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RESEARCH PRODUCT

Quality of life following third molar removal under conscious sedation

Eduard Valmaseda-castellónCosme Gay-escodaLeonardo Berini-aytésManuel Sancho-puchades

subject

MolarMaleWisdom toothVisual analogue scaleSedationConscious SedationOdontologíaHuman physical appearancePain visual analogue scaleYoung AdultQuality of lifeSurveys and QuestionnairesmedicineTeeth extractionHumansAnesthesiaSocial isolationYoung adultGeneral DentistryExtracció dentalbusiness.industryAnestèsiaQueixal del seny:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludOtorhinolaryngologyAnesthesiaUNESCO::CIENCIAS MÉDICASTooth ExtractionQuality of LifeSurgeryResearch-ArticleFemaleMolar Thirdmedicine.symptomOral Surgerybusiness

description

Aim: The aim of this study was to assess quality of life (QoL) and degree of satisfaction among outpatients subjected to surgical extraction of all four third molars under conscious sedation. A second objective was to describe the evolution of self-reported pain measured in a visual analogue scale (VAS) in the 7 days after extraction. Study design: Fifty patients received a questionnaire assessing social isolation, working isolation, eating and speaking ability, diet modifications, sleep impairment, changes in physical appearance, discomfort at suture removal and overall satisfaction at days 4 and 7 after surgery. Pain was recorded by patients on a 100-mm pain visual analogue scale (VAS) every day after extraction until day 7. Results: Thirty-nine patients fulfilled correctly the questionnaire. Postoperative pain values suffered small fluctuations until day 5 (range: 23 to 33 mm in a 100-mm VAS), when dicreased significantly. A positive association was observed between difficult ranked surgeries and higher postoperative pain levels. The average number of days for which the patient stopped working was 4.9. Conclusion: The removal of all third molars in a single appointment causes an important deterioration of the patient’s QoL during the first postoperative week, especially due to local pain and eating discomfort. Key words:Third molar removal, quality of life, sedation.

10.4317/medoral.17677http://europepmc.org/articles/PMC3505722