ABSTRACT
The objective of this research was to analyze the impact of duration of surgery on post-operative pain and swelling after surgical removal ofmandibular third molars
This study was planned as double blind randomized clinical trial that comprised of 60 patients experiencing unilateral mandibular third molar extraction who were recruited into two groups before surgery on the basis of bone cutting method. The study duration was three months, executed at Department of Oral and Maxillofacial Surgery, Dow International Dental College, Dow University of Health Sciences, Karachi. Post-operative complications [pain and swelling] were assessed pre operatively and then on 3rd and 7th day post operatively using visual analogue scale and objective scale for swelling measurement using five anatomical points on face. Surgery duration was divided into two groups, 10-20 minutes group and 20 minutes onwards
Mann Whitney test was used to assess the impact of duration on pain and swelling in both groups. In 10-20 minutes group, mean difference for pain on day one, day 3 and day 7 was calculated with p-value of 0.15, 0.641 and 0.081 respectively while in group having surgery duration of 20 minutes and more, the computed p-value were 0.002, 0.0168 and 0.02 respectively. Mean difference for swelling was calculated in both bone cutting groups with p-value of 0.0916 in 10- 20 minute group and 0.004 in 20 minute onward group
Increasing time duration was associated with more pain and swelling irrespective of the method used for bone cutting. Conventional slow speed hand piece used for bone cutting was associated with less post-operative complications
Subject(s)
Humans , Male , Female , Adult , Pain, Postoperative , Mandibular Injuries , Tooth, Impacted/surgeryABSTRACT
Post-operative pain and discomfort after endodontic treatment is an unwanted occasion for both the patient and the dentist. A flare up is a true complication characterized by the development of pain and swelling and requires emergency treatment. Certain factors such as pre-operative pain, numbers of appointments, use of intra-canal medication and tooth location, predispose to the development of post-operative pain and flare-ups. The purpose of this study is to analyze the incidence of post-obturation flare-ups in teeth following single visit and multiple visits Root Canal Treatment in Operative dentistry Department, Baqai Dental College, 2010 to 2011. To observe effect of: [1] skill and experience, [2] Single and multiple visits [3] Gender. Total 60 patients requiring endodontic treatment in single rooted teeth were identified and included in this study. The patients were randomly assigned and treated in the department of Operative dentistry, Baqai Dental College into two groups. The teeth of patients in group 1 were with vital inflamed pulp treated in single visit. Group 2 were with vital inflamed pulp treated in multiple visits. They were asked whether they had experienced any postoperative pain within 1 hr, within 24 hrs, within 48 hrs. Dental practitioners included in this study were fresh graduates [C1], graduates with 5 years [C2] and 10+years [C3] clinical experience. Data was analyzed statistically using the chi-square test, SPSS version 19. P-value was set at 0.001. 3 males and 5 females patients complained of pain within 24 hrs of obturation that was sharp in nature and spontaneous; no complaint of pain was reported after 24 hrs without medication. The flare-up incidence came out to be 13.3%. All patients in this study suffered irrereversible pulpitis in which 25 were obturated in single visit, 30 in multiple visits in which 5:3complained of pain after obturation within 24 hrs. Fresh graduates performed root canal therapy on 20 patients, 20 with 5+years and 20 with 10+years clinical experience and the flare-up ratio regarding clinical experience was found to be 4:3:1 respectively. It was concluded that the incidence of flare-up or post obturation pain is related to the number of visits, clinical experience of the dentist and gender of the patient