Impacted third molar surgery in older patients-Is patient´s age really a risk factor for complications?
Age
Complications
Impacted third molars
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
07 Oct 2024
07 Oct 2024
Historique:
received:
14
08
2024
accepted:
29
09
2024
medline:
8
10
2024
pubmed:
8
10
2024
entrez:
7
10
2024
Statut:
epublish
Résumé
The aim of this study was to analyze the influence of patients´ age on perioperative complications in impacted third molar surgery and how established risk factors are affected by age. The clinical findings, digital panoramic radiographs and perioperative data of 200 patients (554 impacted third molars) that had been subjected to tooth extraction, from July 2023 until July 2024, were analyzed. Perioperative complications (Inferior alveolar nerve (IAN) hypesthesia, oroantral communication (OAC), lingual nerve (LN) hypesthesia, postoperative bleeding, postoperative infection) as well as impaction patterns and risk factors (angulation type, bone coverage, depth- and risk scores) were analyzed by age (cut-off 30 years). The population was divided into two groups by age (Group A = ≥ 30 years (n = 52) vs. Group B = < 30 years (n = 148)). Upper third molars showed significantly deeper bone coverage, higher depth scores, higher risk scores and different angulation types in patients aged < 30 years. Mandibular third molars showed significantly deeper bone coverage, higher depth scores, higher risk scores according and different angulation types in patients aged ≥ 30 years. However, IAN hypesthesia, LN hypesthesia, postoperative bleeding and postoperative infection did not show any significant differences regarding patients' age. The current findings suggest that age (cut-off 30 years) does not statistically correlate with a higher risk for postoperative complications in impacted third molar surgery in contrast to recent publications. In contrast to recent publications, the present study falsified a positive correlation between patients' age and the occurrence of postoperative complications in impacted third molar surgery. Therefore, other risk factors should be investigated in order to minimize these procedure specific complications.
Identifiants
pubmed: 39375233
doi: 10.1007/s00784-024-05975-x
pii: 10.1007/s00784-024-05975-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
576Informations de copyright
© 2024. The Author(s).
Références
Sifuentes-Cervantes JS, Carrillo-Morales F, Castro-Núñez J, Cunningham LL, Van Sickels JE (2021) Third molar surgery: Past, present, and the future. Oral Surg Oral Med Oral Pathol Oral Radiol 132(5):523–531. https://doi.org/10.1016/j.oooo.2021.03.004
doi: 10.1016/j.oooo.2021.03.004
Ku JK, Kim JY, Jun MK, Jeong YK, Huh JK (2021) Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery. J Clin Med 10(12):2674. https://doi.org/10.3390/jcm10122674
doi: 10.3390/jcm10122674
pmcid: 8234107
Tuteja M, Bahirwani S, Balaji P (2012) An evaluation of third molar eruption for assessment of chronologic age: A panoramic study. J Forensic Dent Sci 4(1):13–18
doi: 10.4103/0975-1475.99154
pmcid: 3470411
Muhsin H, Brizuela M (2024) Oral Surgery, Extraction of Mandibular Third Molars. 2023 Mar 19. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing
Marciani RD (2007) Third molar removal: an overview of indications, imaging, evaluation, and assessment of risk. Oral Maxillofac Surg Clin North Am 19(1):1–13. https://doi.org/10.1016/j.coms.2006.11.007
Hashemipour MA, Tahmasbi-Arashlow M, Fahimi-Hanzaei F (2013) Incidence of impacted mandibular and maxillary third molars: a radiographic study in a Southeast Iran population. Med Oral Patol Oral Cir Bucal 18(1):e140–e145
doi: 10.4317/medoral.18028
Rizqiawan A, Lesmaya YD, Rasyida AZ, Amir MS, Ono S, Kamadjaja DB (2022) Postoperative Complications of Impacted Mandibular Third Molar Extraction Related to Patient’s Age and Surgical Difficulty Level: A Cross-Sectional Retrospective Study. Int J Dent 2022:7239339. https://doi.org/10.1155/2022/7239339
doi: 10.1155/2022/7239339
pmcid: 8749374
Bouloux GF, Steed MB, Perciaccante VJ (2007) Complications of third molar surgery. Oral Maxillofac Surg Clin North Am 19(1):117–28, vii. https://doi.org/10.1016/j.coms.2006.11.013
Yilmaz S, Bas B, Ozden B, Selcuk U, Cengel Kurnaz S (2015) Deep neck infection after third molar extraction. J Istanb Univ Fac Dent 49(2):41–45. https://doi.org/10.17096/jiufd.82633
Candotto V, Oberti L, Gabrione F, Scarano A, Rossi D, Romano M (2019) Complication in third molar extractions. J Biol Regul Homeost Agents 33(3 Suppl. 1):169–172 (DENTAL SUPPLEMENT)
Yamada SI, Hasegawa T, Yoshimura N, Hakoyama Y, Nitta T, Hirahara N, Miyamoto H, Yoshimura H, Ueda N, Yamamura Y, Okuyama H, Takizawa A, Nakanishi Y, Iwata E, Akita D, Itoh R, Kubo K, Kondo S, Hata H, Koyama Y, Miyamoto Y, Nakahara H, Akashi M, Kirita T, Shibuya Y, Umeda M, Kurita H (2022) Prevalence of and risk factors for postoperative complications after lower third molar extraction: A multicenter prospective observational study in Japan. Medicine (Baltimore) 101(32):e29989. https://doi.org/10.1097/MD.0000000000029989
doi: 10.1097/MD.0000000000029989
Mukainaka Y, Sukegawa S, Kawai H, Nishida T, Miyake M, Nagatsuka H (2024) Risk factors for post-extraction infection of mandibular third molar: A retrospective clinical study. J Stomatol Oral Maxillofac Surg 101841. https://doi.org/10.1016/j.jormas.2024.101841
AlSheef M, Gray J, AlShammari A (2021) Risk of postoperative bleeding following dental extractions in patients on antithrombotic treatment. Saudi Dent J 33(7):511–517. https://doi.org/10.1016/j.sdentj.2020.09.005
doi: 10.1016/j.sdentj.2020.09.005
Buchbender M, Schlee N, Kesting MR, Grimm J, Fehlhofer J, Rau A (2021) A prospective comparative study to assess the risk of postoperative bleeding after dental surgery while on medication with direct oral anticoagulants, antiplatelet agents, or vitamin K antagonists. BMC Oral Health 21(1):504. https://doi.org/10.1186/s12903-021-01868-7
doi: 10.1186/s12903-021-01868-7
pmcid: 8499467
Dudde F, Barbarewicz F, Henkel KO (2024) Risk factor analysis for perioperative complications in impacted third molar surgery - a single center experience. Oral Maxillofac Surg. https://doi.org/10.1007/s10006-024-01232-3
doi: 10.1007/s10006-024-01232-3
Sukegawa S, Yokota K, Kanno T, Manabe Y, Sukegawa-Takahashi Y, Masui M, Furuki Y (2019) What are the risk factors for postoperative infections of third molar extraction surgery: A retrospective clinical study? Med Oral Patol Oral Cir Bucal 24(1):e123–e129. https://doi.org/10.4317/medoral.22556
doi: 10.4317/medoral.22556
Mesgarzadeh AH, Ghavimi MA, Gok G, Zarghami A (2012) Infratemporal space infection following maxillary third molar extraction in an uncontrolled diabetic patient. J Dent Res Dent Clin Dent Prospects. Summer;6(3):113–5. https://doi.org/10.5681/joddd.2012.024
Azzouzi A, Hallab L, Chbicheb S (2022) Diagnosis and Management of oro-antral fistula: Case series and review. Int J Surg Case Rep 107436. https://doi.org/10.1016/j.ijscr.2022.107436
Sarikov R, Juodzbalys G (2014) Inferior alveolar nerve injury after mandibular third molar extraction: a literature review. J Oral Maxillofac Res 5(4):e1. https://doi.org/10.5037/jomr.2014.5401
doi: 10.5037/jomr.2014.5401
pmcid: 4306319
Tojyo I, Nakanishi T, Shintani Y, Okamoto K, Hiraishi Y, Fujita S (2019) Risk of lingual nerve injuries in removal of mandibular third molars: a retrospective case-control study. Maxillofac Plast Reconstr Surg 41(1):40. https://doi.org/10.1186/s40902-019-0222-4
doi: 10.1186/s40902-019-0222-4
pmcid: 6733934
Pippi R, Spota A, Santoro M (2017) Prevention of lingual nerve injury in third molar surgery: literature review. J Oral Maxillofac Surg 75:890–900. https://doi.org/10.1016/j.joms.2016.12.040
doi: 10.1016/j.joms.2016.12.040
Winter GB (1926) Impacted Mandibular Third Molars. American Medical Book Co.; St. Louis
Pell GJ, Gregory GT (1933) Impacted mandibular third molars: Classification and modified technique for removal. Dent Dig 39:330–338
Pederson GW. Oral surgery. Philadelphia: WB Saunders, 1988. (Cited in: Koerner KR (1994) The removal of impacted third molars—principles and procedures. Dent Clin North Am;38:255–278.
Rothamel D, Wahl G, d’Hoedt B, Nentwig GH, Schwarz F, Becker J (2007) Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study. Br J Oral Maxillofac Surg 45(5):387–391. https://doi.org/10.1016/j.bjoms.2006.10.013
doi: 10.1016/j.bjoms.2006.10.013
Daware SN, Balakrishna R, Deogade SC, Ingole YS, Patil SM, Naitam DM (2021) Assessment of postoperative discomfort and nerve injuries after surgical removal of mandibular third molar: A prospective study. J Family Med Prim Care 10(4):1712–1717. https://doi.org/10.4103/jfmpc.jfmpc_280_19
doi: 10.4103/jfmpc.jfmpc_280_19
pmcid: 8144789
Rieder M, Remschmidt B, Schrempf V, Schwaiger M, Jakse N, Kirnbauer B (2023) Neurosensory Deficits of the Mandibular Nerve Following Extraction of Impacted Lower Third Molars-A Retrospective Study. J Clin Med 12(24):7661. https://doi.org/10.3390/jcm12247661
doi: 10.3390/jcm12247661
pmcid: 10743649
Rademacher WMH, Rooijers W, Broekman MW, van der Slik BJ, van Diermen DE, Rozema FR. Nabloedingsrisico na verwijdering derde molaar bij gezonde patiënten; een prospectief observationeel klinisch onderzoek (2024) Postoperative risk of bleeding after removal of third molars in healthy patients - a prospective observational clinical study. Ned Tijdschr Tandheelkd 131(7–08):307–315. Dutch. https://doi.org/10.5177/ntvt.2024.07/08.24028
Boccatonda A, Frisone A, Lorusso F, Bugea C, Di Carmine M, Schiavone C, Cocco G, D’Ardes D, Scarano A, Guagnano MT (2023) Perioperative Management of Antithrombotic Therapy in Patients Who Undergo Dental Procedures: A Systematic Review of the Literature and Network Meta-Analysis. Int J Environ Res Public Health 20(7):5293. https://doi.org/10.3390/ijerph20075293
doi: 10.3390/ijerph20075293
pmcid: 10093975
Huang J, Liu J, Shi H, Wu J, Liu J, Pan J (2022) Risk factors for bleeding after dental extractions in patients receiving antithrombotic drugs - A case control study. J Dent Sci 17(2):780–786. https://doi.org/10.1016/j.jds.2021.10.005
doi: 10.1016/j.jds.2021.10.005
Yue Yi EK, Siew Ying AL, Mohan M, Menon RK (2021) Prevalence of Postoperative Infection after Tooth Extraction: A Retrospective Study. Int J Dent 2021:6664311. https://doi.org/10.1155/2021/6664311
doi: 10.1155/2021/6664311
pmcid: 8208874