Influence of Age ,Operative Time and Types of  Impaction on Post Operative Tissue Reaction  Following Mandibular Third Molar Impactions in  Male Adults : A Single Institutional Experience.

Dr Samir Mansuri; Dr .Mohammad Sami Ahmed

Volume : II, Issue : IX, September - 2013

Influence of Age ,Operative Time and Types of Impaction on Post Operative Tissue Reaction Following Mandibular Third Molar Impactions in Male Adults : A Single Institutional Experience.

Dr Samir Mansuri, Dr . Mohammad Sami Ahmed

Abstract :

Objectives: This paper investigate the relationship between effect of age, type of impaction and operative time on pain, swelling and trismus following mandibular third molar surgery.. Methods: Consecutive patients with impacted mandibular third molar teeth were studied. All the third molars were classified according to Winter‘s classification. Surgical extraction was performed on all the patients by a single surgeon under local anaesthesia. The operation time was determined by the time lapse between incision and completion of suturing. Postoperative pain, swelling and trismus were evaluated. Results: There were 150 male patients with an age range of 18–40 years. The patients in the age range of 38–40 years recorded a significantly lower pain score compared with the lower age group on all days except day 2 (p ) . The mouth opening was much better in the age group of 26–29 (p = 0.000) . Pain, swelling and trismus increased with increasing operative time. Horizontal impaction is significantly associated with higher VAS score on Day 1, 2 and 3. (p = 0.000, 0.000 and 0.001) .Distoangular and horizontal impaction are associated with a higher degree of swelling and reduced mouth opening on postoperative review days. Vertical impaction was associated with the least degree of facial swelling and best mouth opening. Conclusions: Increasing operating time and advancing age are associated with more postoperative morbidity and Horizontal and Distoangular impacted teeth having more post operative inflammatory complications.