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[Wound healing after surgical wisdom tooth extraction. Evidence-based analysis]
1Abteilung für Oralchirurgie und Zahnärztliche Röntgenologie, Zentrum für Zahnmedizin, Universitätsklinikum Charité, Medizinische Fakultät, Humboldt-Universität Berlin, Augustenburger Platz 1, 13353 Berlin. frank.strietzel@charite.de
Mund-, Kiefer- Und Gesichtschirurgie : MKG
|May 23, 2002
Summary
This review examines factors affecting wound healing after wisdom teeth removal. Early removal before age 25 is recommended to minimize complications like pain, swelling, and nerve issues.
Area of Science:
- Oral Surgery
- Evidence-Based Dentistry
- Wound Healing Research
Background:
- Mandibular third molar (wisdom teeth) removal is a common surgical procedure.
- Understanding factors influencing post-operative wound healing is crucial for patient outcomes.
Purpose of the Study:
- To review current evidence on parameters affecting wound healing after mandibular third molar extraction.
- To identify predictors of post-operative complications.
Main Methods:
- Systematic literature search using MEDLINE and evidence-based dentistry methods.
- Inclusion of 56 articles based on relevance and formal evaluation, plus 29 from narrative search.
- Analysis of parameters including pain, swelling, trismus, and sensory disturbances.
Main Results:
- Postoperative pain, swelling, trismus, and sensory disturbances are key indicators of healing.
- Alveolar osteitis and wound infections peak in patients aged 25-35.
- Sensory disturbances increase significantly in individuals over 25.
Conclusions:
- Age, operation duration, wound closure type, impaction, and associated pathologies predict the healing course.
- Proactive removal of third molars before age 25 is advised if indicated, to reduce complication risks.
- Evidence quality varies, necessitating further high-quality studies.