Clinical and Radiographic Characteristics as Predictive Factors of Swelling and Trismus after Mandibular Third Molar Surgery: A Longitudinal Approach

Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur
José Manuel Pérez-GonzálezAmaury Pozos-Guillén

Abstract

Factors that contribute to swelling and trismus are complex, and they are originated by surgical trauma. The aim of the present study was to determine whether clinical and radiographic factors could predict the level of swelling and trismus after lower third molar surgery, through longitudinal approach. A prospective longitudinal trial was carried out. Forty-five patients of both genders with clinical and radiographic diagnosis of asymptomatic mandibular impacted third molar and with no intake of analgesic or anti-inflammatory drugs 12 h prior to surgery were recruited and evaluated in a 72 h follow-up period. A mixed repeated measures model and backward and restricted maximal likelihood methods were used to analyze the data. Male gender, body mass index (BMI), the relation to the lingual and buccal walls, and age were determinants for predicting postoperative swelling and for exerting a significant influence (P < 0.05). This study suggests the association of male gender, the relation to lingual and buccal walls, BMI, and age with measurement of swelling.

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Citations

Jan 5, 2021·Clinical Oral Investigations·Myrthel VranckxReinhilde Jacobs
Aug 14, 2019·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Vicente Esparza-VillalpandoDaniel Chavarria-Bolaños
Nov 19, 2020·European Journal of Clinical Pharmacology·Giovana M WeckwerthCarlos F Santos
May 4, 2021·Frontiers in Pharmacology·Giovana Maria WeckwerthCarlos Ferreira Santos
Jul 15, 2021·Journal of Stomatology, Oral and Maxillofacial Surgery·Myrthel VranckxConstantinus Politis
Sep 5, 2021·The Journal of Evidence-based Dental Practice·Myrthel VranckxConstantinus Politis

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