{"title":"Evaluating quality of life in third molar surgery: a scoping review of the postoperative symptom severity (PoSSe) scale.","authors":"E-F Maferano, E-L Filho, P-G Silva, A-F Granville-Garcia, R-T Firmino, M-D Perazzo, P-R Martins-Filho, F-W Costa","doi":"10.4317/medoral.26839","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This scoping review evaluated the key dimensions of quality of life impacted by third molar surgery as assessed by the Postoperative Symptom Severity (PoSSe) scale, and their variations across diverse populations and clinical contexts.</p><p><strong>Material and methods: </strong>A comprehensive literature search was performed across multiple databases including MEDLINE, EMBASE, CINAHL, PsycINFO, The Cochrane Library, Livivo, LILACS, Web of Science, Scopus, Epistemonikos, and Google Scholar on April 30, 2024, with an update on July 31, 2024. We included analytical observational studies and randomized clinical trials that utilized the PoSSe scale to assess quality of life. There were no restrictions based on language, location, or publication period. Data from eligible studies were extracted and analyzed descriptively.</p><p><strong>Results: </strong>The search identified 3,438 records, with 31 studies ultimately included. These studies employed the PoSSe scale in various methodological designs to primarily assess quality of life following lower third molar removal. The dimensions most affected were feeding, appearance, and pain, which showed significant correlations with edema, trismus, and analgesic use. Additional influencing factors included gender, tobacco use, surgeon skill level, Pell and Gregory classification, and preemptive analgesia.</p><p><strong>Conclusions: </strong>This review has demonstrated the PoSSe scale's effectiveness in evaluating the multifaceted impacts of third molar surgery on patient quality of life, sensitive to differences in surgical techniques, surgeon experience, and patient-specific factors. Future research should explore longitudinal assessments with the PoSSe scale to optimize surgical practices and improve long-term patient outcomes.</p>","PeriodicalId":49016,"journal":{"name":"Medicina Oral Patologia Oral Y Cirugia Bucal","volume":" ","pages":"e232-e239"},"PeriodicalIF":1.8000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972642/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medicina Oral Patologia Oral Y Cirugia Bucal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4317/medoral.26839","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: This scoping review evaluated the key dimensions of quality of life impacted by third molar surgery as assessed by the Postoperative Symptom Severity (PoSSe) scale, and their variations across diverse populations and clinical contexts.
Material and methods: A comprehensive literature search was performed across multiple databases including MEDLINE, EMBASE, CINAHL, PsycINFO, The Cochrane Library, Livivo, LILACS, Web of Science, Scopus, Epistemonikos, and Google Scholar on April 30, 2024, with an update on July 31, 2024. We included analytical observational studies and randomized clinical trials that utilized the PoSSe scale to assess quality of life. There were no restrictions based on language, location, or publication period. Data from eligible studies were extracted and analyzed descriptively.
Results: The search identified 3,438 records, with 31 studies ultimately included. These studies employed the PoSSe scale in various methodological designs to primarily assess quality of life following lower third molar removal. The dimensions most affected were feeding, appearance, and pain, which showed significant correlations with edema, trismus, and analgesic use. Additional influencing factors included gender, tobacco use, surgeon skill level, Pell and Gregory classification, and preemptive analgesia.
Conclusions: This review has demonstrated the PoSSe scale's effectiveness in evaluating the multifaceted impacts of third molar surgery on patient quality of life, sensitive to differences in surgical techniques, surgeon experience, and patient-specific factors. Future research should explore longitudinal assessments with the PoSSe scale to optimize surgical practices and improve long-term patient outcomes.
背景：本综述通过术后症状严重程度（PoSSe）量表评估了第三磨牙手术对生活质量影响的关键维度，以及它们在不同人群和临床背景下的变化。材料和方法：于2024年4月30日在MEDLINE、EMBASE、CINAHL、PsycINFO、The Cochrane Library、Livivo、LILACS、Web of Science、Scopus、Epistemonikos和谷歌Scholar等多个数据库进行了全面的文献检索，并于2024年7月31日进行了更新。我们纳入了使用PoSSe量表评估生活质量的分析性观察研究和随机临床试验。没有基于语言、地点或出版时间的限制。从符合条件的研究中提取数据并进行描述性分析。结果：搜索确定了3438条记录，最终包括31项研究。这些研究在不同的方法学设计中采用PoSSe量表，主要评估下第三磨牙拔除后的生活质量。受影响最大的维度是喂养、外观和疼痛，这与水肿、牙关和止痛药的使用有显著的相关性。其他影响因素包括性别、吸烟、外科医生技术水平、Pell和Gregory分类以及先发制人的镇痛。结论：本综述证明了PoSSe量表在评估第三磨牙手术对患者生活质量的多方面影响方面的有效性，对手术技术、外科医生经验和患者特定因素的差异敏感。未来的研究应探索PoSSe量表的纵向评估，以优化手术实践并改善患者的长期预后。
期刊介绍：
1. Oral Medicine and Pathology:
Clinicopathological as well as medical or surgical management aspects of
diseases affecting oral mucosa, salivary glands, maxillary bones, as well as
orofacial neurological disorders, and systemic conditions with an impact on
the oral cavity.
2. Oral Surgery:
Surgical management aspects of diseases affecting oral mucosa, salivary glands,
maxillary bones, teeth, implants, oral surgical procedures. Surgical management
of diseases affecting head and neck areas.
3. Medically compromised patients in Dentistry:
Articles discussing medical problems in Odontology will also be included, with
a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients.
4. Implantology
5. Periodontology
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