Association between Risk Factors and Incidence of Complications Following Third Molar Surgery
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Background: The surgical removal of the impacted wisdom tooth is a frequently performed oral surgical treatment. Few commonly associated complications after wisdom tooth extraction are nerve damage, alveolar osteitis, pain, swelling, locked jaw, infection and bleeding. The present study was conducted with the aim to determine the association of risk factors with the postoperative complications after third molar removal. Materials and Methods: The study was conducted in the private dental college and hospital. The hospital records of subjects from July 2014 to August 2015 were analyzed retrospectively. Presence of throbbing pain and exposure of the alveolar bone were regarded as signs of dry socket. After extraction, all subjects were prescribed similar antibiotic regimen and analgesic treatment. All the data was recorded in a tabulated form and analyzed statistically. Chi square test and student t test were used for statistical analysis. Probability value of less than 0.05 was considered as significant. Results: The study analysed 200 subjects who underwent third molar surgery. The mean age of the subjects was 32.89+/-2.87 years. There were majority of males amongst them. There were 54% cases of mesioangular impaction, 22% cases of distoangular impaction and 13% cases of horizontal impaction. Buccal guttering was performed in 95% of the subjects. There were only 5% cases that underwent lingual alveolotomy. The most commonly associated complication was delayed healing followed by alveolar osteitis. This was followed by injury to inferior alveolar nerve and lingual nerve. Delayed healing was significantly associated with number of sutures and the age group. Conclusion: The gender and age of the subject also have an impact on the frequency of complications after extraction.
Authors and Affiliations
Ritesh Vatsa, Priyanka Priyadarshni, A. D. Bhagat Singh
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