Quality of life in patients undergoing third molar extraction

INTRODUCTION: The removal of third molars can cause disorders and damage in quality of life. OBJECTIVE: This study aimed to evaluate the quality of life in patients underwent surgery, discussing the most commonly events observed. MATERIAL AND METHOD: Sixty patients of a private surgery clinic from João Pessoa/PB were underwent extraction of third molars by the same surgeon and and under the same conditions. Data were collected in two steps: the first one was accomplished at the day of the procedure, which were noted down both patient and surgery informations. The second step were realized seven days after the procedure, the patients answered a form about life quality at the postoperative period. RESULT: 71,4% patients underwent to osteotomy and odontosection maintained their normal activities and 28,6% did not. While in patients not submitted to the techniques, 40,9% maintained their normal activities and 59,1% did not. According to Pell & Gregory classification, 71,4% of patients Class 3 maintained normally their social activities, while 60% of patients Position C didn´t. Patients who remained socially isolated and were underwent to techniques, 71,4% reported as the main reason the pain, and 100% of patients Class 3 and 80% of patients Position C have chosen the same answer. CONCLUSION: The results suggest that the techniques used in the transoperative does not influence the quality of life during the postoperative and the position has more influence than the class, in respect to the development of normal social activities.

引言：第三磨牙（third molars）拔除术可引发机体功能紊乱并导致生活质量受损。
研究目的：本研究旨在评估接受该手术患者的生活质量，并探讨术中最常观测到的相关事件。
材料与方法：招募来自巴西帕拉伊巴州若昂佩索阿市一家私人外科诊所的60名患者，由同一位外科医师在相同手术条件下实施第三磨牙拔除术。数据采集分为两个阶段：第一阶段于手术当日完成，记录患者基本信息与手术相关细节；第二阶段于术后7天开展，由患者填写关于术后生活质量的调查问卷。
结果：71.4%接受截骨术（osteotomy）与分牙术（odontosection）的患者术后可维持正常活动，仅28.6%无法维持。未接受上述术式的患者中，40.9%可维持正常活动，59.1%无法维持。依据佩尔-格雷戈里（Pell & Gregory）分类，71.4%的Ⅲ类患者可正常维持社交活动，而60%的C位患者无法做到。接受上述术式且术后存在社交隔离的患者中，71.4%将疼痛列为主要不适原因；Ⅲ类患者中100%、C位患者中80%均选择了相同答复。
结论：本研究结果显示，术中采用的术式并不会对患者术后生活质量造成影响；就维持正常社交活动而言，阻生牙位置相较于分类的影响更大。