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Online ISSN 1827-174X
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.
language: English, Italian