Online ISSN: 2515-8260

Keywords : trismus


ASSESSMENT OF FREQUENCY ESTIMATE AND ASSESSMENT OF RISK FACTORS IN THIRD MOLAR REMOVAL

Ajay Pillai, Abhishek Pathak

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 226-231

Background: Surgical removal of the third molar is one of the most common surgical procedures performed as a day case or as an inpatient. The present study was conducted to assess frequency estimate and assessment of risk factors in third molar removal.
Materials & Methods: 78 patients undergoing third molar extraction of both genders were recruited. Level of impaction (soft tissue, partial bony, or total bony), angulation, and the presence or absence of an inflammatory condition associated with the impaction, type of anesthesia (local anesthesia alone or local anesthesia and sedation), type of flap (envelop or triangular), bone removal and postoperative complications were recorded.
Results: Out of 78 patients, males were 42 and females were 36. Alveolar osteitis was present in 5, trismus in 8, infection in 4 and paresthesia LN in 7 cases. The difference was significant (P< 0.05). Maximum cases of alveolar osteitis had mesio- angular impaction (2), anesthesia used was LA+ sedation (3), triangular flap (4) and partial bony (3) level of impaction. Maximum cases of trismus had mesio- angular impaction (4), anesthesia used was LA+ sedation (5), triangular flap (5) and partial bony (5) level of impaction. Maximum cases of infection had mesio- angular impaction (4), anesthesia used was LA+ sedation (5), triangular flap (5) and partial bony (5) level of impaction. Maximum cases of paresthesia LN had mesio- angular impaction (4), anesthesia used was LA+ sedation (5), triangular flap (4) and partial bony (4) level of impaction.
Conclusion: Common complication found were alveolar osteitis, trismus, infection and paresthesia LN. Most commonly mesio- angular impaction, LA+sedation, triangular flap and partial bony level of impaction was the leading cause.