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Incidence and treatment of complications in patients who had third molars or other teeth extracted.
- Source :
-
The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2018 Jun; Vol. 56 (5), pp. 388-393. Date of Electronic Publication: 2018 Apr 16. - Publication Year :
- 2018
-
Abstract
- The aim of this study was to compare the incidence of complications after extraction of third molars (M3) or other teeth, and to describe their management. We made a retrospective cohort study of patients having M3 or other teeth extracted, and recorded complications up to two years' follow-up. A total of 142 complications developed after 2355 procedures (6%) - 7% after extraction of M3 compared with 5% after extractions of other teeth (p=0.024). The three most common complications were wound infection (2%), pain without apparent cause (<1%), and oroantral communication (<1%). Patients who had M3 extracted were at increased risk of complications compared with those who had other teeth extracted (Odds ratio (OR) 1.5, p=0.024), particularly for infection (OR 5.9, p<0.001) and hypoaesthesia (OR 8.4, p=0.027). Half of all patients with a complication were treated with antibiotics orally. The incidence of postoperative bleeding was 0.6% as a result of suboptimal management of antithrombotic drugs in extractions of teeth other than M3. Finally, optimal treatment of the complications was compared with the available evidence. Prevention and treatment of these complications could reduce the incidence, particularly of bleeding.<br /> (Copyright © 2018. Published by Elsevier Ltd.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents therapeutic use
Child
Dry Socket etiology
Dry Socket therapy
Fibrinolytic Agents therapeutic use
Humans
Hypesthesia etiology
Hypesthesia therapy
Incidence
Middle Aged
Oral Fistula therapy
Pain, Postoperative drug therapy
Postoperative Hemorrhage therapy
Retrospective Studies
Surgical Wound Infection drug therapy
Young Adult
Molar, Third surgery
Postoperative Complications epidemiology
Postoperative Complications therapy
Tooth Extraction adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1532-1940
- Volume :
- 56
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The British journal of oral & maxillofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 29673558
- Full Text :
- https://doi.org/10.1016/j.bjoms.2018.02.001