The Evaluation Of Impacted Third Molars According To The Operative Difficulty Score And Complications

Gömülü 3. Molar Di̇şleri̇n Operati̇f Zorluk Skoruna ve Kompli̇kasyonlara Göre Değerlendi̇ri̇lmesi

Abstract

Abstract: Purpose: In this study, it was aimed to evaluate the impacted third molars (M3) according to operative difficulty score (ODS) and complications following the surgical removal. Methods: A total of 120 patients were included in the study, of which 73 were female and 47 were male, of which 99 were lower 21 were the upper M3. Before surgical extraction the (ODS) of the impacted third molars were determined and the complications were evaluated clinically and radiologically. Results: When M3 was evaluated according to ODS, 27 (22,5%) ODS 3, 29 (24,2%) ODS 4, 53 (44,2%) ODS 5 and 11 (9,1%) ODS 6 were found. Alveolar osteitis was found in 3 patients (2.5%), surgical site infection was found in 1 patient (0.8%) and temporary paresthesia was found in 2 patients (1.6%) postoperatively. Conclusion: The complications of surgical removal of the M3 are seen more frequently in the lower jaw than the upper jaw.

Özet

Amaç: Bu çalışmada, gömülü 3. molar dişlerinin (M3) operatif zorluk skoruna(OZS) ve çekimini takiben görülen komplikasyonlara göre değerlendirilmesiamaçlanmıştır. Gereç ve Yöntem: Araştırmamıza, 99’u alt 21’i üst M3’esahip 73’ü kadın 47’si erkek toplam 120 hasta dâhil edildi. Ameliyat öncesiklinik ve radyolojik olarak M3’lerde OZS belirlendi ve görülen komplikasyonlardeğerlendirildi. Bulgu: M3’ler OZS’ye göre değerlendirildiğinde; 27’sinin(%22,5) OZS 3, 29’unun (%24,2) OZS 4, 53’ünün (%44,2) OZS 5, 11’inin ise(%9,1) OZS 6 olduğu görüldü. Postoperatif olarak hastaların 3’ünde (%2,5)alveolar osteitis, 1’inde (%0,8) cerrahi alan enfeksiyonu, 2’sinde ise (%1,6)geçici parestezi olduğu görüldü. Sonuç: Alt çenede üst çeneye göre M3’lerdecerrahi çekimlerinde daha sık komplikasyon görülmektedir