매복지치 발치 시 발생한 합병증 양상에 대한 후향적 연구
Complications of impacted third molar extraction: retrospective study
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Introduction: Surgical extraction of third molar is one of the most frequently performed procedures in oral and maxillofacial surgery unit as the impacted wisdom teeth could cause various complications. Even though, however, extraction of the impacted wisdom teeth is an obligation for the reason of possible complication even for general practitioners, it has been avoided. Various factors concerning surgical extraction of impacted third molar are considered: general condition of patients, relationship with relative anatomies, aspects of impaction, surgeon’s skill. Materials and Methods: The consideration and crossing analysis of these factors with 2,463 patients who visit Dankook University dental hospital to extract those impacted third molar. Results: 1. Gender doesn’t affect. 2. Medical problems have more complications. 3. There are more complications in high difficulty index (DI) impacted teeth. 4. When inferior alveolar canal overlap mandibular third molar, complication rate is 26.92%. 5. The most common complication was swelling and pain. 6. There is no statistical difference between the incidence of complication and surgeon’s experience. Conclusion: In regard to these results, it seems that clinical or radiological examination can predict potential complications of wisdom teeth, and it is helpful to bear in mind the fact.
Abstract
Introduction: Surgical extraction of third molar is one of the most frequently performed procedures in oral and maxillofacial surgery unit as the impacted wisdom teeth could cause various complications. Even though, however, extraction of the impacted wisdom teeth is an obligation for the reason of possible complication even for general practitioners, it has been avoided. Various factors concerning surgical extraction of impacted third molar are considered: general condition of patients, relationship with relative anatomies, aspects of impaction, surgeon’s skill. Materials and Methods: The consideration and crossing analysis of these factors with 2,463 patients who visit Dankook University dental hospital to extract those impacted third molar. Results: 1. Gender doesn’t affect. 2. Medical problems have more complications. 3. There are more complications in high difficulty index (DI) impacted teeth. 4. When inferior alveolar canal overlap mandibular third molar, complication rate is 26.92%. 5. The most common complication was swelling and pain. 6. There is no statistical difference between the incidence of complication and surgeon’s experience. Conclusion: In regard to these results, it seems that clinical or radiological examination can predict potential complications of wisdom teeth, and it is helpful to bear in mind the fact.
참고문헌 (32)
- Baykul T, "Incidence of cystic changes in radiographically normal impacted lower third molar follicles", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 99, pp.542~545 (2005)
- Markiewicz MR, "Corticosteroids reduce postoperative morbidity after third molar surgery: a systematic review and meta-analysis", J Oral Maxillofac Surg, 66, pp.1881~1894 (2008)
- Medeiros N, "Accidental displacement of inferior third molar into the lateral pharyngeal space: case report", J Oral Maxillofac Surg, 66, pp.578~580 (2008)
- Sverzut CE, "Removal of a maxillary third molar accidentally displaced into the infratemporal fossa via intraoral approach under local anesthesia: report of a case", J Oral Maxillofac Surg, 67, pp.1316~1320 (2009)
- Calhoun NR, "Dry socket and other postoperative complications", Dent Clin North Am, 15, pp.337~348 (1971)
- Muhonen A, "Factors predisposing to postoperative complications related to wisdom tooth surgery among university students", J Am Coll Health, 46, pp.39~42 (1997)
- Osborn TP, "A prospective study of complications related to mandibular third molar surgery", J Oral Maxillofac Surg, 43, pp.767~769 (1985)
- Bui CH, "Types, frequencies, and risk factors for complications after third molar extraction", J Oral Maxillofac Surg, 61, pp.1379~1389 (2003)
- Berge TI, "Predictor evaluation of postoperative morbidity after surgical removal of mandibular third molars", Acta Odontol Scand, 52, pp.162~169 (1994)
- Capuzzi P, "Extraction of impacted third molars A longitudinal prospective study on factors that affect postoperative recovery", Oral Surg Oral Med Oral Pathol, 77, pp.341~343 (1994)
- Dodson TB, "HIV status and risk of post-extraction complications", J Dent Res, 76, pp.1644~1652 (1997)
- Sisk AL, "Complications following removal of impacted third molars: the role of the experience of the surgeon", J Oral Maxillofac Surg, 44, pp.855~859 (1986)
- Bataineh AB, "Sensory nerve impairment following mandibular third molar surgey", J Oral Maxillofac Surg, 59, pp.1012~1017 (2001)
- Chiapasco M, "Slide effects and complications associated with third molar surgery", Oral Surg Oral Med Oral Pathol, 76, pp.412~420 (1993)
- Renton T, "Factors predictive of difficulty of mandibular third molar surgery", Br Dent J, 190, pp.607~610 (2001)
- Monaco G, "Antibiotics therapy in impacted third molar surgery", Eur J Oral Sci, 107, pp.437~441 (1999)
- Brann CR, "Factors influencing nerve damage during lower third molar surgery", Br Dent J, 186, pp.514~516 (1999)
- Edwards DJ, "Impact of third molar removal on demands for postoperative care and job disruption: does anaesthetic choice make a difference?", Ann R Coll Surg Engl, 81, pp.119~123 (1999)
- Winter GB, "Principles of exodontias as applied to the impacted mandibular third molar: a complete treatise on the operative technique with clinical diagnosis and radiographic interpretations" (1926), American Medical Book Co
- Pell GJ, "Impacted mandibular third molars: classification and modified technique for removal", Dent Dig, 39, pp.330~338 (1993)
- Rood JP, "The radiological prediction of inferior alveolar nerve injury during third molar surgery", Br J Oral Maxillofac Surg, 28, pp.20~25 (1990)
- Herpy AK, "A monitoring and evaluation study of third molar surgery complications at a major medical center", Mil Med, 156, pp.10~12 (1991)
- Chye EP, "Outcomes after same-day oral surgery: a review of 1,180 cases at a major teaching hospital", J Oral Maxillofac Surg, 51, pp.846~849 (1993)
- Kipp DP, "Dysesthesia after mandibular third molar surgery: a retrospective study and analysis of 1,377 surgical procedures", J Am Dent Assoc, 100, pp.185~192 (1980)
- de Boer MP, "Complications after mandibular third molar extraction", Quintessence Int, 26, pp.779~784 (1995)
- Black CG, "Sensory impairment following lower third molar surgery: a prospective study in New Zealand", N Z Dent J, 93, pp.68~71 (1997)
- Goldberg MH, "Complications after mandibular third molar surgery: a statistical analysis of 500 consecutive procedures in private practice", J Am Dent Assoc, 111, pp.277~279 (1985)
- Alling CC 3rd, "Dysesthesia of the lingual and inferior alveolar nerves following third molar surgery", J Oral Maxillofac Surg, 44, pp.454~457 (1986)
- Mason DA, "Lingual nerve damage following lower third molar surgery", Int J Oral Maxillofac Surg, 17, pp.290~294 (1988)
- Smith AC, "Inferior alveolar nerve damage following removal of mandibular third molar teeth. A prospective study using panoramic radiography", Aust Dent J, 42, pp.149~152 (1997)
- Blackburn CW, "Lingual nerve damage associated with removal of lower third molars", Br Dent J, 167, pp.103~107 (1989)
- Korean association of oral and maxillofacial surgeons, "Textbook of oral & maxillofacial surgery. 2nd ed" (2005), Medical & dental publishing
