.: ORİJİNAL ARAŞTIRMA
The Effect of Smoking on Postoperative Complications Following Mandibular Third Molar Operations: Clinical Research
Sigaranın Mandibular Üçüncü Molar Operasyonlarından Sonra Postoperatif Komplikasyonlar Üzerine Etkisi: Klinik Araştırma
Turkiye Klinikleri J Dental Sci. 2023;29(1):7-14
doi: 10.5336/dentalsci.2022-92426
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: Extraction of impacted mandibular third molars are the most common operations in oral and maxillofacial surgery. The most common postoperative complications of this operations are pain, edema, trismus and alveolitis. It has been previously reported that smoking may cause delayed wound healing and increase the risk of postoperatif complications. Therefore, the aim of the present study is to compare the severity of postoperative pain, edema, trismus and alveolitis following third molar surgery between smoking and non-smoking otherwise healthy patients. Material and Methods: Total of 100 otherwise healthy patients who were complained of impacted third molars were participated in this study. Subjects were divided into 4 groups according to the number of cigarette a day smoking. Pain was assessed using a visual analogue scale during the postopertive 7 days, edema and trismus were evaluated by using reference points on postoperative 2nd and 7th days, following that the number of patients with alveolitis and the symptoms of alveolitis were noted. Results: It was determined that postoperative pain, edema, trismus and alveolitis formation were statistically higher in smokers. Conclusion: According to the data obtained postoperative pain, edema and incidence of alveolitis were found to be significantly increased by statistically on patients who were smoking.
Keywords: Smoking; impacted third molar; postoperative complications
Objective: Extraction of impacted mandibular third molars are the most common operations in oral and maxillofacial surgery. The most common postoperative complications of this operations are pain, edema, trismus and alveolitis. It has been previously reported that smoking may cause delayed wound healing and increase the risk of postoperatif complications. Therefore, the aim of the present study is to compare the severity of postoperative pain, edema, trismus and alveolitis following third molar surgery between smoking and non-smoking otherwise healthy patients. Material and Methods: Total of 100 otherwise healthy patients who were complained of impacted third molars were participated in this study. Subjects were divided into 4 groups according to the number of cigarette a day smoking. Pain was assessed using a visual analogue scale during the postopertive 7 days, edema and trismus were evaluated by using reference points on postoperative 2nd and 7th days, following that the number of patients with alveolitis and the symptoms of alveolitis were noted. Results: It was determined that postoperative pain, edema, trismus and alveolitis formation were statistically higher in smokers. Conclusion: According to the data obtained postoperative pain, edema and incidence of alveolitis were found to be significantly increased by statistically on patients who were smoking.
Keywords: Smoking; impacted third molar; postoperative complications
ÖZET
Amaç: Gömülü mandibular üçüncü molar dişlerin çekimi, oral ve maksillofasiyal cerrahide en sık yapılan operasyonlardandır. Bu ameliyatların en sık görülen postoperatif şikâyetleri ağrı, ödem, trismus ve alveolittir. Sigaranın yara iyileşmesini geciktirdiği ve postoperatif komplikasyon riskini artırdığı daha önce bildirilmiştir. Bu nedenle bu çalışmanın amacı, üçüncü molar cerrahisi sonrası postoperatif ağrı, ödem, trismus ve alveolitin şiddetini sigara içen ve sigara içmeyen sağlıklı hastalar arasında karşılaştırmaktır. Gereç ve Yöntemler: Bu çalışmaya gömülü üçüncü büyük azı dişlerinden şikâyetçi olan ve sağlıklı toplam 100 hasta dâhil edildi. Denekler bir günde içtikleri sigara sayılarına göre 4 gruba ayrıldı. Postoperatif 7. gün ağrı görsel analog skala ile değerlendirildi, postoperatif 2. ve 7. günlerde referans noktaları kullanılarak ödem ve trismus değerlendirildi, ardından alveolitli hasta sayısı ve alveolit semptomları not edildi. Bulgular: Sigara içenlerde ameliyat sonrası ağrı, ödem, trismus ve alveolit oluşumunun istatistiksel olarak daha yüksek olduğu belirlendi. Sonuç: Elde edilen verilere göre ameliyat sonrası ağrı, ödem ve alveolit insidansı sigara içen hastalarda istatistiksel olarak anlamlı derecede artmış olarak bulundu.
Anahtar Kelimeler: Sigara içmek; gömülü üçüncü molar; ameliyat sonrası komplikasyonlar
Amaç: Gömülü mandibular üçüncü molar dişlerin çekimi, oral ve maksillofasiyal cerrahide en sık yapılan operasyonlardandır. Bu ameliyatların en sık görülen postoperatif şikâyetleri ağrı, ödem, trismus ve alveolittir. Sigaranın yara iyileşmesini geciktirdiği ve postoperatif komplikasyon riskini artırdığı daha önce bildirilmiştir. Bu nedenle bu çalışmanın amacı, üçüncü molar cerrahisi sonrası postoperatif ağrı, ödem, trismus ve alveolitin şiddetini sigara içen ve sigara içmeyen sağlıklı hastalar arasında karşılaştırmaktır. Gereç ve Yöntemler: Bu çalışmaya gömülü üçüncü büyük azı dişlerinden şikâyetçi olan ve sağlıklı toplam 100 hasta dâhil edildi. Denekler bir günde içtikleri sigara sayılarına göre 4 gruba ayrıldı. Postoperatif 7. gün ağrı görsel analog skala ile değerlendirildi, postoperatif 2. ve 7. günlerde referans noktaları kullanılarak ödem ve trismus değerlendirildi, ardından alveolitli hasta sayısı ve alveolit semptomları not edildi. Bulgular: Sigara içenlerde ameliyat sonrası ağrı, ödem, trismus ve alveolit oluşumunun istatistiksel olarak daha yüksek olduğu belirlendi. Sonuç: Elde edilen verilere göre ameliyat sonrası ağrı, ödem ve alveolit insidansı sigara içen hastalarda istatistiksel olarak anlamlı derecede artmış olarak bulundu.
Anahtar Kelimeler: Sigara içmek; gömülü üçüncü molar; ameliyat sonrası komplikasyonlar
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