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

Introduction. 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 long...

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Bibliographic Details
Main Authors: José Manuel Pérez-González, Vicente Esparza-Villalpando, Ricardo Martínez-Rider, Miguel Ángel Noyola-Frías, Amaury Pozos-Guillén
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2018/7938492
Description
Summary:Introduction. 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. Methodology. 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. Results. 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). Conclusions. This study suggests the association of male gender, the relation to lingual and buccal walls, BMI, and age with measurement of swelling.
ISSN:1203-6765
1918-1523