Abstract
Background
The decision to get impacted teeth removed is not straightforward because of the concerns about its possible outcome. Assessment of quality of life is now regarded as an essential component for assessing outcomes of dental health care. The purpose of this paper is to assess the effect of impacted third molar teeth surgery on a number of health related outcomes.
Patients and methods
A total of 72 patients undergoing surgical removal of their unilateral impacted mandibular third molar teeth were recruited to participate in this study. Patients were asked to complete two questionnaires, 14-item Oral Health Impact Profile (OHIP-14) and the 16-item UK Oral Health related Quality of Life measure questionnaire (OHQOLUK-16) daily for one week following surgery.
Results
There was significant decrease in the mean OHQOLUK-16 score and OHIP-14 scores for the first five postoperative days. There were no significant differences in changes in the mean OHIP-14 scores or OHQOLUK-16 scores on postoperative day 6 and 7.
Conclusion
There was a significant deterioration in oral health related quality of life in the immediate postoperative period, which slowly returned to preoperative level by day 6. This information may be useful in creating realistic expectation for patients who are considering third molar surgery.
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References
Flick MG (1999) Third molar controversy: framing the controversy as a public health policy issue. J Oral Maxillofac surg 57(4): 438–444
Thomas D, Walker R, Smith A, Shephered J (1994) The provision of oral surgery services in England and Wales 1984–1991. Br Dent J 176(6): 215–219
Van der Sanden WJ, Mettes DG, Plasschaert AJ, Grol RP, van’t Hof MA, Knutsson K, Verdonschot EH (2002) Effect of selected literature on dentists’ decisions to remove asymptomatic, impacted lower third molars. Eur J Oral Sci 110(1): 2–7
Zadik Y, Levin L (2007) Decision making of Israeli, East European, and South American dental school graduates in third molar surgery: is there a difference? J Oral Maxillofac Surg 65(4): 658–662
Moles DR, Simper RD, Bedi R (1998) Dental negligence: a study of cases assessed at one specialized advisory practice. Br Dent J 184(3): 130–133
Lopes V, Mumenya R, Feinmann C, Harris M (1995) Third molar surgery: an audit of the indications for surgery, postoperative complaints and patients satisfaction. Br J Oral Maxillofac Surg 33(1): 33–35
Mercier P, Precious D (1992) Risks and benefits of removal of impacted third molar. A critical review of the literature. Int J Oral Maxillofac Surg 21(1): 17–27
Mc Grath C, Bedi R (1999) A review of influences of oral health on the quality of life. Int J Health Educ 37(4): 116–119
Hennessy CH, Moriarty DG, Zac MM, Scherr PA, Brackbill R (1994) Measuring health-related quality of life for public health survillence. Public Health Rep 109(5): 665–672
Mc Grath C, Bedi R(1999) The value and use of ‘quality of life’ measures in the primary dental care setting. Primary Dent Care 6(2): 53–57
Slade Gd (1997) Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 25(4): 284–290
Mc Grath C, Bedi R (2001) An evaluation of a new measure of oral health related quality of life-OHQoLUK. Community Dent Health 18(3): 138–143
Savin J, Ogden Gr (1997) Third molar surgery- a preliminary report on aspects affecting quality of life in the early postoperative period. Br J Oral Maxillofac Surg 35(4): 246–253
Olschewski M, Schulgen G, Schumacher M, Altman DG (1994) Quality of life assessment in clinical cancer research. Br J Cancer 70(1): 1–5
Shugars DA, Benson K, White RP, Simpson KN, Bader JD (1997) Developing a measure of patient perceptions of short-term outcomes of third molar surgery. J Oral Maxillofac Surg 54(12): 1402–1408
Mc Grath C, Comfort MB, Lo EC, Luo Y (2003) Changes in quality following third molar surgery-the immediate postoperative period. Br Dent J 194(5): 265–268
White RP, Shugars DA, Shafer DM, Laskin DM, Buckley MJ, Phillips C (2003) Recovery after third molar surgery: Clinical and health-related quality of life outcomes. J Oral Maxillofac Surg 61(5): 535–544
Shugars DA, Gentile MA, Ahmad N, Stavropoulos MF, Slade GD, Phillips C, Conrad SM, Fleuchaus PT, White RP (2006) Assessment of oral health-related quality of life before and after third molar surgery. J Oral Maxillofac Surg 64(12): 1721–1730
Colorado-Bonnin M, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C (2006) Quality of life following lower third molar removal. Int J Oral and Maxillofac Surg 35(4): 343–347
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Deepti, C., Rehan, H.S. & Mehra, P. Changes in quality of life after surgical removal of impacted mandibular third molar teeth. J. Maxillofac. Oral Surg. 8, 257–260 (2009). https://doi.org/10.1007/s12663-009-0063-2
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DOI: https://doi.org/10.1007/s12663-009-0063-2