PROPHYLACTIC VERSUS SYMPTOMATIC THIRD MOLAR REMOVAL: EFFECTS ON PATIENT POSTOPERATIVE MORBIDITY

Main Article Content

Dr Nida Shams
Dr Danish
Dr Farwa Ghulam
Dr Sehrish Zia
Dr Danish Cyrus Asphandiar
Dr Sanam Faheem
Dr Sufyan Ahmed

Keywords

third molar, symptoms, swelling

Abstract

Objective: The objective of this research was to assess differences in postoperative morbidity following prophylactic and symptomatic 3rd molar extraction.


Methods: In this randomized controlled trial, two groups of patients were assigned based on whether their third molar extractions were performed as a preventive measure or in response to symptoms. Throughout the treatment period, two follow-up visits were conducted to monitor the patients. Data was collected through assessments conducted before, during, and after the surgery (on days 3 and 10). Patient characteristics such as age, gender, reason for extraction, extraction method, anesthesia type, and the number of maxillary and/or mandibular third molars removed were considered as predictive factors. The objective was to determine the probability of experiencing postoperative discomfort symptoms on days 3 and 10. Statistical analysis using the chi-square test and T-test was performed to compare the outcomes, with a significance level of p < 0.05.


Results: A total of 102 patients participated, with 51 in each group. The mean age was 36.366 ± 11.582 years for the prophylactic group and 39.052 ± 10.78 years for the symptomatic group. The age groups were divided into three categories: 18-25, 25-35, and >35. The distribution of age groups varied between the two groups. In terms of gender, both groups had a similar distribution of males and females, with a slight difference in percentages.The results showed varying levels of discomfort among patients immediately after the procedure and at day 10. Pain, trismus, and swelling decreased over time, while the usage of painkillers decreased significantly by day 10. The p-values associated with these outcomes were calculated, indicating statistical significance in the differences observed between the two groups.


Conclusion: The results of the study provide valuable insights into the postoperative experiences and outcomes of both prophylactic and symptomatic third molar extractions, highlighting the changes in pain, painkiller usage, trismus, and swelling over the course of the recovery period.

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