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
Related Articles
- EP ID EP548978
- DOI 10.14260/jemds/2018/1153
- Views 76
- Downloads 0
ANTIBACTERIAL ACTIVITY OF SELF-ETCH ADHESIVES
BACKGROUND Adhesion between tooth structure and the restoration is one of the most important factors determining the success of the restoration. The main reason for the failure and replacement of restorations is secondar...
A COMPARATIVE STUDY OF INTRATHECAL BUPIVACAINE WITH FENTANYL AND BUPIVACAINE WITH MIDAZOLAM IN LOWER ABDOMINAL AND LOWER LIMB SURGERIES
BACKGROUND Various adjuvants are being used with local anaesthetics in spinal anaesthesia for prolongation of intraoperative and postoperative analgesia. Fentanyl is a lipophilic µ receptor agonist opioid, neuraxial adju...
INTERSTITIAL BRACHYTHERAPY IN SOFT TISSUE SARCOMA- A SINGLE INSTITUTE EXPERIENCE
BACKGROUND The objective of our study is to assess the local control of the disease, locoregional failure and complications following usage of interstitial HDR Brachytherapy alone or in combination with external beam rad...
FATAL DOG BITE LEADING TO COLONIC INJURY- A CASE REPORT
PRESENTATION OF CASE We present a case of 2 yr. old boy who was attacked by a street dog. He sustained multiple abrasions, lacerations all over the body and puncture wound on abdomen leading to colonic injury. A 2-year-o...
STUDY OF PREVALENCE OF HIGH-RISK SEXUAL BEHAVIOUR AND ASSOCIATED PSYCHIATRIC COMORBIDITY AMONG FEMALE SEX WORKERS
BACKGROUND A number of psychiatric morbidities are known to contribute to risky sexual behaviour. Recent studies have explored the link between psychiatric morbidity and risky sexual behaviour. This study is aimed to fin...