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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2010 November-December;59(11-12):611-23
language: English, Italian
Influence of estroprogestinic therapy on the postoperative course following impacted third molar extraction
Sivolella S. 1, Boccuzzo G. 2, Franco M. 3, Stellini E. 4, Di Fiore A. 1, Berengo M. 1 ✉
1 Department of Oral Surgery, University of Padua, Institute of Clinical Dentistry, Padua, Italy;
2 Department of Statistical Science, University of Padua, Padua, Italy;
3 Department of Maxillofacial Surgery, Castelfranco Veneto Hospital, Treviso, Italy;
4 Department of Pediatric Dentistry, University of Padua, Institute of Clinical Dentistry, Padua, Italy
AIM: Female patients on estroprogestinic therapy undergoing extraction of the third lower molar have a higher incidence of postoperative complications (dry socket –DS- pain). The purpose of this study is to verify such data and analyse if there are risk factors for the appearance of other postoperative complications.
METHODS: One hundred eighteen non-smoking healthy patients were included who underwent extraction of the impacted third lower molar (38 on oral contraceptives, OC, 80 as control). After the extraction, patients were prescribed with a pharmacological therapy, consisting of a per os antibiotic and antiseptic rinse. Each patient was examined after 7 days following surgery to verify the state of tissues. In addition subjective postoperative pain (VAS – Visual Analogue Scale) and intake of analgesic drugs were recorded.
RESULTS: One case of DS (2.64%) occurred in the OC group, and 1 case of DS occurred in control-patients group (1.25%) (P=0.4436). The postoperative pain proved significantly higher in OC compared to control (first and fifth postoperation day). In OC a predisposition to dehiscence of the wound (86.84% P=0.0021) and emergence of laterocervical lymphadenitis (81.57% P=0.0010) was found, while no cases of postextractive abscesses and trismus of the masseter were found.
CONCLUSION: Although no correlation between DS and estroprogestinic therapy has been found, a more difficult healing of tissues has been observed as well as a significantly higher subjective pain index in the postoperative days considered in OC patients.