有磨牙和无磨牙患者第三磨牙拔牙术后疼痛:一项观察性研究。

Olavo A Brilhante-Neto, Caio M Mesquita, Marcelo Dma Costa, Luiz R Paranhos, Danilo L Ciotti, Rogério Hl Motta, Juliana C Ramacciato
{"title":"有磨牙和无磨牙患者第三磨牙拔牙术后疼痛:一项观察性研究。","authors":"Olavo A Brilhante-Neto,&nbsp;Caio M Mesquita,&nbsp;Marcelo Dma Costa,&nbsp;Luiz R Paranhos,&nbsp;Danilo L Ciotti,&nbsp;Rogério Hl Motta,&nbsp;Juliana C Ramacciato","doi":"10.54589/aol.36/1/47","DOIUrl":null,"url":null,"abstract":"<p><p>Third molar extraction surgery is a frequentprocedure in dentistry. Like any surgical procedure, it may lead to inflammatory responses, and postoperative pain is one of its main complications. Furthermore, temporomandibular disorder (TMD) is a collective termfor several clinicalproblems involving orofacial structures. Patients withparafunction are more sensitive to mechanical stimuli such as pressure during surgical procedures.</p><p><strong>Aim: </strong>To analyze postoperative pain in patients with and without bruxism subjected to third molar extraction surgery.</p><p><strong>Materials and method: </strong>This was an observational study including four groups with a 1:1:1:! allocation ratio, conducted following ethical approval. Patients classified as ASA I with an indication for lower third molar extraction were recruited. Bruxism was self-reported. Two surgical techniques were used: one with only forceps and levers (ST1) and another with osteotomy and odontosection (ST2).</p><p><strong>Results: </strong>Four groups (bruxism and surgical techniques) were enrolled, each with a convenience sample (n=34). Postoperative pain levels were higher in patients with than without bruxism (p<0.05). The comparison between surgical techniques showed significantly higher pain levels only on the seventh day for ST2 groups (p<0.05). Oral mucosaflap incisions did not cause significantly higher persistence and pain levels.</p><p><strong>Conclusions: </strong>Bruxism, osteotomy, and odontosection may have increased postoperative pain levels, whereas performing an oral mucosa flap did not cause significant differences. Nevertheless, these preliminary data should be interpreted carefully. Randomized controlled trials are required to reinforce the findings of this study.</p>","PeriodicalId":7033,"journal":{"name":"Acta odontologica latinoamericana : AOL","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/71/1852-4834-36-1-47.PMC10283389.pdf","citationCount":"0","resultStr":"{\"title\":\"Postoperative pain after third molar extraction surgery in patients with and without bruxism: an observational study.\",\"authors\":\"Olavo A Brilhante-Neto,&nbsp;Caio M Mesquita,&nbsp;Marcelo Dma Costa,&nbsp;Luiz R Paranhos,&nbsp;Danilo L Ciotti,&nbsp;Rogério Hl Motta,&nbsp;Juliana C Ramacciato\",\"doi\":\"10.54589/aol.36/1/47\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Third molar extraction surgery is a frequentprocedure in dentistry. Like any surgical procedure, it may lead to inflammatory responses, and postoperative pain is one of its main complications. Furthermore, temporomandibular disorder (TMD) is a collective termfor several clinicalproblems involving orofacial structures. Patients withparafunction are more sensitive to mechanical stimuli such as pressure during surgical procedures.</p><p><strong>Aim: </strong>To analyze postoperative pain in patients with and without bruxism subjected to third molar extraction surgery.</p><p><strong>Materials and method: </strong>This was an observational study including four groups with a 1:1:1:! allocation ratio, conducted following ethical approval. Patients classified as ASA I with an indication for lower third molar extraction were recruited. Bruxism was self-reported. Two surgical techniques were used: one with only forceps and levers (ST1) and another with osteotomy and odontosection (ST2).</p><p><strong>Results: </strong>Four groups (bruxism and surgical techniques) were enrolled, each with a convenience sample (n=34). Postoperative pain levels were higher in patients with than without bruxism (p<0.05). The comparison between surgical techniques showed significantly higher pain levels only on the seventh day for ST2 groups (p<0.05). Oral mucosaflap incisions did not cause significantly higher persistence and pain levels.</p><p><strong>Conclusions: </strong>Bruxism, osteotomy, and odontosection may have increased postoperative pain levels, whereas performing an oral mucosa flap did not cause significant differences. Nevertheless, these preliminary data should be interpreted carefully. Randomized controlled trials are required to reinforce the findings of this study.</p>\",\"PeriodicalId\":7033,\"journal\":{\"name\":\"Acta odontologica latinoamericana : AOL\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-04-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/71/1852-4834-36-1-47.PMC10283389.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta odontologica latinoamericana : AOL\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.54589/aol.36/1/47\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta odontologica latinoamericana : AOL","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.54589/aol.36/1/47","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

第三磨牙拔除手术是牙科中常见的手术。像任何外科手术一样,它可能导致炎症反应,术后疼痛是其主要并发症之一。此外,颞下颌紊乱(TMD)是涉及口腔面部结构的几种临床问题的总称。功能障碍患者在手术过程中对机械刺激(如压力)更敏感。目的:分析有磨牙症和无磨牙症患者第三磨牙拔牙术后疼痛情况。材料和方法:这是一项观察性研究,包括四组,1:1:1:!分配比例,按照道德标准进行。纳入ASA I级并有下第三磨牙拔除指征的患者。磨牙症是自我报告的。采用两种手术技术:一种是仅使用钳和杠杆(ST1),另一种是截骨和牙切断术(ST2)。结果:共入组四组(磨牙症组和手术技术组),每组有方便样本(n=34)。有磨牙的患者术后疼痛水平高于无磨牙的患者(结论:磨牙、截骨和牙切开术可能会增加术后疼痛水平,而进行口腔黏膜瓣手术则没有显著差异。然而,这些初步数据应该仔细解释。需要随机对照试验来加强本研究的发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Postoperative pain after third molar extraction surgery in patients with and without bruxism: an observational study.

Postoperative pain after third molar extraction surgery in patients with and without bruxism: an observational study.

Postoperative pain after third molar extraction surgery in patients with and without bruxism: an observational study.

Postoperative pain after third molar extraction surgery in patients with and without bruxism: an observational study.

Third molar extraction surgery is a frequentprocedure in dentistry. Like any surgical procedure, it may lead to inflammatory responses, and postoperative pain is one of its main complications. Furthermore, temporomandibular disorder (TMD) is a collective termfor several clinicalproblems involving orofacial structures. Patients withparafunction are more sensitive to mechanical stimuli such as pressure during surgical procedures.

Aim: To analyze postoperative pain in patients with and without bruxism subjected to third molar extraction surgery.

Materials and method: This was an observational study including four groups with a 1:1:1:! allocation ratio, conducted following ethical approval. Patients classified as ASA I with an indication for lower third molar extraction were recruited. Bruxism was self-reported. Two surgical techniques were used: one with only forceps and levers (ST1) and another with osteotomy and odontosection (ST2).

Results: Four groups (bruxism and surgical techniques) were enrolled, each with a convenience sample (n=34). Postoperative pain levels were higher in patients with than without bruxism (p<0.05). The comparison between surgical techniques showed significantly higher pain levels only on the seventh day for ST2 groups (p<0.05). Oral mucosaflap incisions did not cause significantly higher persistence and pain levels.

Conclusions: Bruxism, osteotomy, and odontosection may have increased postoperative pain levels, whereas performing an oral mucosa flap did not cause significant differences. Nevertheless, these preliminary data should be interpreted carefully. Randomized controlled trials are required to reinforce the findings of this study.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信