EFFECT OF TOTAL SURGICAL TIME ON PATIENT’S COMPLAINT OF MOUTH OPENING AFTER TRANSALVEOLAR REMOVAL OF IMPACTED MANDIBULAR WISDOM TEETH- A RANDOMISED, CONTROLLED, CLINICAL TRIAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 48
Abstract
BACKGROUND Trismus has a number of potential causes, the most common dental procedure leading to trismus is surgical removal of impacted wisdom tooth. Aim- To study the effect of total surgical time on post-operative trismus, while removal of impacted lower wisdom teeth. MATERIALS AND METHODS This randomised, controlled, clinical trial was conducted as an open labelled study with allocation concealment at a tertiary care hospital for a period of eight months from September 2017 to April 2018. The patients were treated randomly with either physiodispenser or conventional rotary instrument using single block 1:1 allocation. Appropriate method for surgical removal of impacted mandibular wisdom teeth was performed. After this, the patients were divided into two groups according to total surgical time. Group A comprised of total surgical time of ≤ 15 minutes and Group B comprised of total surgical time > 15 minutes. Patients were called on first, third and seventh day for post-operative follow-up and data collection. RESULTS Total 70 patients were screened for the study. Out of these, 48 patients met with the inclusion criteria and were enrolled for the study. According to the total surgical time required for bone cutting, patients were divided into two groups. The total surgical time for Group A was less than or equal to 15 minutes (n= 18) and for Group B it was more than 15 minutes (n= 30). The most common type of tooth impaction noted was class II, position B (93.75%). There was no statistically significant difference between the amount of trismus present between two groups on day 1 (p= 0.9). Similarly, on day 3 and day 7 also there was no significant difference noted in trismus in Group B (Total Surgical Time > 15 mins) and Group A (Total Surgical Time ≤ 15 mins) (p= 0.3 and 0.8 respectively). CONCLUSION This study found no statistically significant difference in post-operative trismus when compared, on the basis of total surgical time required for the transalveolar extraction of impacted mandibular third molar teeth.
Authors and Affiliations
Naiya Pathak, Dhara Shukla, Kalpita Shringarpure, Goryawala S. N, Ashish Sachdeva, Shivang Pathak, Ritu Ojha
Keywords
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- EP ID EP548978
- DOI 10.14260/jemds/2018/1153
- Views 52
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