Relationships between surgical difficulty and postoperative pain in lower third molar extractions.
J Oral Maxillofac Surg
; 65(5): 979-83, 2007 May.
Article
in En
| MEDLINE
| ID: mdl-17448851
ABSTRACT
PURPOSE:
To investigate the influence of surgical difficulty on postoperative pain after extraction of mandibular third molars. MATERIALS ANDMETHODS:
A prospective study was performed of 139 patients who underwent a total of 157 mandibular third molar extractions. For evaluation of surgical difficulty, a 4-class scale was completed after surgery I, extraction with forceps only; II, extraction requiring osteotomy; III, extraction requiring osteotomy and coronal section; IV, complex extraction (root section). The duration of surgery was also recorded. Postoperative pain was evaluated using a visual analog scale that each patient completed daily until day 6 postsurgery, at which time the sutures were removed.RESULTS:
A statistically significant relationship was observed between surgical difficulty (as rated on the scale) and postoperative pain. Longer interventions generally produced more pain.CONCLUSIONS:
Pain after extraction of a mandibular third molar increases with increased surgical difficulty and duration of the intervention.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain, Postoperative
/
Tooth Extraction
/
Mandible
/
Molar, Third
Type of study:
Observational_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Oral Maxillofac Surg
Year:
2007
Document type:
Article
Affiliation country:
España