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Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology


Assessment of complications occurring after third molar removal: A retrospective study


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Author Details: Khemraj Agarwal, Hemanth Kumar HR, Rakesh Sharma, Chandrakala TP

Volume : 3

Issue : 3

Online ISSN : 2395-6194

Print ISSN : 2395-6186

Article First Page : 164

Article End Page : 168


Abstract

 Introduction: Removal of third molar is the most frequently performed procedure associated with a wide array of complications. The most commonly encountered complications are pain, paresthesia, trismus, swelling and mandibular fractures. The aim of present study was to evaluate and estimate the prevalence of complication associated with wisdom tooth removal and its association with age.
Materials and Method: This study was conducted in the Triveni Institute of Dental Sciences, Hospital & Research Centre, Bilaspur, Chhattisgarh. All the surgical removal of third molars which were performed in the Department of Oral and Maxillofacial Surgery during 1 year period from April 2016 - March 2017 were retrospectively analysed and included in the study. Presence of post operative complications like pain (more than 3 days), paresthesia, mandibular fracture, Alveolar osteitis (dry socket), bleeding, trismus or edema along with demographic features and the type of impaction were noted. The data was arranged in a tabulated form and analyzed using SPSS software. The variables were analyzed and P value of less than 0.05 was considered significant.
Result: There were 117 males and 113 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. In our study pain was the most commonly encountered complication, seen in 57.4% of the subjects. Pain was followed by swelling which was seen in 42.2% of the subjects. Trismus ranked third, seen in 23.2% of subjects. There was a significant difference in pain levels amongst the three age groups in which pain most frequently seen in less than years of age 20 (21.6%) and least frequently seen amongst 20-40 years of age(15.2%).
Conclusion: Pain was the most common complication followed by swelling and Trismus.

Keywords:
Pain, Paresthesia, Swelling, Trismus, Wisdom

Doi No:-10.18231