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Bar graph depicting age distribution of patients with post extraction complications. X-axis indicates age of the patients in years; Y-axis indicates number of patients with post extraction complications. Most of the patients in the age group 31-40 years (21.62%) had post extraction complications.
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Extraction is one of the commonest procedures in dentistry. Therefore, it is of interest to evaluate the post extraction complications in patients undergoing extractions of permanent teeth. A total of 70 adult patients who had undergone dental extractions and presented with post -operative complications were included in the study and evaluated. Dat...
Context in source publication
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The appropriate use of antibiotics has become a major concern in healthcare. The over prescription and misuse of antibiotics has contributed to antibiotic resistance which has emerged as a major public health issue. Objective: The current study is conducted to investigate the antibiotic use by the dentists and to assess the conformity with evidence...
Citations
... Hemorrhage represents a prevalent concern within the oral emergency domain, 3,16,17 necessitating clinicians to adopt a comprehensive approach when addressing post-tooth extraction bleeding. Initially, practitioners should cultivate a mental readiness for managing this clinical exigency. ...
Objective
The objective of this investigation is to delineate the distributional attributes of factors correlated with post-tooth extraction bleeding and to scrutinize corresponding strategies for emergency prevention and intervention.
Methods
The chi-squared test and rank sum test were deployed to evaluate fluctuations in blood loss. Univariate and multivariate binary logistic regression methodologies were employed to compute the odds ratio (OR) and its associated 95% confidence interval (95% CI). Furthermore, we delved into the relationship between each contributing factor and blood loss. Concurrently, univariate and multivariate logistic regression techniques were utilized to probe the nexus between blood loss and treatment modalities.
Results
Following adjustments for pertinent factors, the outcomes of multivariate analyses unveiled an escalated susceptibility to bleeding among male patients and individuals aged 60 years or older. The adjusted OR values and their corresponding 95% CI were determined as follows: OR = 1.54 (95% CI: 1.34–1.77, P < 0.001), OR = 0.74 (95% CI: 0.59–0.91, P = 0.005), OR = 0.58 (95% CI: 0.42–0.80, P = 0.001). Additionally, the results of multivariate logistic regression analysis indicated that, in contrast to individuals experiencing minimal blood loss, the OR values associated with treatment modalities for patients encountering substantial blood loss, namely iodoform gauze strips, sutures, collagen, and compression, were noted as follows: OR = 220.80 (95% CI: 151.43–321.95, P < 0.001), OR = 69.40 (95% CI: 46.11–104.44, P < 0.001), OR = 52.78 (95% CI: 34.66–80.38, P < 0.001), OR = 12.85 (95% CI: 9.46–17.45, P < 0.001).
Conclusion
It is imperative to prioritize the scrutiny of risk factors associated with post-tooth extraction hemorrhage, with the aim of preemptively averting incidences of bleeding subsequent to tooth extraction. Moreover, it is paramount to offer expert and tailored emergency interventions designed to address diverse case scenarios.
... After searching databases "PubMed" and "Web of Science", we have generated 7,445 records ( Figure 1). After removing duplicate records, we have analysed 201 references for this narrative review, but we have included 20 articles for the prevalence of the post-operative complications [10,27,[47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] International Journal of Dentistry post-operative complications following tooth extractions will be appraised using the Appraisal Tool for assessing the quality of cross-sectional studies (AXIS) [65]. The AXIS checklist consists of 20 components to assess the quality of the studies included and highlight the potential bias [65]. ...
Background. Complications from dental extractions may result in multiple post-operative visits and adversely affect the patient’s life. Preventing complications may decrease post-operative morbidity for the individual as well as lower societal costs, such as lost time from work and healthcare costs. Objectives. This narrative review aims to assess the prevalence and factors influencing post-operative complications following tooth extraction, helping clinicians minimise the risk. Data Sources. Cross-sectional studies. Study Eligibility and Participants. Patients undergoing dental extractions. Our exclusion criteria included in vitro studies, animal studies, terminally ill patients, and tooth loss not due to dental extraction. Literature was collected from “PubMed” and “Web of Science” through search criteria based on the “PICO” framework. Twenty articles were used to formulate a prevalence table, and 156 articles were included for the factors influencing complications. Study Appraisal and Synthesis Methods. This narrative review was reported using the SANRA (a scale for the quality assessment of narrative review articles) checklist. Due to the scope of our narrative review and its associated objectives, the quality of cross-sectional studies (AXIS) will be conducted from the studies outlining the prevalence. Results. Alveolar osteitis appears to be the most prevalent post-operative complication following tooth extraction. Predisposing factors can be significant in their ability to alter the risk of postoperative complications, and clinicians should provide patient-centred care to mitigate this risk. Limitations. Due to the breadth of context, a systematic review was not feasible, as it may have introduced heterogeneity. Conclusion. This narrative review has highlighted an array of factors which can influence the prevalence of post-operative complications. Future research would benefit from individually reporting post-operative complications, reducing the heterogeneity in definitions of the complications, and including greater detail on the predisposing factors studied.
... Apesar de todos os cuidados serem realizados, complicações pós-operatórias ainda são observadas. Neste contexto, as principais complicações decorrentes das cirurgias odontológicas são hemorragias, hematomas, lesões em tecidos moles adjacentes, fraturas ósseas, infecções, comprometimento de estruturas anatômicas importantes como cavidade nasal e seios maxilares, lesões nervosas, entre outras (Makki et al., 2021;Saravanan, 2021). ...
Introdução: Procedimentos clínico-cirúrgicos são frequentes nos consultórios odontológicos e devem ser realizados com cautela e responsabilidade, uma vez que hemorragias, hematomas, lesões em partes moles adjacentes, fraturas ósseas, infecções e comprometimento de estruturas anatômicas importantes podem ocorrer durante esses procedimentos. Objetivo: Analisar e relatar sete casos clínicos em que ocorreram iatrogenias e que foram atendidas no Hospital Universitário do Oeste do Paraná (HUOP). Em ambos os casos ocorreram complicações devido às falhas na execução dos procedimentos clínicos por meio dos Cirurgiões-Dentistas. Relatos de caso: Os casos abordados no presente estudos se trata de fraturas mandibulares decorrentes de exodontia de terceiro molar e remoção de protocolo inferior para higienização, hemorragia no pós-cirúrgico causada por falha na anamnese e na solicitação de exames complementares, abscessos de origem odontogênica e corpo estranho em seio maxilar após tentativa de exodontia simples. Em todos os casos foi possível observar erros, seja por falta de planejamento prévio, não execução de um bom exame clínico ou execução de técnica insuficiente. Conclusão: O profissional é o responsável por planejar adequadamente os casos e executar de maneira a garantir a segurança do paciente.
... The patient's quality of life, including their ability to speak, eat, and feel, may be compromised by this procedure. While complications during tooth extraction are minimally expected, postextraction complications such as pain, swelling, trismus, dry socket, ulcers, paresthesia, and bleeding frequently occur [2]. Fortunately, most complications following dental extractions can be avoided by following proper clinical procedures and complying with precise postoperative instructions. ...
... The importance of following post-extraction instructions correctly leads to patients recovering rapidly after oral surgery, thereby reducing morbidity [4]. The way a professional communicates postoperative care instructions (verbally and/or in writing) may affect how well patients comprehend and follow them, which can interfere with their ability to recover from surgery [2]. Some studies have demonstrated that written instructions are a beneficial adjunct to verbal instructions for increasing patient understanding [11]. ...
Background
Dental extraction is a commonly performed oral surgical procedure. The manner in which post-extraction instructions are given to patients may impact their understanding and adherence to instructions. This study aimed to evaluate the effectiveness of phone call follow-ups over conventional verbal and written post-extraction instructions in terms of patient compliance in Riyadh, Saudi Arabia.
Methodology
After obtaining informed consent, patients undergoing dental extraction at the Department of Oral and Maxillofacial Surgery were randomly enrolled into one of the three groups based on the mode by which post-extraction instructions were administered. Group A received verbal and written instructions only, and Group B and Group C received additional phone call follow-up on the first postoperative day and the first and third postoperative days, respectively. After seven days, all patients answered a questionnaire to quantify the level of compliance on a score out of 10, which was the outcome variable. The nature of receiving post-extraction instruction was the primary predictor variable. Age, gender, and type of extraction (surgical or non-surgical) were secondary predictors. Descriptive statistical analysis and statistical comparison of mean compliance scores between the groups and the effect of interaction between primary and secondary predictors on the outcome variable were carried out at a 95% significance level (p < 0.05).
Results
A total of 135 patients (75 males and 60 females; mean age = 36.2 years) were included in the study. While the overall mean compliance score was 8.36 ± 1.08, Group C (9.14 ± 0.78, n = 42) had a significantly higher level of compliance than Group B (8.48 ± 1.01, n = 40) and Group A (7.64 ± 0.83, n = 53) (one-way analysis of variance (ANOVA) F = 34.937; p < 0.001). Similarly, the level of compliance in Group B was significantly higher than that in Group A (p < 0.01). There was no significant statistical relationship between the secondary predictors and the compliance scores. Similarly, two-way ANOVA revealed no statistically significant effect of interaction between the primary and secondary predictor variables on the compliance scores. Individually, the least complied instruction, across all groups, was “rinsing with saline once every six hours for four days,” and “biting on a gauze pack for 30 minutes” was the most complied instruction.
Conclusions
Phone call follow-up after teeth extraction improves patient compliance with post-extraction instructions through reinforcement and education. While a single phone call follow-up one day after extraction along with verbal and written instructions increased patient compliance significantly, a second phone call follow-up on the third postoperative day yielded the best level of compliance.
... As mentioned above, one of the more common complications is dry socket [9]. Dry socket is the partial or total loss of the post-extraction blood clot. ...
Dry socket is one of the postoperative complications of tooth extraction. It is the partial or total loss of the post-extraction blood clot, resulting in severe pain that usually starts one to five days postoperatively, with clinical evidence of exposed alveolar bone, necrotic debris, halitosis, and tenderness on examination. The purpose of our systematic review was to answer the question “Is there a relationship between smoking and dry socket?”. After meeting the inclusion and exclusion criteria, eleven studies were included in this systematic review (according to the PRISMA statement guidelines). Based on a meta-analysis, tobacco smokers had a more than three-fold increase in the odds of dry socket after tooth extraction. Overall, the combined incidence of dry socket in smokers was found to be about 13.2% and in non-smokers about 3.8%. Despite the heterogeneity of the included studies (different types of teeth extracted, different age groups), cigarette smoking was related to an increased risk of dry socket after tooth extraction.
Introduction: Simple tooth extraction is one of the most common procedures performed by general dentists and Oral and Maxillofacial surgeons throughout daily practice. However, although it is a simple procedure, tooth-related complications could occur at any time. These complications are categorized into immediate and delayed complications. Immediate complications are due to either tooth-related or dentist-related factors and require prompt actions and immediate management. Tooth-related factors depend on tooth morphology and tooth structure conditions. Dentist-related factors depend on the proper selection and application of the instruments. On the other hand, delayed complications might occur after two days or more following the extraction. Objective: To evaluate the prevalence, prediction of risk factors complications, prevention and management of possible immediate and delayed post-extraction complications occurring in our Oral Surgery clinics at King Abdulaziz University Dental Hospital. Method: An observation and assessment of the extraction procedure, data collected via validated survey were used to gather the following: Demographic data, medical history, cause of extraction, number of tooth/teeth extracted, complications if any, and who did the procedure. For each patient who underwent dental extraction, a survey was filled out, by a doctor other than the operator and the procedure was assessed under observation to record any complications that occurred during the procedure and assess the undertaken management in such a case without intervention. Data was analyzed using Chi-square test through SPSS. Result: We observed 172 extraction procedures with 160 different patients, 12 had extraction more than once. A total 350 teeth were extracted from 160 patients, we observed 92 complications (53.4%) between immediate and delayed, 7 patients had both, the most common immediate complication was soft tissue injury with (81.7%) 67/82, and for the delayed complications the most common was dry socket (64.7%) 11/17 patients. Conclusion: In conclusion, we found a significant association between the number of post-operative complications, their management, and the experience of the operator
Aim: This prospective study was aimed to evaluate various potential risk factors associated with dry socket in middle aged patients.Materials and Methods: The study included middle aged patients in the age range of 35-50 years. 54 male and 46 female patients werewillingly ready to contribute in the study. The relative incidences for dry socket were noticed along with other related risk factors.While recording of the particulars of dry socket, comprehensive evaluation of the extraction was done for each patient. This includedthorough case history, method and nature of extraction. All the details and relative information was entered into spreadsheet furtherinvestigation.Results: Data was analyzed by statistical analysis software (SPSS). All patients were categorized into 5 age groups. Total 8 patientswere in the age group of 35-38 years. 20 subjects were found in the age group of 42-44 years. Maximum 34 subjects were found inthe age group of 48-50 years. Total 21 patients found with dry socket in their post operative phase after extraction. P value was highlysignificant for this. Standard deviation was 0.532 and standard error was 0.930. 4 patients each reported with the history of Tobaccochewing and smoking in various modes. P value was highly significant for this (0.01).Conclusion: Authors concluded that dry socket is a predictable phenomenon after extractions of posterior teeth. Different risk factorsare also found to be linked with it including tobacco chewing and smoking and steroid therapy.
