Evaluation of complications in postoperative of thirdmolar extraction

Morgana Marielle de Almeida Costa, Layane Maria de Sousa, Leonardo Alonso de Moura


OBJECTIVE: This study aimed to analyze parameters such as the presence of trismus, facial swelling, postoperative pain, paresthesia of the inferior alveolar and lingual nerve, alveolitis, late bleeding and correct use of prescribed medications. Relating the complication rates with age, gender and proper use of medications prescribed.
METHODS: This study evaluated 20 patients who have gone through removal of third molars, using questionnaires applied by researchers in the postoperative period of seven days in the graduate and professional qualifications Pós-Doc center from April to May/2015.
RESULTS: It was observed that 45% of the patients had pain, 45% had trismus, 15% had paresthesia, 85% had late light bleeding, 5% had fever, malaise or discharge from the surgical site and 45% had facial swelling.
CONCLUSION: The more frequent complications found were pain and late bleeding, with no association between pain and gender and pain and age.


Third molar; Complications; Postoperative

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Chuang SK, Perrott DH, Dodson TB. Age as a risk fatorfor a third molar surgery complications. J Oral MaxillofacSurg. 2007;65:1685-92,. https://doi.org/10.1016/j.joms.2007.04.019

Kato RB, Bueno RBL, Oliveira Neto PJ, Ribeiro MC, Azenha MR. Acidentes e complicações associados à cirurgia dos terceiros molares realizada por alunos de odontologia. Ver. Cir. Traumatol. Buco-Maxilo-Fac. Camaragibe. 2010;10(4):45-54.

Bui Chi H, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extration. American Association of oral and Maxillofacial surgeons. J oral maxilla fac Surg. 2003;61:1379-89.

Benediktsdóttir IS, Wenzel A, Petersen JK, Hintze H . Mandibular third molar removal: Risk indicators for extend operation time, postoperative pain, and complications. Oral Surgery Oral Medicine Oral Pathology Oral Radio Endod. 2014;97(4):438-46. https://doi.org/10.1016/j.tripleo.2003.10.018

Zanatta J, Hafner MB, Rolim GS, Moraes ABA. Informação prévia face a face e controle da dor em exodontia de terceiros molares. Rev Dor. São Paulo, 2012;13(3):249-55.

Kjølle GK, Bjørnland T. Low risk of neurosensory dysfunction after mandibular third molar surgery in patients less than 30 years of age. A prospective study following removal of 1220 mandibular third molar. Oral and Maxillofacial Surgery. 2013;116(4). https://doi.org/10.1016/j.oooo.2013.06.024

Negreiros RM. Cirurgia de terceiros molares: avaliação da dor, edema, qualidade de vida e variações conforme posição dental. 2010. Dissertação (Mestrado em Odontologia Social) – Faculdade de Odontologia, Universidade de São Paulo, São Paulo, 2010.

Disponível em: . Acesso em: 2014-11-28.

Foy SP, Slade GD, Shugars DA, Phillips C, White Jr RP. The impact of third molar symptoms on oral health related quality of life. J Oral Maxillofac Surg. 2003;61(8): 25b-6. https://doi.org/10.1016/S0278-2391(03)00508-1

Aguiar ASW, Oliveira ACX, Martins PC, Freire ROM. Avaliação do grau de abertura bucal e dor pós-operatória após a remoção de terceiros molares inferiores retidos. Rev. Cir. Traumatol. Buco-Maxilo-Fac., Camaragibe 2005;5(3):57-64. Disponível em:. Acesso em: 05/11/2014.

Capuzzi P, Montebugnoli L, Vaccaro MA.Extraction of impacted third molars a longitudinal prospective study on factor that affect postoperative recovery. Oral Surg Oral Med Oral Pathol. 1994;77(4):341-3. https://doi.org/10.1016/0030-4220(94)90194-5

Pires CP, Ferraz MB, de ABREU mh. Translationinto Brazilian portuguese, cultural adaptationandvalidationof Oral Health Impact Profile (OIHIP-49). Braz Oral Res. 2006;20(3):263-8. https://doi.org/10.1590/S1806-83242006000300015

Couthard P, Pleuvry BJ, Dobson M, Price M.Behavioral measurement of postoperative pain after oral surgery. Br J Oral MaxillofacSurg. 2000;38(2):127-31. https://doi.org/10.1054/bjom.1999.0188

Worral SF, Riden K, Haskell R, Corrigan AM. UK National Third Molar Project: The initial report. Br J Oral Maxillofac Surg. 1998;36(1):14-8. https://doi.org/10.1016/S0266-4356(98)90740-9

White Jr RP, Shugars DA, Shafer DM, Laskin DM, Buckley MJ, Phillips C. Recovery afterthird molar surgery: clinicalandhealthrelatedqualityoflifeoutcomes. J Oral Maxillofac Surg. 2003;61:535-44. https://doi.org/10.1053/joms.2003.50106

Grossi GB, Maiorana C, Garramone RA, Borgonovo A, Creminelli L, Santoro F. Assessing Postoperative Discomfort After Third Molar Surgery: A Prospective Study. Oral Maxillofac Surg. 2007;65(5):901-17. https://doi.org/10.1016/j.joms.2005.12.046

Colorado-Bonnin M, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C. Quality of life following lower third molar removal. Int J Oral Maxillofac Surg. 2006; 35(4):343-7. https://doi.org/10.1016/j.ijom.2005.08.008

Araújo OC, Agostinho CNLF, Marinho LMRF, Rabêlo LRS, Bastos EG,

Silva VC. Accidents and complications incidence in third molar surgeries. Rev Odonto UNESP. 2011;40(6):290-295. Disponível em:. Acesso em:06/11/2014.

Kim JC, Choi SS, Wang SJ, Kim SG. Minor complications after mandibular third molar surgery: type, incidence, and possible prevention.Oral Surg Oral Med Oral Pathol Oral RadiolEndod. 2006;102(2):e4-11.

Yuasa H, Sugira M. Clinical postoperative findings after removal of

impacted mandibular third molars: prediction of postoperative facial swelling and pain based on preoperative variable. BR J Oral Maxillofac Surg. 2004;42(3):209-14. https://doi.org/10.1016/j.bjoms.2004.02.005

Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Sug Oral Med Oral Pathol. 1993;76:412-20. https://doi.org/10.1016/0030-4220(93)90005-O

Dionne RA, Gordon SM, Rowan J, Kent A, Brahim JS. Dexamethasone suppresses peripheral prostanoid levels without analgesia in a clinical model of acute inflammation. J OralMaxillofacSurg. 2003;61(9):997-1003. https://doi.org/10.1016/S0278-2391(03)00310-0

Tiigimae-Saar J, Leibur E, Tamme T. The effect of prednisolone on reduction of complaints after impacted third molar removal. Stomatologija. 2010;12(1):17-22,

Haugh RH, Perrott DH, Gonzalez ML, Talwar RM. The American association of oral and maxillofacial age-related third molar surgery. J Oral and Maxillofac. Surg. 2005;63(8):1106-14. https://doi.org/10.1016/j.joms.2005.04.022

DOI: http://dx.doi.org/10.15448/1980-6523.2017.1.22679

e-ISSN: 1980-6523

ISSN-L: 0102-9460


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