Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables
Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables
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DOI：
10.4317/medoral.18039
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发表时间：
2013-01-01
影响因子：
2.2
通讯作者：
Gomes, Ana-Claudia-Amorim
中科院分区：
文献类型：
--
作者：
de Santana-Santos, Thiago;de Souza-Santos, Jadson-Alipio-Santana;Gomes, Ana-Claudia-Amorim
目的：本文探讨了术前发现和短期结果之间的关系在第三磨牙surgery.Study design：一项前瞻性研究，涉及80例患者谁需要160个手术拔除阻生下颌第三磨牙2009年1月至2010年12月。所有拔牙均由同一牙科医生在局部麻醉下进行。分别于术后48 h和第7天测量肿胀度和最大切牙间距。平均视觉模拟疼痛评分在四个不同的时间periods.Results：一百零八（67.5%）的160提取进行男性受试者和52（32.5%）进行女性受试者。中位年龄为22.46岁。面部肿胀的程度因性别和手术时间而异。牙关紧闭症因性别、手术时间和牙齿切片而异。年龄、性别和手术时间的影响因疼痛评估时间而异（p < 0.05）。结论：第三磨牙手术的短期结果（肿胀、牙关紧闭和疼痛）因患者的特征（年龄、性别和体重指数）而异。此外，手术特征如手术时间和牙齿切片也与术后变量相关。
Objective: This paper investigates the relationship between preoperative findings and short-term outcome in third molar surgery.Study design: A prospective study was carried out involving 80 patients who required 160 surgical extractions of impacted mandibular third molars between January 2009 and December 2010. All extractions were performed under local anesthesia by the same dental surgeon. Swelling and maximal inter-incisor distance were measured at 48 h and on the 7th day postoperatively. Mean visual analogue pain scores were determined at four different time periods.Results: One-hundred eight (67.5%) of the 160 extractions were performed on male subjects and 52 (32.5%) were performed on female subjects. Median age was 22.46 years. The amount of facial swelling varied depending on gender and operating time. Trismus varied depending on gender, operating time and tooth sectioning. The influence of age, gender and operating time varied depending on the pain evaluation period (p < 0.05).Conclusions: Short-term outcomes of third molar operations (swelling, trismus and pain) differ depending on the patients' characteristics (age, gender and body mass index). Moreover, surgery characteristics such as operating time and tooth sectioning were also associated with postoperative variables.