Evaluation of Demographic, Radiological and Intraoperative Factors For Assessment of Postoperative Pain And Complications In Surgical Removal Of Impacted Mandibular Third Molar – A Prospective Study

Evaluation of Demographic, Radiological and Intraoperative Factors For Assessment of Postoperative Pain And Complications In Surgical Removal Of Impacted Mandibular Third Molar – A Prospective Study

Main Article Content

Manu R. Goel
Milind D. Shringarpure
Vasant V. Shewale
Tejasvini Dehankar
Chandrashekhar R. Bande
Akshay Mishra

Abstract

Third molars usually erupt within the age of 17 – 21years. Usually, due to the evolution of human jaws, the size is decreasing leading to the impacted tooth. An impacted tooth may lead to external resorption of the adjacent tooth, trismus, infection, etc. Many studies have been reported in the literature for evaluating the surgical difficulty and postoperative complications secondary to impacted third molars. This study includes a sample of 100 subjects evaluated for the surgical difficulty and postoperative complications. Various demographic, radiological, and intraoperative factors were evaluated which may lead to postoperative complications. Factors responsible for postoperative sequelae were also evaluated with complications. Postoperative pain after 4 hours and 7 days was assessed to mark the factors commonly responsible. Pain at 7th postoperative day was significant involving factors like fully impacted, horizontal impaction, level C, no/very little retromolar space, and root contact. Postoperative com­plications were not reported in this study.


 

References

Atalay, B., Güler, N., Cabbar, F., Sencift, K. (2014) Determination of incidence of complications and life quality after mandibular impacted third molar surgery. journal of the Dental Faculty of Istanbul 48(1):31-46. In: https://www.researchgate.net/publication/328661081_DETERMINATION_OF_INCIDENCE_OF_COMPLICATIONS_AND_LIFE_QUALITY_AFTER_MANDIBULAR_IMPACTED_THIRD_MOLAR_SURGERY

Ahuja, K., Pannu,R., Pal, N., Aggarwal,N., Berwal.V. (2017) Complications and risk factor associated with extraction of impacted third molars: a prospective study. International Journal of Contemporary Medicine Surgery and Radiology.;2(4):153-155. In: https://www.ijcmsr.com/uploads/1/0/2/7/102704056/ijcmsr_25__2_4_._v1pdf.pdf

Bali, A., Bali, D., Sharma, A. et al. Is Pederson Index a True Predictive Difficulty Index for Impacted Mandibular Third Molar Surgery? A Meta-analysis. J. Maxillofac. Oral Surg. 12, 359–364 (2013).https://doi.org/10.1007/s12663-012-0435-x

Bui CSeldin EDodson T. Types, Frequencies, and Risk Factors for Complications after Third Molar Extraction. Journal of Oral and Maxillofacial Surgery, (2003), 1379-1389, 61(12) https://doi.org/10.1016/j.joms.2003.04.001

Gbotolorun, Olalekan Micah. 2007. Assessment of Factors Associated With Surgical Difficulty in Impacted Mandibular Third Molar Extraction. Journal of Oral and Maxillofacial Surgery, Volume65, Issue 10, 1977 – 1983 https://doi.org/10.1016/j.joms.2006.11.030

Goel, M., Shringarpure, M., Shewale, V., Bande, C., Joshi, A., Dehankar, T., & Goel, E. (2019).Assessment of intraoperative risk factors for surgical difficulty in surgical extraction of impacted mandibular third molar – A prospective study. International Journal of Medical and Surgical Sciences, 6(2),41-43. https://doi.org/10.32457/ijmss.2019.014

Grossi, Giovanni Battista et al.Effect of Submucosal Injection of Dexamethasone on Postoperative Discomfort After Third Molar Surgery: A Prospective Study. Journal of Oral and Maxillofacial Surgery, Volume 65, Issue 11, 2218 – 2226 https://doi.org/10.1016/j.joms.2006.11.036

Khanal, P., Dixit, S., Singh, R., & Dixit, P. (2014). Difficulty index in extraction of impacted mandibular third molars and their post-operative complications. Journal of Kathmandu Medical College, 3(1),14-20. https://doi.org/10.3126/jkmc.v3i1.10918

Kulkarni HS, Kulkarni GH, Iqbal E, Biradar JM, Khaji SI. Variables of Clinical Significance Predictive of Difficulty of Third Molar Surgery: An Institutional Analysis of 200 Consecutive Procedures. J Dent Allied Sci [serial online] 2015 [cited 2020 Oct 6];4:8-12. Available from: https://www.jdas.in/text.asp?2015/4/1/8/167525

Osunde, OD., Saheeb, BD., Bassey, GO. Indications and risk factors for complications of lower third molar surgery in a Nigerian Teaching Hospital. Annals of Medical and Health Sciences Research. Vol. 4 No. 6 (2014) https://doi.org/10.4103/2141-9248.144919

Sukegawa S, Yokota K, Kanno T, Manabe Y, Sukegawa-Takahashi Y, Masui M, Furuki Y. What are the risk factors for postoperative infections of third molar extraction surgery: A retrospective clinical study? Med Oral Patol Oral Cir Bucal. 2019 Jan 1;24 (1):e123-9. https://dx.doi.org/10.4317%2Fmedoral.22556

Tenglikar P, Munnangi A, Mangalgi A, Uddin SF, Mathpathi S, Shah K. An Assessment of Factors Influencing the Difficulty in Third Molar Surgery. Ann Maxillofac Surg. 2017 Jan-Jun;7(1):45-50. https://dx.doi.org/10.4103%2Fams.ams_194_15

Benediktsdóttir IS, Wenzel A, Petersen JK, Hintze H. Mandibular third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(4):438-446. https://doi.org/10.1016/j.tripleo.2003.10.01852

Yuasa H, Sugiura M. Clinical postoperative findings after removal of impacted mandibular third molars: prediction of postoperative facial swelling and pain based on preoperative variables. Br J Oral Maxillofac Surg. 2004;42(3):209-214. https://doi.org/10.1016/j.bjoms.2004.02.005