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Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman

OBJECTIVES: This retrospective study aimed to investigate complications associated with the extraction of third molars at a tertiary healthcare centre in Oman. METHODS: All consecutive patients who underwent extraction of one or more impacted third molars under general anaesthesia at Sultan Qaboos U...

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Autores principales: Sayed, Nabeel, Bakathir, Abdulaziz, Pasha, Mehboob, Al-Sudairy, Salim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839670/
https://www.ncbi.nlm.nih.gov/pubmed/31728221
http://dx.doi.org/10.18295/squmj.2019.19.03.009
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author Sayed, Nabeel
Bakathir, Abdulaziz
Pasha, Mehboob
Al-Sudairy, Salim
author_facet Sayed, Nabeel
Bakathir, Abdulaziz
Pasha, Mehboob
Al-Sudairy, Salim
author_sort Sayed, Nabeel
collection PubMed
description OBJECTIVES: This retrospective study aimed to investigate complications associated with the extraction of third molars at a tertiary healthcare centre in Oman. METHODS: All consecutive patients who underwent extraction of one or more impacted third molars under general anaesthesia at Sultan Qaboos University Hospital, Muscat, Oman, between January 2007 and December 2017 were included. Age, gender, indication for extraction, teeth removed, procedure and complications were recorded. RESULTS: A total of 1,116 third molars (56% mandibular and 44% maxillary) were extracted and the majority (67.7%) were from female patients. The mean age at extraction was 24 ± 5 years and most patients (77.7%) were 20–29 years old. The intraoperative and postoperative complication rates were 3.7% and 8.3%, respectively. The intraoperative complications included tuberosity fracture (1.2%), root fracture (1.1%), bleeding (0.7%), soft tissue injury (0.5%) and adjacent tooth damage (0.2%). Postoperative complications were sensory nerve injuries (7.2%), swelling/pain/trismus (0.6%) and dry socket (0.5%). Nerve injury was temporary in 41 patients and permanent in four cases. A statistically significant relationship was observed between those aged 30–39 years and dry socket (P = 0.010) as well as bone removal and all postoperative complications (P = 0.001). CONCLUSION: Most complications resulting from third molar extractions were minor and within the reported ranges in the scientific literature. However, increased age and bone removal were associated with a higher risk of complications. These findings may help to guide treatment planning, informed consent and patient education.
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spelling pubmed-68396702019-11-14 Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman Sayed, Nabeel Bakathir, Abdulaziz Pasha, Mehboob Al-Sudairy, Salim Sultan Qaboos Univ Med J Clinical & Basic Research OBJECTIVES: This retrospective study aimed to investigate complications associated with the extraction of third molars at a tertiary healthcare centre in Oman. METHODS: All consecutive patients who underwent extraction of one or more impacted third molars under general anaesthesia at Sultan Qaboos University Hospital, Muscat, Oman, between January 2007 and December 2017 were included. Age, gender, indication for extraction, teeth removed, procedure and complications were recorded. RESULTS: A total of 1,116 third molars (56% mandibular and 44% maxillary) were extracted and the majority (67.7%) were from female patients. The mean age at extraction was 24 ± 5 years and most patients (77.7%) were 20–29 years old. The intraoperative and postoperative complication rates were 3.7% and 8.3%, respectively. The intraoperative complications included tuberosity fracture (1.2%), root fracture (1.1%), bleeding (0.7%), soft tissue injury (0.5%) and adjacent tooth damage (0.2%). Postoperative complications were sensory nerve injuries (7.2%), swelling/pain/trismus (0.6%) and dry socket (0.5%). Nerve injury was temporary in 41 patients and permanent in four cases. A statistically significant relationship was observed between those aged 30–39 years and dry socket (P = 0.010) as well as bone removal and all postoperative complications (P = 0.001). CONCLUSION: Most complications resulting from third molar extractions were minor and within the reported ranges in the scientific literature. However, increased age and bone removal were associated with a higher risk of complications. These findings may help to guide treatment planning, informed consent and patient education. Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences 2019-08 2019-11-05 /pmc/articles/PMC6839670/ /pubmed/31728221 http://dx.doi.org/10.18295/squmj.2019.19.03.009 Text en © Copyright 2019, Sultan Qaboos University Medical Journal, All Rights Reserved This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nd/4.0/) .
spellingShingle Clinical & Basic Research
Sayed, Nabeel
Bakathir, Abdulaziz
Pasha, Mehboob
Al-Sudairy, Salim
Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman
title Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman
title_full Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman
title_fullStr Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman
title_full_unstemmed Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman
title_short Complications of Third Molar Extraction: A retrospective study from a tertiary healthcare centre in Oman
title_sort complications of third molar extraction: a retrospective study from a tertiary healthcare centre in oman
topic Clinical & Basic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839670/
https://www.ncbi.nlm.nih.gov/pubmed/31728221
http://dx.doi.org/10.18295/squmj.2019.19.03.009
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