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions
title_fullStr Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions
title_full_unstemmed Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions
title_short Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions
title_sort risk factors for delayed-onset infection after mandibular wisdom tooth extractions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10048475/
https://www.ncbi.nlm.nih.gov/pubmed/36981527
http://dx.doi.org/10.3390/healthcare11060871
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