6533b860fe1ef96bd12c316a

RESEARCH PRODUCT

Quality of life after upper third molar removal: a prospective longitudinal study

Eduard Valmaseda-castellónVanesa Avellaneda-gimenoRui Figueiredo

subject

MolarAdultMaleQuality of lifeLongitudinal studyWisdom toothVisual analogue scaleDentistryOdontologia03 medical and health sciencesDiagnostic Self Evaluation0302 clinical medicinePatient satisfactionQuality of lifeMedicineHumansTeeth extractionLocal anesthesiaLongitudinal StudiesProspective Studies030223 otorhinolaryngologyProspective cohort studyGeneral DentistryPain MeasurementExtracció dentalPain Postoperativebusiness.industryResearchQueixal del seny030206 dentistry:CIENCIAS MÉDICAS [UNESCO]OtorhinolaryngologyPatient SatisfactionQualitat de vidaDentistryTooth ExtractionUNESCO::CIENCIAS MÉDICASQuality of LifeSurgeryFemaleMolar ThirdOral SurgerybusinessComplication

description

Background Third molar extraction is a very common procedure in Dentistry. The aim of this study was to evaluate the quality of life (QoL) and satisfaction of patients undergoing extraction of an upper third molar under local anesthesia. A second objective was to describe the evolution of self-reported pain measured in a visual analogue scale (VAS) in the 7 days after surgery and its relationship with pre- and intraoperative factors. Material and Methods A prospective longitudinal cohort study was made. Fifty-five patients received a questionnaire assessing social and working isolation, eating and speaking ability, diet modifications, sleep impairment, physical appearance, discomfort at suture removal and overall satisfaction. Pain was registered daily on a VAS scale. A descriptive and bivariate analysis of the data was performed. Results Forty-seven patients were included. Pain decreased lineally across the 7 days, and relief was significant between days 2 and 3. Intraoperative complications were significantly associated with pain. The complication that showed the highest pain score was the tuberosity fracture. Conclusions Upper third molar removal significantly affects the patient’s quality of life, particularly during the first 2 days after extraction. Key words:Quality of life, upper third molar, extraction, complications.

http://hdl.handle.net/2445/123322