The Effect of Pain and Swelling Related to Third Molars on Oral Health-Related Quality of Life

Bharati R.  Doni; Arunpriya  Srinivasan; Rakhi  Issrani; Ruchi  Agrawal; Santosh Rayagouda  Patil; Mohammad Khursheed  Alam

Authors

Bharati R. Doni
Arunpriya Srinivasan
Rakhi Issrani
Ruchi Agrawal
Santosh Rayagouda Patil
Mohammad Khursheed Alam

Keywords:

Surgery, Oral, Tooth, Impacted, Molar, Third, Pain

Abstract

Objective: To evaluate the effect of pain and swelling related to third molars on patients' quality of life prior to third molar surgery. Material and Methods: The effects on quality of life with reference to oral health of 246 healthy patients seeking treatment of third molars were analyzed using the 14-item Oral Health Impact Profile (OHIP) questionnaire before surgery. The patients' sociodemographic characteristics, medical and dental history, reasons for third molar removal were recorded. Adverse effects of pain and swelling on oral health-related quality of life were recorded. Results: The mean age of the patients included in the study was 23.15 years, with maximum male patients and the mean OHIP-14 score of 8.01 ± 7.51. About 36.97% of patients reported that their chief complaint was pain/swelling due to third molar infection, and 27.9% of subjects reported one or more of the 14 OHIP items. The odds of reporting for age with ≥25 years was approximately 2 times greater than age with ≤25 years (OR=1.56, 95% CI: 1.01-2.57) and tooth loss due to traumatic history (OR=3.14, 95% CI: 2.12-6.54). Conclusion: Adverse influences on quality of life were seen in a significant number of patients seeking third molar removal. The probabilities increased by 3-fold for patients who had experienced pain or swelling than asymptomatic individuals.

References

Alfadil L, Almajed E. Prevalence of impacted third molars and the reason for extraction in Saudi Arabia. Saudi Dent J 2020; 32(5):262-8. https://doi.org/10.1016/j.sdentj.2020.01.002

Singh R, Devanna R, Tenglikar P, Gautam A, Anubhuti, Kumari P. Evaluation of mandibular third molar position as a risk factor for pericoronitis: A CBCT study. J Family Med Prim Care 2020; 9(3):1599-602. https://doi.org/10.4103/jfmpc.jfmpc_1101_19

White RP Jr, Shugars DA, Shafer DM, Laskin DM, Buckley MJ, Phillips C. Recovery after third molar surgery: clinical and health-related quality of life outcomes. J Oral Maxillofac Surg 2003; 61(5):535-44. https://doi.org/10.1053/joms.2003.50106

McGrath C, Comfort MB, Lo EC, Luo Y. Can third molar surgery improve quality of life? A 6-month cohort study. J Oral Maxillofac Surg 2003; 61(7):759-63. https://doi.org/10.1016/s0278-2391(03)00150-2

Spilker B. Quality of Life Assessment in Clinical Trials. New York: Raven Press; 1993.

Bradshaw S, Faulk J, Blakey GH, Phillips C, Phero JA, White RP Jr. Quality of life outcomes after third molar removal in subjects with minor symptoms of pericoronitis. J Oral Maxillofac Surg 2012; 70(11):2494-500. https://doi.org/10.1016/j.joms.2012.05.013

Slade GD, Spencer AJ, Locker D, Hunt RJ, Strauss RP, Beck JD. Variations in the social impact of oral conditions among older adults in South Australia, Ontario, and North Carolina. J Dent Res 1996; 75(7):1439-50. https://doi.org/10.1177/00220345960750070301

Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997; 25(4):284-90. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x

Blakey GH, White RP Jr, Offenbacher S, Phillips C, Delano EO, Maynor G. Clinical/biological outcomes of treatment for pericoronitis. J Oral Maxillofac Surg 1996; 54(10):1150-60. https://doi.org/10.1016/s0278-2391(96)90339-0

Slade GD, Nuttall N, Sanders AE, Steele JG, Allen PF, Lahti S. Impacts of oral disorders in the United Kingdom and Australia. Br Dent J 2005; 198(8):489-93. https://doi.org/10.1038/sj.bdj.4812252

Slade GD, Foy SP, Shugars DA, Phillips C, White RP Jr. The impact of third molar symptoms, pain, and swelling on oral health-related quality of life. J Oral Maxillofac Surg 2004; 62(9):1118-24. https://doi.org/10.1016/j.joms.2003.11.014

Goldberg MH, Nemarich AN, Marco WP. Complications after mandibular third molar surgery: A statistical analysis of 500 consecutive procedures in private practice. J Am Dent Assoc 1985; 111(2):277-9. https://doi.org/10.14219/jada.archive.1985.0098

Osborn TP, Frederickson G Jr, Small IA, Torgerson TS. A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg 1985; 43(10):767-9. https://doi.org/10.1016/0278-2391(85)90331-3

McGrath C, Comfort MB, Lo EC, Luo Y. Patient-centred outcome measures in oral surgery: validity and sensitivity. Br J Oral Maxillofac Surg 2003; 41(1):43-7. https://doi.org/10.1016/s0266-4356(02)00289-9