Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of Postoperative Symptom Findings of the Patients According to the Positions of the Mandibular Third Molars: A Prospective Cohort Study
Mandibular Üçüncü Molar Dişlerin Pozisyonlarına Göre Hastaların Ameliyat Sonrası Semptom Bulgularının Değerlendirilmesi: Prospektif Kohort Çalışması
Nisa Nur AYIRKANa , Cansu ŞAHİNb , Ferit BAYRAMb
aMarmara University Faculty of Dentistry, İstanbul, Türkiye
bMarmara University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2024;30(4):572-8
doi: 10.5336/dentalsci.2024-104631
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to investigate the effects of position and difficulty index scores of impacted third molars on postoperative symptoms severity and oral health. Material and Methods: This study designed as prospective cohort and conducted in Marmara University Faculty of Dentistry between February-May 2024. The sample group consisted of patients who applied to the university's maxillofacial surgery department for mandibular third molar extraction. Data of the population and teeth collected in operation day with The Oral Health Impact Profile-14 (OHIP-14) scores. And seven days after, post-operative scores of the OHIP-14 and The Post-operative Symptom Severity (PoSSe) Scale scores were recorded. Descriptive statistics were calculated for the study variables and The Wilcoxon, The MannWhitney U tests were done. In the findings, a p-value of <0.05 was considered statistically significant. Results: The study included a total of 57 patients. The median pre-operative OHIP-14 score was 12.00, postoperative was 19.00. An increase in scores indicates a deterioration in oral health-related quality of life. Gender and age differences in OHIP14 scores showed no significant difference (p>0.999, p=0.677). No significant relationship was found between OHIP-14 score differences and the Pederson index (p=0.681). The PoSSe Scale was only found to be a significant predictor (p=0.003), indicating a positive relationship with OHIP-14 difference. Conclusion: The impaction position and difficulty index of the third molar tooth alone are insufficient to comment on the patients' post-operative subjective findings.

Keywords: Third molar; impacted tooth; classification; tooth extraction; postoperative period
ÖZET
 Amaç: Bu çalışmanın amacı, gömülü üçüncü molar dişlerin pozisyon ve zorluk indeksi skorlarının ameliyat sonrası semptom şiddeti ve ağız sağlığı üzerindeki etkilerini araştırmaktır. Gereç ve Yöntemler: Bu çalışma, prospektif kohort olarak tasarlanmış ve Şubat-Mayıs 2024 tarihleri arasında Marmara Üniversitesi Diş Hekimliği Fakültesinde yürütülmüştür. Örneklem grubu, üniversitenin çene cerrahisi bölümüne gömülü mandibular üçüncü dişlerin çekimi için başvuran hastalardan oluşmuştur. Popülasyona ve dişlere ait veriler operasyon günü Oral Sağlık Etki Profili-14 [Oral Health Impact Profile-14 (OHIP-14)] skorları ile toplanmıştır. Operasyondan 7 gün sonra ise OHIP-14 ve Postoperatif Semptom Şiddeti (PoSSe) Skalası skorları kaydedilmiştir. Çalışma değişkenleri için tanımlayıcı istatistikler hesaplanmış ve Wilcoxon, Mann-Whitney-U testleri yapılmıştır. Bulgularda p değerinin <0,05 olması istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Çalışmaya toplam 57 hasta dâhil edilmiştir. Ameliyat öncesi ortalama OHIP-14 skoru 12,00, ameliyat sonrası ise 19,00 bulunmuştur. Skorlardaki artış, operasyon sonrası ağız sağlığı ile ilgili yaşam kalitesinde kötüleşmeye işaret etmektedir. OHIP-14 skorlarında cinsiyet ve yaş farklılıkları anlamlı bir fark göstermemiştir (p>0,999, p=0,677). OHIP14 puan farkları ile Pederson indeksi arasında anlamlı bir ilişki bulunmamıştır (p=0,681). OHIP-14 skorlarındaki değişimde, yaş, cinsiyet, dişin zorluk derecesi arasından yalnızca PoSSe anlamlı bulunmuştur (p=0,003) ve OHIP-14 farkı ile pozitif bir ilişki olduğunu göstermiştir. Sonuç: Üçüncü molar dişin gömülülük pozisyonu ve zorluk indeksi, hastaların ameliyat sonrası subjektif bulguları hakkında yorum yapmak için tek başına yetersizdir.

Anahtar Kelimeler: Üçüncü molar; gömülü dişler; sınıflandırma; diş çekimi; postoperatif dönem
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