Abstract
We have evaluated and compared the outcomes after conservatively treated and surgically
managed third molars in patients with mild pericoronitis at the first, third, and
sixth postoperative months, and we rated patients’ quality of life (QoL) using the
Oral Health Impact Profile-14 (OHIP-14) index. Of the 128 patients who were originally
assessed as eligible we studied 100 patients who fulfilled the protocol, being diagnosed
with mild pericoronitis that affected the third molar teeth and who were followed
up for six months. Fifty were treated by the periodontal approach and 50 by extraction
of third molars. Their oral health-related QoL was assessed using the OHIP-14 index
on a personal assessment question form and then repeated at the first, third, and
sixth months. The data were analysed using the Mann Whitney, Friedman’s, and Wilcoxon’s
test, as appropriate. There was a significant difference between the total OHIP-14
scores at different time points (p < 0.0001). In both groups the three postoperative total OHIP-14 scores were significantly
lower than the baseline score, and we noted a further decrease in OHIP-14 scores in
the surgical treatment group. Periodontal treatment of mandibular third molar teeth
may effectively reduce (but does not eliminate) symptoms, whereas tooth extraction
seems to be more effective at the long term.
Keywords
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Article info
Publication history
Published online: December 19, 2019
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© 2019 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
