关键词: postoperative pain surgical extraction swelling third molars trismus

来  源:   DOI:10.7759/cureus.51207   PDF(Pubmed)

Abstract:
OBJECTIVE: To study the impact of tooth sectioning on postoperative pain, swelling, and trismus after surgical extraction of impacted mandibular third molars.
METHODS: The present research was conducted on a sample of 100 individuals who were in good health. The participants had an average age of 28 years and were seeking treatment at the Department of Oral and Maxillofacial Surgery for the extraction of impacted mandibular third molars. The participants were allocated randomly to one of the two experimental conditions. The patients in Group A are receiving a surgical procedure to remove the mandibular third molar without the need for tooth sectioning. The study focuses on patients classified as Group B who are having a surgical procedure for the extraction of the mandibular third molar using dental sectioning.
RESULTS: The Group B patients saw a notable decrease in pain intensity on the third and seventh days after the surgery. The mean difference in pain scores was 4.15±0.54 and 1.69±0.11, respectively, indicating statistically significant findings with a p-value of less than 0.05. The study observed statistically significant differences in swelling between the 1st, 3rd, and 7th postoperative days for group II. The mean differences were recorded as 149.85±5.86, 119.25±4.22, and 107.52±, respectively. The significance level was determined to be P<0.05. The study observed that the degree of mouth opening in Group B exhibited a significant rise on the 3rd and 7th postoperative days, with a mean difference of 40.87±3.69 and 43.15±3.29, respectively, as compared to Group A. This difference was found to be statistically significant, with a p-value of less than 0.05.  Conclusion: The findings of our research indicate that the technique of sectioning the tooth is the preferable approach for surgical extraction of impacted third molars, as it effectively reduces the occurrence of post-operative problems.
摘要:
目的:研究牙齿切开术对术后疼痛的影响,肿胀,下颌阻生第三磨牙手术拔除后的三端肌。
方法:本研究是对100名健康状况良好的个体进行的。参与者的平均年龄为28岁,正在口腔颌面外科寻求治疗,以拔除下颌阻生的第三磨牙。参与者被随机分配到两个实验条件之一。A组的患者正在接受外科手术以去除下颌第三磨牙,而无需进行牙齿切分。该研究的重点是被归类为B组的患者,他们正在进行外科手术以使用牙齿切开术拔除下颌第三磨牙。
结果:B组患者在手术后第3天和第7天疼痛强度显著降低。疼痛评分的平均差异分别为4.15±0.54和1.69±0.11,表明具有统计学意义的结果,p值小于0.05。该研究观察到1岁之间肿胀的统计学差异,3rd,和术后第7天的第二组。平均差异记录为149.85±5.86、119.25±4.22和107.52±,分别。显著性水平确定为P<0.05。该研究观察到,B组的张口程度在术后第3天和第7天显着升高,平均差分别为40.87±3.69和43.15±3.29,与A组相比,发现这种差异具有统计学意义,p值小于0.05。结论:我们的研究结果表明,切牙技术是手术拔除阻生第三磨牙的首选方法。因为它有效地减少了术后问题的发生。
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