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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10048475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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