Basic and patient-oriented researchAssessment of Oral Health–Related Quality of Life Before and After Third Molar Surgery
Section snippets
Patients and Methods
For our analyses, pre- and postsurgery data were available from 63 patients treated in a prospective, Institutional Review Board–approved, clinical trial at 2 community practices and 2 academic centers. Based on the data reported by Phillips et al,12 the study patients were predicted to be at higher risk for delayed clinical and health-related quality of life recovery. Patients were treated at surgery with topical minocycline (1 mg) in sustained release microspheres placed in lower third molar
Results
All 63 enrolled patients having 4 third molars removed completed the OHIP-14 and the HRQOL questionnaires. A majority of study patients were female, 85% were less than 25 years old, and 87% were Caucasian (Table 1). Over half were educated beyond high school.
Forty percent reported prior third molar symptoms of pain and swelling sufficient to seek third molar removal (Table 2). Most (72%) had bone removal from both lower third molars. Median surgery time was 27 minutes, interquartile range (IQ
Discussion
The most pertinent clinical finding from this study was that recovery following third molar surgery was rapid when assessed by any of the patient-reported indicators of quality of life. Results were similar no matter which instrument was used to measure recovery. By PSD 14 few patients reported an impact on quality of life that could be attributed to third molar surgery. Five percent or less reported any item on OHIP-14 “fairly often” or “very often” (Table 3). With the exception of the 8%
Acknowledgment
The authors thank the surgeons and their patients who volunteered to provide data for this analysis. The authors also thank Debora Price for helping manage data for this project.
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Supported by the Dental Foundation of North Carolina, the Oral and Maxillofacial Surgery Foundation, and the American Association of Oral and Maxillofacial Surgeons.