Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
Oral and Maxillofacial SurgeryOral hygiene and postoperative pain after mandibular third molar surgery*
Section snippets
Study sample
A total of 190 healthy subjects with impacted third molars (79 partially erupted, 85 submucosal, and 26 intraosseous teeth) volunteered to participate in the study. There were 127 females and 63 males, with a mean age of 25.9 years. The inclusion criteria were as follows: healthy patients seen in the outpatient clinic of Valencia University Dental School (Spain) who voluntarily agreed to participate in the study and presented with an impacted third molar (extraction with the raising of a
Results
Good oral hygiene before the extraction of the impacted third molar was observed in 61% of patients, with regular and poor hygiene in 29% and 10%, respectively. The surgical difficulty (based on Winter’s distance) was similar in all groups (P =.834). There were no significant differences with respect to the initial interincisal opening of the groups (P =.247). Of note, however, is the observation that the group with the poorest hygiene was made up mostly of males (P =.000) and exhibited a
Discussion
Some studies have shown preoperative chlorhexidine mouthrinse to reduce the incidence of dry socket in simple extractions19 and in extractions of lower third molars.20, 21, 22, 23 Rango and Szkutnik23 recommended that the patient use a 0.12% chlorhexidine mouthrinse solution before and after third molar surgery. Larsen21 recommended using chlorhexidine mouthrinse 1 week before the operation. Fotos et al25 reported a decrease in postoperative patient discomfort after introducing a collagen
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Cited by (57)
Microbiota of alveolar osteitis after permanent tooth extractions: A systematic review
2021, Journal of Stomatology, Oral and Maxillofacial SurgeryAlveolar Osteitis: A Review of Current Concepts
2020, Journal of Oral and Maxillofacial SurgeryHigh-Throughput Sequencing Analysis of Microbial Profiles in the Dry Socket
2019, Journal of Oral and Maxillofacial SurgeryCryotherapy in reducing pain, trismus, and facial swelling after third-molar surgery: Systematic review and meta-analysis of randomized clinical trials
2019, Journal of the American Dental AssociationCitation Excerpt :During the immediate postoperative period, several endogenous substances are produced, in particular, histamine, bradykinin, and prostanoids (prostaglandins, prostacyclin, thromboxane, the leukotrienes), which are involved in the development of pain, edema, and trismus associated with inflammation.38 Patients who have undergone third-molar removal usually experience their most severe pain during the first 24 hours after extraction.39 Nociceptive pain is caused by means of the stimulation of peripheral A delta and C-polymodal pain receptors and can be aggravated for variable periods after surgery.40-42
Common risk factors of dry socket (alveolitis osteitis) following dental extraction: A brief narrative review
2018, Journal of Stomatology, Oral and Maxillofacial SurgeryCitation Excerpt :Age might be a determinant of surgical difficulty, [5] due to relative root and bone stiffness which leads to more traumatic surgeries, 3,5,19] or lengthier surgeries in older patients [3,5,30]. The observed effects might be as well an artifact of the higher smoking prevalence in older individuals [4,14,16]. On the other hand, Haraji and Rakhshan [16] controlled for the effects of difficulty of surgery and smoking, while finding age to be still associated with dry socket.
Surgical removal of asymptomatic impacted third molars: Considerations for orthodontists and oral surgeons
2016, Seminars in Orthodontics
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Reprint requests: M. Peñarrocha-Diago, Clínica Odontológica, c/ Gascó Oliag 1, 46021–Valencia, Spain
- a
Assistant Professor of Oral Surgery; Director, Master of Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain.
- b
Associate Professor of Oral Surgery, Valencia University Medical and Dental School, Valencia, Spain.
- c
Dentist and Master of Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain.
- d
Professor and Chairman of Oral and Maxillofacial Surgery; Director, Master of Surgery and Implantology, Barcelona University Medical and Dental School, Barcelona, Spain.
- e
Professor and Chairman of Oral Medicine, Valencia University Medical and Dental School, Valencia, Spain