Amaç: Bu çalışmanın amacı, gömülü üçüncü molar diş cerrahisi sonrasında hastaların uyku kalitesini değerlendirmek ve uyku kalitesi ile ağrı arasındaki ilişkiyi incelemektir. Gereç ve Yöntemler: Gömülü mandibular üçüncü molar dişi bulunan ve çalışmaya katılmayı kabul eden yaş aralığı 18-40 yıl olan toplam 100 hasta çalışmaya dâhil edildi. Hastalar 50 kadın ve 50 erkek hasta olarak iki ayrı gruba ayrıldı. Operasyon öncesi ve sonrası uyku kalitesini değerlendirmek için Richards-Campbell Uyku Anketi kullanıldı. Richards-Campbell Uyku Anketi preoperatif ve postoperatif 1, 2, 3, 4, 5, 6 ve 7. günlerde değerlendirildi. Ağrı seviyelerini değerlendirmek için ise postoperatif 1, 2, 3, 4, 5, 6 ve 7. günlerde 10 cm'lik vizüel analog skalası kullanıldı. Bulgular: Hastaların yaş ortalaması 24,40±5,16 yıl olarak bulunmuştur. Postoperatif ağrı ilk gün maksimum düzeyde belirlenmiştir. Kadın hastalardaki postoperatif ağrı düzeyi erkek hastalardan daha şiddetli olarak saptanmıştır (p<0,05, p<0,001). Hastaların uyku kaliteleri ilk günlerde şiddetli düzeyde bozulmuş, daha sonra düzelmiştir. Postoperatif ağrı düzeyleri yüksek olan hastalarda, ameliyat sonrası uyku problemlerinin daha sık olduğu saptanmıştır. Sonuç: Gömülü mandibular üçüncü molar dişlerin cerrahi olarak çıkarılması, hastaların yakın postoperatif dönemde uyku ve yaşam kalitesinin kötüleşmesine neden olabilmektedir. Hastalar cerrahi çekim öncesi bu konu hakkında bilgilendirilmeli ve bu istenmeyen etkiyi azaltmanın yolları araştırılmalıdır.
Anahtar Kelimeler: Azı dişi, üçüncü; oral cerrahi; postoperatif ağrı; uyku; uyku bozuklukları; uykusuzluk
Objective: The aim of this study is to evaluate the sleep quality and relationship between the sleep quality with pain following the impacted third molar surgery. Material and Methods: A total of 100 patients between the ages of 18-40 with impacted mandibular third molars, WHO consented to participate in this study, were included. The patients were divided into two groups as 50 female and 50 male patients. The Richards-Campbell Sleep Questionnaire was used to evaluate sleep quality of before and after surgery. The Richards-Campbell Sleep Questionnaire was assessed preoperatively and on postoperative days 1, 2, 3, 4, 5, 6 and 7th. In order to evaluate the pain levels, the visual analogue scale of 10 cm was used on the 1, 2, 3, 4, 5, 6 and 7th days postoperatively. Results: The mean age of the patients was 24.40±5.16. The severity of the postoperative pain was maximal on the first day. Postoperative pain levels of female patients were higher than male patients (p<0.05, p<0.001). Patients' overall quality of sleep deteriorated sharply on the first day and subsequently improved. Patients experienced high levels of postoperative pain had a higher frequency of significant postoperative sleeping problems. Conclusion: Surgical extraction of impacted mandibular third molars could be worsening of patients? postoperative quality of sleep and life in the immediate postoperative period. Patients should be informed about this before surgical extraction, and ways of reducing this untoward effect should be explored.
Keywords: Molar, third; oral surgery; postoperative pain; sleep; sleep disorders; sleeplessness
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