Abstract
Aim
To evaluate the effect of ice pack therapy on oral health-related quality of life (OHRQoL) following third molar surgery.
Methods
All consecutive subjects who required surgical extraction of lower third molars and satisfied the inclusion criteria were randomly allocated into two groups. Subjects in group A were instructed to apply ice packs directly over the masseteric region on the operated side intermittently after third molar surgery. This first application was supervised in the clinic and was repeated at the 24-h postoperative review. Subjects in group A were further instructed to apply the ice pack when at home every one and a half hours on postoperative days 0 and 1 while he/she was awake as described. Group B subjects did not apply ice pack therapy. Facial swelling, pain, trismus, and quality of life (using Oral Health Impact Profile-14 (OHIP-14) instrument) were evaluated both preoperatively and postoperatively. Postoperative scores in both groups were compared.
Results
A significant increase in the mean total and subscale scores of OHIP-14 was found in both groups postoperatively when compared with preoperative value. Subjects who received ice pack therapy had a better quality of life than those who did not. Subjects whose postoperative QoL were affected were statistically significantly higher in group B than in group A at all postoperative evaluation points (P < 0.05). Statistically significant differences were also observed between the groups in the various subscales analyzed, with better quality of life seen among subjects in group A.
Conclusions
Quality of life after third molar surgery was significantly better in subjects who had cryotherapy after third molar than those who did not have cryotherapy. Cryotherapy is a viable alternative or adjunct to other established modes of improving the quality of life of patients following surgical extraction of third molars.
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References
Locker D, Allan FP (2002) Developing short-form measures of oral health-related quality of life. J Public Health Dent 62:13–20
Majid OW (2011) Submucosal dexamethasone injection improves quality of life measures after third molar surgery: a comparative study. J Oral Maxillofac Surg 69:2289–2297
Allen PF (2003) Assessment of oral health related quality of life. Health and Quality of Life outcomes 1:40
Allison PJ, Locker D, Feine JS (1997) Quality of life: a dynamic construct. Soc Sci Med 45:221–230
Fernandes MJ, Ruta DA, Ogden GR, Pitts NB, Ogston SA (2006) Assessing oral health-related quality of life in general dental practice in Scotland: validation of the OHIP-14. Community Dent Oral Epidemiol 34:53–55
Gabrić Pandurić D, Brozović J, Sušić M, et al. (2009) Assessing health-related quality of life outcomes after the surgical removal of a mandibular third molar. Collegium antropologicum 33:437–447
Shugars DA, Gentile MA, Ahmad N, et al. (2006) Assessment of oral health-related quality of life before and after third molar surgery. J Oral Maxillofac Surg 64:1721–1730
Laureano-Filho JR, Maurette PE, Allais M, Coutinho M, Fernandes C (2008) Clinical comparative study of the effectiveness of two dosages of dexamethasone to control postoperative swelling, trismus and pain after the surgical extraction of mandibular impacted third molars. Med Oral Pathol Oral Cir Buccal 13:129–130
McGrath C, Comfort MB, Lo EC, Luo Y (2003) Changes in life quality following third molar surgery—the immediate postoperative period. Br Dent J 194:265–268
Slade GD, Foy SP, Shugars DA, Phillips C, White RP (2004) The impact of third molar symptoms, pain, and swelling on oral health-related quality of life. J Oral Maxillofac Surg 62:1118–1124
Slade GD, Spencer AJ (1994) Development and evaluation of the oral health impact profile. Community Dent Health 11:3–6
Montero-Martín J, Bravo-Pérez M, Albaladejo-Martínez A, Hernández-Martín LA, Rosel-Gallardo EM (2009) Validation the oral health impact profile (OHIP-14sp) for adults in Spain. Med Oral Patol Oral Cir Bucal 14:E44–E50
Gelesko S, Long L, Faulk J, et al. (2011) Cryotherapy and topical minocycline as adjunctive measures to control pain after third molar surgery: an exploratory study. J Oral Maxillofac Surg 69:e324–ee32
Nadler SF, Weingand K, Kruse RJ (2004) The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain physician 7:395–400
Enwemeka CS, Allen C, Avila P, et al. (2002) Soft tissue thermodynamics before, during, and after cold pack therapy. Med Sci Sports Exerc 34:45–50
Mac Auley DC (2001) Ice therapy: how good is the evidence? Int J Sports Med 22:379–384
Jutte LS, Knight KL, Long BC, et al. (2005) The uncertainty (validity and reliability) of three electrothermometers in therapeutic modality research. J Athl Train 40:207
McMaster WC, Liddle S (1980) Cryotherapy influence on posttraumatic limb edema. Clin Orthop Relat Res 150:283–287
Gabka J, Matsumara T (1971) Measuring techniques and clinical testing of anti-inflammatory agent (tantum). Munch Med Wochenschr 13:198–199
Knight KL, Londeree BR (1979) Comparison of blood flow in the ankle of uninjured subjects during therapeutic applications of heat, cold, and exercise. Med Sci Sports Exerc 12:76–80
Markiewicz MR, Brady MF, Ding EL, Dodson TB (2008) Corticosteroids reduce postoperative morbidity after third molar surgery: a systematic review and meta-analysis. J Oral Maxillofac Surg 66:1881–1894
Tiwana PS, Foy SP, Shugars DA, et al. (2005) The impact of intravenous corticosteroids with third molar surgery in patients at high risk of delayed health related quality of life and clinical recovery. J Oral Maxillofac Surg 63:55–62
Forsgren H, Heimdahl A, Johansson B, Krekmanov L (1985) Effect of application of cold dressings on the postoperative course in oral surgery. Int J Oral Surg 14:333–228
Akadiri OA, Adeyemo WL (2010) Evidence-based clinical decisions in oral surgery in evidence-based practice: toward optimizing clinical outcomes springer. Berlin Heidelberg 107-30
Rana M, Gellrich NC, Ghassemi A, et al. (2011) Three-dimensional evaluation of postoperative swelling after third molar surgery using 2 different cooling therapy methods: a randomized observer-blind prospective study. J Oral Maxillofac Surg 69:2092–2098
Honda M (2003) Human speech production mechanisms. NIT technical Rev 1:24–29
White RPJ, Shugars DA, Shafer DM, et al. (2003) Recovery after third molar surgery: clinical and health related quality of life outcomes. J Oral Maxillofac Surg 61:535–544
Garcia AG, Sampedro FG, Rey JG, Torreira MG (1997) Trismus and pain after removal of impacted lower third molars. J Oral Maxillofac Surg 55:1223–1226
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This research was supported by MEPIN grant by the Medical Education Partnership Initiative in Nigeria (grant number 1R24W008878).
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Ibikunle, A.A., Adeyemo, W.L. Oral health-related quality of life following third molar surgery with or without application of ice pack therapy. Oral Maxillofac Surg 20, 239–247 (2016). https://doi.org/10.1007/s10006-016-0558-1
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DOI: https://doi.org/10.1007/s10006-016-0558-1