Third Molar Surgery: Risk Factors and Complications after Removal of Third Molars
Syed Zuhair Mehdi, Faizan Munir Khan, Nighat Shafiq, Sarah Salim, Muhammad Amer Khan, Karishama Ali
3520
ABSTRACT
Objective: There is a need for this research because it
aims to identify characteristics that increase the likelihood of negative
outcomes following the removal of third molars.
Study Design: Observational/transversal study
Place and Duration: Dental College HITEC-IMS Taxilla/
Gulraiz Dental Clinic Quaid Avenue Main Road, Gulraiz 3, Rawalpindi. Nov
2020-June 2021
Methods: A total of 180 male and female
participants were included in this study. The patients ranged in age from
20 to 50. Pericoronitis and tooth impaction were among the complaints of the
patients included in the study. The oral and maxillofacial department operated
on all of the patients who requested the removal of their third molars. All
patients provided written consent before having their personal data collected,
including their age, gender, BMI, kind of impaction, and location of their
third molar. Various operative variables were employed. In our research, we
looked at post-operative complications and risk variables. The whole data was
analyzed with SPSS 23.0.
Results: 110 (61.1%) patients were males and 70
(38.9%) cases were females. 28.17±9.47 years were the mean age with mean BMI
24.11±3.65 kg/m2. Most of the teeth impacted in left side found in
102 (56.7%) patients. Most common type of impaction was mesioangular among 90
(50%) cases followed by distoangular 45 (23.7%) cases. Majority of the third
molars were fully impacted 120 (66.7%), 38 (21.1%) were partially impacted and
frequency of erupted tooth was 22 (12.2%). All the third molars were removed by
buccal guttering technique under local anesthesia. Post-operative infection was
the most common complication found in 80 (44.4%) cases followed by gingival
defect in 27 (15%) radicular fractures in 24 (13.3%) cases. Location of the
third molar and bone removal was the most common factor found.
Conclusion: There was an increased risk of problems with
tooth sectioning, bone removal, and/or tooth localization in patients above the
age of 22. Both the evaluation of the indications for the removal of third
molars and the process of informed consent should reflect this information.
Keywords: Third Molars, Surgery, Anesthesia,
Complications, Impactions