.: ORİJİNAL ARAŞTIRMA
Evaluation of Quality of Life and Related Factors in Dry Socket (Alveolar Osteitis) Cases: A Cross-Sectional Clinical Study
Kuru Soket (Alveolar Osteit) Vakalarında Yaşam Kalitesi ve İlişkili Faktörlerin Değerlendirilmesi: Kesitsel Bir Klinik Çalışma
Turkiye Klinikleri J Dental Sci. 2025;31(2):173-81
doi: 10.5336/dentalsci.2024-105274
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: Dry socket (alveolar osteitis) is an annoying condition for patients with symptoms such as severe pain after tooth extraction, bad odor/taste in the mouth, and difficulty in eating. This study aims to examine the quality of life and related factors in patients diagnosed with dry socket after tooth extraction. Material and Methods: In this observational clinical study, 151 cases diagnosed with dry socket in a university hospital's oral and maxillofacial surgery clinic were included. The patients' pain and jaw function levels were evaluated with a visual analog scale (VAS). The quality of life was asseses using Oral Health Impact Profile-14 (OHIP-14) questionnaire. Results: 151 cases (55 men, 96 women) aged between 19 and 84 years (mean age: 41.74±12.42) diagnosed with alveolar osteitis were included in the study. The mean OHIP-14 score of all participants was 20.38. More than half of the dry socket cases (55%) were seen in the mandibular molar region, and the quality of life in dry socket cases developing in this region was worse than the others. A positive correlation was seen between the patients' VAS pain level and OHIP-14 scores, and a negative correlation was seen between VAS-function levels and OHIP-14 scores. Conclusion: In dry socket cases, as the pain level increases and the function level decreases, the patients' quality of life worsens. Clinicians should consider patients' quality of life along with clinical findings in the diagnosis and treatment of dry socket.
Keywords: Alveolar osteitis; dry socket; life quality; pain; tooth extraction
Objective: Dry socket (alveolar osteitis) is an annoying condition for patients with symptoms such as severe pain after tooth extraction, bad odor/taste in the mouth, and difficulty in eating. This study aims to examine the quality of life and related factors in patients diagnosed with dry socket after tooth extraction. Material and Methods: In this observational clinical study, 151 cases diagnosed with dry socket in a university hospital's oral and maxillofacial surgery clinic were included. The patients' pain and jaw function levels were evaluated with a visual analog scale (VAS). The quality of life was asseses using Oral Health Impact Profile-14 (OHIP-14) questionnaire. Results: 151 cases (55 men, 96 women) aged between 19 and 84 years (mean age: 41.74±12.42) diagnosed with alveolar osteitis were included in the study. The mean OHIP-14 score of all participants was 20.38. More than half of the dry socket cases (55%) were seen in the mandibular molar region, and the quality of life in dry socket cases developing in this region was worse than the others. A positive correlation was seen between the patients' VAS pain level and OHIP-14 scores, and a negative correlation was seen between VAS-function levels and OHIP-14 scores. Conclusion: In dry socket cases, as the pain level increases and the function level decreases, the patients' quality of life worsens. Clinicians should consider patients' quality of life along with clinical findings in the diagnosis and treatment of dry socket.
Keywords: Alveolar osteitis; dry socket; life quality; pain; tooth extraction
ÖZET
Amaç: Kuru soket (alveoler osteit), diş çekimi sonrası şiddetli ağrı, ağızda kötü koku/tat, yemek yemede zorluk gibi semptomları olan hastalar için rahatsız edici bir durumdur. Bu çalışmanın amacı, diş çekimi sonrası kuru soket tanısı alan hastalarda yaşam kalitesini ve ilişkili faktörleri incelemektir. Gereç ve Yöntemler: Bu gözlemsel klinik çalışmaya bir üniversite hastanesinin ağız diş ve çene cerrahisi kliniğinde kuru soket tanısı konulan 151 olgu dâhil edildi. Hastaların ağrı ve çene fonksiyon düzeyleri görsel analog skala [visual analog scale (VAS)] ile değerlendirildi. Yaşam kalitesi Ağız Sağlığı Etki Profili-14 [Oral Health Impact Profile-14 (OHIP-14)] anketi kullanılarak değerlendirildi. Bulgular: Çalışmaya yaşları 19-84 arasında değişen (ortalama yaş: 41,74±12,42) alveolar osteit tanısı alan 151 (55 erkek, 96 kadın) olgu dâhil edildi. Tüm katılımcıların OHIP-14 puanı ortalaması 20,38 idi. Kuru soket vakalarının yarısından fazlası (%55) mandibular molar bölgede görüldü ve bu bölgede gelişen kuru soket vakalarının yaşam kalitesi diğerlerine göre daha kötüydü. Hastaların VAS ağrı düzeyi ile OHIP-14 skorları arasında pozitif korelasyon, VAS fonksiyon seviyeleri ile OHIP-14 skorları arasında ise negatif korelasyon gözlendi. Sonuç: Kuru soket olgularında ağrı düzeyi arttıkça ve fonksiyon düzeyi azaldıkça hastaların yaşam kalitesi kötüleşmektedir. Klinisyenler kuru soketin tanı ve tedavisinde klinik bulguların yanı sıra hastanın yaşam kalitesini de göz önünde bulundurmalıdır.
Anahtar Kelimeler: Alveolar osteitis; kuru soket; yaşam kalitesi; ağrı; diş çekimi
Amaç: Kuru soket (alveoler osteit), diş çekimi sonrası şiddetli ağrı, ağızda kötü koku/tat, yemek yemede zorluk gibi semptomları olan hastalar için rahatsız edici bir durumdur. Bu çalışmanın amacı, diş çekimi sonrası kuru soket tanısı alan hastalarda yaşam kalitesini ve ilişkili faktörleri incelemektir. Gereç ve Yöntemler: Bu gözlemsel klinik çalışmaya bir üniversite hastanesinin ağız diş ve çene cerrahisi kliniğinde kuru soket tanısı konulan 151 olgu dâhil edildi. Hastaların ağrı ve çene fonksiyon düzeyleri görsel analog skala [visual analog scale (VAS)] ile değerlendirildi. Yaşam kalitesi Ağız Sağlığı Etki Profili-14 [Oral Health Impact Profile-14 (OHIP-14)] anketi kullanılarak değerlendirildi. Bulgular: Çalışmaya yaşları 19-84 arasında değişen (ortalama yaş: 41,74±12,42) alveolar osteit tanısı alan 151 (55 erkek, 96 kadın) olgu dâhil edildi. Tüm katılımcıların OHIP-14 puanı ortalaması 20,38 idi. Kuru soket vakalarının yarısından fazlası (%55) mandibular molar bölgede görüldü ve bu bölgede gelişen kuru soket vakalarının yaşam kalitesi diğerlerine göre daha kötüydü. Hastaların VAS ağrı düzeyi ile OHIP-14 skorları arasında pozitif korelasyon, VAS fonksiyon seviyeleri ile OHIP-14 skorları arasında ise negatif korelasyon gözlendi. Sonuç: Kuru soket olgularında ağrı düzeyi arttıkça ve fonksiyon düzeyi azaldıkça hastaların yaşam kalitesi kötüleşmektedir. Klinisyenler kuru soketin tanı ve tedavisinde klinik bulguların yanı sıra hastanın yaşam kalitesini de göz önünde bulundurmalıdır.
Anahtar Kelimeler: Alveolar osteitis; kuru soket; yaşam kalitesi; ağrı; diş çekimi
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