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Factors Which Influence Postoperative Pain Intensity After Surgical Removal of Impacted Mandibular Third Molars

Year: 2019

Type: article

Abstract: Introduction: Surgical removal of impacted mandibular third molars is one of the most common surgical procedures in oral surgery.Postoperative pain after such surgical procedures is acute and may last more than a week, thus impacting the patients' ability to perform activities of daily living.Objective: The objective of this study is to elucidate the factors that have an effect on postoperative pain intensity.Material and methods: A clinical study was conducted on 40 subjects at the age between 17 and 40 with bilaterally impacted mandibular third molars.The time interval between the two surgical procedures was 2 weeks.The patients were allocated by simple randomisation in the following groups depending on the medication taken: group A -placebo, group B -ibuprofen, group C -ibuprofen plus gabapentin.Visual analogue scale (VAS) was used to measure pain intensity.The following statistical methods were used to process the results: T-test, one-way analysis of variance (ANOVA), one-way ANOVA with repeated measures (RMA), post hoc tests and hierarchical multiple regression. Results:The results of the study conducted show that the pain after both surgical procedures was most severe at postoperative hour 6; after the first operation the mean was 49.488±4.165mm, and after the second operation -39.566±4.935mm.A statistically significant difference (paired t-test, p = 0.007, n = 38) was found between the paired mean pain intensities measured at hour 6; the intensity was lower after the second procedure compared to the first one.Conclusion: Our study showed that the factor with the greatest impact on the intensity of the postoperative pain was the difficulty of the surgical procedure.

Source: Journal of IMAB - Annual Proceeding (Scientific Papers)

DOI: 10.5272/jimab.2019254.2793

Authors: Tanya Sbirkova, Deyan Neychev, Ralitsa Raycheva, Dimitar Atanasov

Institution: Medical University Plovdiv

Language: English

Topic: Anesthesia and Pain Management

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $161