Post Treatment Complications after Removal of impacted third molar: A Retrospective Study
Introduction: Removal of third molar is that the most typical intervention performed procedure related to an honest array of complications. the foremost commonly encountered complications are pain, paraesthesia, trismus, swelling and mandibular fractures.
Aim: The objective of this study was to study the complication associated with extraction of impacted third molar with age.
Materials and Method: All the surgical removal of third molars which were performed within a private clinic during 1-year period from October 2019 – October 2020 were retrospectively analysed and included within the study. Presence of post-operative complications like pain (more than 3 days), paraesthesia, mandibular fracture, Alveolar osteitis (dry socket), bleeding, trismus or edema in conjunction with demographic features and thus the type of impaction was noted. Data was arranged during a tabulated form and analyzed using Epi Info software. Result: There are 59 males and 56 females who underwent transalveolar extraction of third molar. The mean age of females was 47.21 12.2 years and males were 48.32 11.5 years. It had been found that pain was the foremost commonly encountered complication, seen in 57.4% of the patients. Pain was followed by swelling which was seen in 42.2% of the themes. Trismus ranked third, seen in 23.2% of subjects. It was found that pain was most frequently seen among the age group of 20(21.6%) and least frequently seen amongst 20-40 years aged (15.2%).
Conclusion: Pain was the foremost common complication followed by swelling and Trismus. Keywords: pain, paraesthesia, third, molar, complication.
2. Contar C, De Oliveira P, Kanegusuku K, Berticelli R, Azevero – Alanis L, Machado M. Complications in third molar removal: a retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal 2010; 15: 74-78.
3. Woldenberg Y, Gatot I, Bodner L. Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented? Med Oral Patol Oral Cir Bucal 2007; 12: 70-72.
4. Blondeau F. Extraction of Imacted Mandibular Third Molar: Postoperative complication and their risk factors. JCDA 2007; 73(4):325a-325e.
5. Miloro M, Ghali GE, Larsen PE, Waite PD. Peterson’s principles of oral and maxillofacial surgery Vol I,3rd ed.
(Special Indian Edition). New Delhi: CBS; Publishers & Distributors Pvt Ltd, 2012.P 107.
6. Blondeau F, Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc. 2007 May; 73(4):325.
7. Christiaens I, Reychler H. Complications after third molar extractions: retrospective analysis of 1,213 teeth. Rev Stomatol Chir Maxillofac. 2002, 103:269-274.
8. Peterson LJ. Postoperative patient management. In: Peterson LJ, Ellis III E, Hupp JR, et al, editors. Contemporary oral and maxillofacial surgery. 3rd edition. New York: Mosby; 1998. p. 249– 56.
9. Larsen PE. Alveolar osteitis after surgical removal of impacted mandibular third molars: identification of the patient at risk. Oral Surg Oral Med Oral Pathol 1992; 73:393–7.
10. Valmaseda-Castellon E, Berini-Aytes L, Gay- Escoda C. Inferior alveolar nerve damage after lower third molarsurgical extraction: a prospective study of 1117 surgical extractions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92(4): 377-83.
11. Benediktsdóttir I, Wenzel A, Petersen J et al. Mandibular -third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004, 97:438-446.
12. Krimmel M, Reinert S. Mandibular fracture after third molar removal. J Oral Maxillofac Surg 2000; 58:1110– 2.
13. Quek SL, Tay CK, Tay KH, Toh SL, Lim KC. Pattern of third molar impaction in a Singapore Chinese population: a retrospective radiographic survey. Int J Oral Maxillofac Surg. 2003 Oct; 32(5):548-52.