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Side effects and complications associated with third molar surgery

M Chiapasco1, L De Cicco, G Marrone

  • 1Oral Surgery Department of Odontostomatologic Clinic, University of Milan, San Paolo Hospital.

Oral Surgery, Oral Medicine, and Oral Pathology
|October 1, 1993
PubMed
Summary

This study analyzed complications from third molar extractions. Mandibular third molar surgery had higher postoperative complication rates (4.3%) compared to maxillary surgery (1.2%).

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Surgery
  • Surgical Complications

Background:

  • Third molar impaction is a common dental issue requiring surgical intervention.
  • Understanding the risks and complications associated with third molar surgery is crucial for patient care.
  • Previous studies have documented various complications, but specific comparative data for mandibular and maxillary third molars is valuable.

Purpose of the Study:

  • To retrospectively analyze and compare the incidence of intraoperative and postoperative complications and side effects following mandibular and maxillary third molar surgery.
  • To provide data that can inform surgical decision-making and patient counseling.
  • To assess the safety profile of third molar extraction procedures.

Main Methods:

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  • Retrospective analysis of surgical records for impacted third molars.
  • Inclusion criteria: patients treated between 1987 and 1992.
  • Data collected on intraoperative and postoperative complications for both mandibular and maxillary third molar surgeries.

    • Main Results:

    • A total of 1000 mandibular and 500 maxillary impacted third molars were analyzed.
    • Intraoperative complication rates were 1.1% for mandibular and 4% for maxillary third molar surgery.
    • Postoperative complication rates were 4.3% for mandibular and 1.2% for maxillary third molar surgery.

    Conclusions:

    • Mandibular third molar surgery presented a higher rate of postoperative complications compared to maxillary third molar surgery.
    • Maxillary third molar surgery showed a higher incidence of intraoperative complications.
    • The findings highlight the need for careful surgical planning and patient monitoring based on molar location.