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ORIGINAL ARTICLE
Year : 2022  |  Volume : 16  |  Issue : 1  |  Page : 43-48

Can associated pathology influence pain perception and oral health-related quality of life after surgical removal of impacted mandibular third molars? A comparative study in a Saudi Arabia population


1 Department of Oral and Maxillofacial Surgery, Najran Specialty Regional Dental Center, Medical Villlage Complex, Najran, Kingdom of Saudi Arabia
2 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, College of Health Sciences, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
3 Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Correspondence Address:
Ramat Oyebunmi Braimah
Najran Specialty Regional Dental Center, Medical Villlage Complex, Najran
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jodd.jodd_46_21

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Background: Influence of over-erupted/buccally erupted maxillary third molar and distal surface caries (DSC) of mandibular second molar on oral health-related quality of life (OHRQoL) is not found in the literature. Materials and Methods: This prospective study was to evaluate the influence of associated pathology on OHRQoL after impacted mandibular third molar (IMTM) surgery. Demographics, indication for seeking IMTM removal, and presence of DSC and over-erupted/buccally erupted maxillary third molar were recorded. The Numeric Pain Scale and Arabic version of UK-OHRQoL instruments were used to evaluate pain and QoL after IMTM surgery. Analysis of variance was used statistically. Results: A total of 90 (41 [45.6%] males and 49 [54.4%] females) patients were recruited. The mean age was 31.3 ± 6.7 years. Patients with no associated pathology had lesser pain and better QoL scores. The domain scores became significant at: symptom level, body function level, and personal level on postoperative day (POD) 5; symptom level, body function level, personal level, and social level on POD 7; and at social level only on POD 14. Mean overall QoL was significant on POD 5 and 7. Conclusion: An over-erupted/buccally erupted maxillary third molar and mandibular second molar with DSC negatively affected pain perception and overall OHRQoL after surgical removal of IMTMs.


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