Cargando…

Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars

Background and Objectives: This prospective cohort study aimed to evaluate the onset and severity of pain and other complications following lower impacted third molar extraction and to identify potential risk predictors. Materials and Methods: Twenty-five patients were treated with at least one lowe...

Descripción completa

Detalles Bibliográficos
Autores principales: Blasi, Andrea, Cuozzo, Alessandro, Marcacci, Renata, Isola, Gaetano, Iorio-Siciliano, Vincenzo, Ramaglia, Luca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10051195/
https://www.ncbi.nlm.nih.gov/pubmed/36984537
http://dx.doi.org/10.3390/medicina59030534
_version_ 1785014819166879744
author Blasi, Andrea
Cuozzo, Alessandro
Marcacci, Renata
Isola, Gaetano
Iorio-Siciliano, Vincenzo
Ramaglia, Luca
author_facet Blasi, Andrea
Cuozzo, Alessandro
Marcacci, Renata
Isola, Gaetano
Iorio-Siciliano, Vincenzo
Ramaglia, Luca
author_sort Blasi, Andrea
collection PubMed
description Background and Objectives: This prospective cohort study aimed to evaluate the onset and severity of pain and other complications following lower impacted third molar extraction and to identify potential risk predictors. Materials and Methods: Twenty-five patients were treated with at least one lower impacted third molar extraction. The primary outcome was the onset of post-operative pain, evaluated at 6 h, 12 h, 24 h, 48 h, 72 h, and 7 days. The secondary outcomes (trismus, edema, alveolitis, dehiscence, neuralgic injury, and suppuration) were recorded at 3, 7 and 21 days after oral surgery. A correlation analysis was performed to identify potential associations between patient- and tooth-related factors and VAS (Visual Analogue Scale) scale. When a statistically significant correlation was identified, a regression analysis was performed. Results: Most of the patients were female (84%) with a mean age of 25 ± 3 years; the reason for oral surgery was dysodontiasis in 60% of cases, while the most frequent Pell and Gregory class was BII (36%). The VAS scale showed the onset of mild pain at 6 h (44%), 12 h (48%), 24 h (68%) and 48 (68%) after surgery. Trismus, edema, and alveolitis were observed at 3-day (20%, 64% and 12%, respectively) and at 7-day (16%, 12% and 4%, respectively) follow-up. Neuralgic injury was reported in one case (4%). The linear regression analysis showed a statistically significant association (p < 0.05) between the duration of oral surgery and VAS scores at 6 and 12 h. Finally, the binary logistic regression identified systemic disease, Pell and Gregory classification, duration of oral surgery, VAS at 6 and 12 h, trismus, and edema at 3 and 7 days as predictive factors of post-operative complications. Conclusions: Within their limits, the results of this study suggest that the onset of post-operative complications increases in proportion to the duration of the surgical procedure.
format Online
Article
Text
id pubmed-10051195
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100511952023-03-30 Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars Blasi, Andrea Cuozzo, Alessandro Marcacci, Renata Isola, Gaetano Iorio-Siciliano, Vincenzo Ramaglia, Luca Medicina (Kaunas) Article Background and Objectives: This prospective cohort study aimed to evaluate the onset and severity of pain and other complications following lower impacted third molar extraction and to identify potential risk predictors. Materials and Methods: Twenty-five patients were treated with at least one lower impacted third molar extraction. The primary outcome was the onset of post-operative pain, evaluated at 6 h, 12 h, 24 h, 48 h, 72 h, and 7 days. The secondary outcomes (trismus, edema, alveolitis, dehiscence, neuralgic injury, and suppuration) were recorded at 3, 7 and 21 days after oral surgery. A correlation analysis was performed to identify potential associations between patient- and tooth-related factors and VAS (Visual Analogue Scale) scale. When a statistically significant correlation was identified, a regression analysis was performed. Results: Most of the patients were female (84%) with a mean age of 25 ± 3 years; the reason for oral surgery was dysodontiasis in 60% of cases, while the most frequent Pell and Gregory class was BII (36%). The VAS scale showed the onset of mild pain at 6 h (44%), 12 h (48%), 24 h (68%) and 48 (68%) after surgery. Trismus, edema, and alveolitis were observed at 3-day (20%, 64% and 12%, respectively) and at 7-day (16%, 12% and 4%, respectively) follow-up. Neuralgic injury was reported in one case (4%). The linear regression analysis showed a statistically significant association (p < 0.05) between the duration of oral surgery and VAS scores at 6 and 12 h. Finally, the binary logistic regression identified systemic disease, Pell and Gregory classification, duration of oral surgery, VAS at 6 and 12 h, trismus, and edema at 3 and 7 days as predictive factors of post-operative complications. Conclusions: Within their limits, the results of this study suggest that the onset of post-operative complications increases in proportion to the duration of the surgical procedure. MDPI 2023-03-09 /pmc/articles/PMC10051195/ /pubmed/36984537 http://dx.doi.org/10.3390/medicina59030534 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
Blasi, Andrea
Cuozzo, Alessandro
Marcacci, Renata
Isola, Gaetano
Iorio-Siciliano, Vincenzo
Ramaglia, Luca
Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars
title Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars
title_full Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars
title_fullStr Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars
title_full_unstemmed Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars
title_short Post-Operative Complications and Risk Predictors Related to the Avulsion of Lower Impacted Third Molars
title_sort post-operative complications and risk predictors related to the avulsion of lower impacted third molars
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10051195/
https://www.ncbi.nlm.nih.gov/pubmed/36984537
http://dx.doi.org/10.3390/medicina59030534
work_keys_str_mv AT blasiandrea postoperativecomplicationsandriskpredictorsrelatedtotheavulsionoflowerimpactedthirdmolars
AT cuozzoalessandro postoperativecomplicationsandriskpredictorsrelatedtotheavulsionoflowerimpactedthirdmolars
AT marcaccirenata postoperativecomplicationsandriskpredictorsrelatedtotheavulsionoflowerimpactedthirdmolars
AT isolagaetano postoperativecomplicationsandriskpredictorsrelatedtotheavulsionoflowerimpactedthirdmolars
AT ioriosicilianovincenzo postoperativecomplicationsandriskpredictorsrelatedtotheavulsionoflowerimpactedthirdmolars
AT ramaglialuca postoperativecomplicationsandriskpredictorsrelatedtotheavulsionoflowerimpactedthirdmolars