Mandibular third molar coronectomy in older adults and its effects on oral health-related quality of life.

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Gerodontology Pub Date : 2024-10-27 DOI:10.1111/ger.12794

Rashida N Simons, Jerome A Lindeboom, Jacco G Tuk, Jan de Lange

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Abstract

Objective: The purpose of this study was to investigate the effect of coronectomy on postoperative quality of life in older adults.

Background: Coronectomy is an alternative to complete surgical removal of a mandibular third molar that lies close to the inferior alveolar nerve.

Materials and methods: This prospective study included patients >60 years old who had an indication for coronectomy of a mandibular third molar. Patients were asked to complete the Dutch version of the Oral Health Impact Profile-14 (OHIP-14) daily during the first postoperative week. Postoperative pain, swelling, limited mouth opening, chewing ability and infection were also recorded. Furthermore, the effect of the impaction pattern, state of eruption, presence of preoperative pathology, patient health status according to the American Society of Anaesthesiologists score, gender, smoking on the postoperative OHIP-14 and pain scores were investigated.

Results: Thirty patients (16 males, 14 females) with a mean age of 71.2 (SD 8.3, range 60-91) years were included in the study. OHIP-14 and pain scores were highest on the first postoperative day and gradually declined during the first postoperative week. Patients who underwent coronectomy of a fully impacted mandibular third molar had significantly higher OHIP-14 scores on the first postoperative day than those who underwent coronectomy on a (partially) erupted mandibular third molar. We did not observe any postoperative complications up to 1 year after the surgery.

Conclusion: Mandibular third molar coronectomy seems to present a valid treatment option in older adults.

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老年人下颌第三磨牙冠切除术及其对口腔健康相关生活质量的影响。

目的：本研究旨在探讨冠状动脉切除术对老年人术后生活质量的影响：本研究旨在调查冠状切除术对老年人术后生活质量的影响：背景：下颌第三磨牙靠近下牙槽神经，冠状切除术是完全手术切除下颌第三磨牙的替代方法：这项前瞻性研究包括年龄大于60岁、有下颌第三磨牙冠状切除术指征的患者。要求患者在术后第一周内每天填写荷兰语版的口腔健康影响档案-14（OHIP-14）。同时还记录了术后疼痛、肿胀、张口受限、咀嚼能力和感染情况。此外，还调查了嵌塞模式、萌出状态、术前是否存在病变、根据美国麻醉医师协会评分确定的患者健康状况、性别、吸烟对术后 OHIP-14 和疼痛评分的影响：本研究共纳入 30 名患者（男 16 名，女 14 名），平均年龄 71.2 岁（标准差 8.3，范围 60-91 岁）。OHIP-14和疼痛评分在术后第一天最高，在术后第一周逐渐下降。对完全撞击的下颌第三磨牙进行冠状切除术的患者在术后第一天的OHIP-14评分明显高于对（部分）萌出的下颌第三磨牙进行冠状切除术的患者。我们在术后一年内未观察到任何术后并发症：下颌第三磨牙冠状切除术似乎是老年人的一种有效治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.