- Email: [email protected]
Disability after third molar surgery
Balevi B: Assessing the usefulness of three adjunctive diagnostic devices for oral cancer screening: A probabilistic approach. Community Dent Oral Epidemiol 39:171-176, 2011
Reprints available from B Balevi, Faculty of Medicine, Univ of British Columbia, #306 – 805 West Broadway, Vancouver, BC V5Z 1K1, Canada; e-mail: [email protected]
Oral Surgery Disability after third molar surgery Background.—The American Association of Oral and Maxillofacial Surgeons has developed a national database for tracking trends, reporting risk-adjusted outcomes of surgical procedures, and determining the efficacy of current standards against alternatives. This can serve as a basis for providing information about the expected outcomes after surgeries, including postoperative quality of life and duration of disability, to patients so that they can grant truly informed consent. Estimates of the duration of postoperative disability after third molar removal and identification of factors related to delayed outcome were delineated.
Patients with a more rapid return to normal daily activities were more likely to have erupted third molars, preoperative periodontal disease or other preoperative pathologic condition(s), and a prescription for chlorhexidine.
Methods.—The prospective cohort study included 4004 patients (8748 third molars removed) enrolled in the American Association of Oral and Maxillofacial Surgeons AgeRelated Third Molar Study. The patients’ mean age was 39.8 years. Predictor variables were grouped as demographic, health status, anatomic, pathologic, medications, and complications. Duration of postoperative disability was measured as number of days the patient could not perform normal daily activities after having third molar removal surgery.
Clinical Significance.—As our patients become more sophisticated and involved in managing their own health care, we need to be better prepared with answers to their questions and concerns. Postoperative pain and swelling occur predictably after third molar surgery, but the duration can vary. Knowing what factors prolong or shorten recovery can help us guide our patients into appropriate behaviors and allow them to make the best care decisions.
Results.—The mean duration of postoperative disability was 1.4 days, with a range of 0 to 26 days and a median of 1 day. Duration of disability was related to age, gender, number of third molars removed, mandibular third molar removal, preoperative full-bony impaction, sum of prescribed antibiotics, sum of prescribed pain medication, and complications. After multiple linear regression analysis, the duration of disability was increased in relation to age, female gender, number of third molars removed, removal of mandibular third molars, preoperative full-bony impaction, sum of prescribed antibiotics, sum of prescribed pain medications, intraoperative complications, and postoperative complications.
Bienstock DA, Dodson TM, Perrott DH, et al: Prognostic factors affecting the duration of disability after third molar removal. J Oral Maxillofac Surg 69:1272-1277, 2011
Discussion.—The mean delay in returning to daily activities was less than 2 days for these patients having third molar surgery. The length of time before patients were able to resume normal activities was influenced by many factors.
Reprints available from S-K Chuang, Depts of Oral and Maxillofacial Surgery, Massachusetts General Hosp and Harvard School of Dental Medicine, 55 Fruit St, Warren 1201, Boston, MA 02114; e-mail: [email protected]
Oral-Systemic Connections Celiac disease Background.—Celiac disease is a common, chronic, multisystem disease seen worldwide in individuals of any age when gluten is present in the diet. The affected
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Dental Abstracts
individual has a permanent intolerance to gluten, which is a protein found in wheat, rye, and barley. Genetically susceptible individuals suffer damage to the small intestinal
Reprints available from B Balevi, Faculty of Medicine, Univ of British Columbia, #306 – 805 West Broadway, Vancouver, BC V5Z 1K1, Canada; e-mail: [email protected]
Oral Surgery Disability after third molar surgery Background.—The American Association of Oral and Maxillofacial Surgeons has developed a national database for tracking trends, reporting risk-adjusted outcomes of surgical procedures, and determining the efficacy of current standards against alternatives. This can serve as a basis for providing information about the expected outcomes after surgeries, including postoperative quality of life and duration of disability, to patients so that they can grant truly informed consent. Estimates of the duration of postoperative disability after third molar removal and identification of factors related to delayed outcome were delineated.
Patients with a more rapid return to normal daily activities were more likely to have erupted third molars, preoperative periodontal disease or other preoperative pathologic condition(s), and a prescription for chlorhexidine.
Methods.—The prospective cohort study included 4004 patients (8748 third molars removed) enrolled in the American Association of Oral and Maxillofacial Surgeons AgeRelated Third Molar Study. The patients’ mean age was 39.8 years. Predictor variables were grouped as demographic, health status, anatomic, pathologic, medications, and complications. Duration of postoperative disability was measured as number of days the patient could not perform normal daily activities after having third molar removal surgery.
Clinical Significance.—As our patients become more sophisticated and involved in managing their own health care, we need to be better prepared with answers to their questions and concerns. Postoperative pain and swelling occur predictably after third molar surgery, but the duration can vary. Knowing what factors prolong or shorten recovery can help us guide our patients into appropriate behaviors and allow them to make the best care decisions.
Results.—The mean duration of postoperative disability was 1.4 days, with a range of 0 to 26 days and a median of 1 day. Duration of disability was related to age, gender, number of third molars removed, mandibular third molar removal, preoperative full-bony impaction, sum of prescribed antibiotics, sum of prescribed pain medication, and complications. After multiple linear regression analysis, the duration of disability was increased in relation to age, female gender, number of third molars removed, removal of mandibular third molars, preoperative full-bony impaction, sum of prescribed antibiotics, sum of prescribed pain medications, intraoperative complications, and postoperative complications.
Bienstock DA, Dodson TM, Perrott DH, et al: Prognostic factors affecting the duration of disability after third molar removal. J Oral Maxillofac Surg 69:1272-1277, 2011
Discussion.—The mean delay in returning to daily activities was less than 2 days for these patients having third molar surgery. The length of time before patients were able to resume normal activities was influenced by many factors.
Reprints available from S-K Chuang, Depts of Oral and Maxillofacial Surgery, Massachusetts General Hosp and Harvard School of Dental Medicine, 55 Fruit St, Warren 1201, Boston, MA 02114; e-mail: [email protected]
Oral-Systemic Connections Celiac disease Background.—Celiac disease is a common, chronic, multisystem disease seen worldwide in individuals of any age when gluten is present in the diet. The affected
84
Dental Abstracts
individual has a permanent intolerance to gluten, which is a protein found in wheat, rye, and barley. Genetically susceptible individuals suffer damage to the small intestinal