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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model
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Patient morbidity among residents extracting third molars: does experience matter?
Mohmedvasim Momin1, Timothy Albright1, Jennie Leikin1
1Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
|February 5, 2018
Summary
Third molar extraction complications are linked to impaction depth and resident training level. Deeper impactions and less experienced residents increase the risk of adverse outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Outcomes Research
Background:
- Third molar extractions are common surgical procedures.
- Postoperative complications can impact patient recovery and treatment success.
Purpose of the Study:
- To assess complication rates in third molar extractions based on surgical resident experience.
- To identify specific risk factors contributing to postoperative complications.
Main Methods:
- Retrospective review of 1992 patients undergoing 5466 third molar extractions.
- Data analysis using demographic statistics, Pearson chi-squared test, and regression analysis.
- Inclusion of 1855 patients with sufficient data for analysis.
Main Results:
- 146 adverse outcomes were recorded, with alveolar osteitis being the most frequent complication.
- Nerve injuries and retained root tips occurred less often.
- Significant associations found between impaction depth, surgical drill use, resident training level, and complication rates.
Conclusions:
- Identifiable risk factors for third molar extraction complications exist within residency programs.
- Impaction depth, surgical drill use, and resident training level are directly correlated with negative outcomes.
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