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Influence of estroprogestinic therapy on the postoperative course following impacted third molar extraction.
MedLine Citation:
PMID:  21217625     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM: Female patients on estroprogestinic therapy undergoing extraction of the third lower molar have a higher incidence of postoperative complications (dry socket -DS- pain). The purpose of this study is to verify such data and analyse if there are risk factors for the appearance of other postoperative complications.
METHODS: One hundred eighteen non-smoking healthy patients were included who underwent extraction of the impacted third lower molar (38 on oral contraceptives, OC, 80 as control). After the extraction, patients were prescribed with a pharmacological therapy, consisting of a per os antibiotic and antiseptic rinse. Each patient was examined after 7 days following surgery to verify the state of tissues. In addition subjective postoperative pain (VAS - Visual Analogue Scale) and intake of analgesic drugs were recorded.
RESULTS: One case of DS (2.64%) occurred in the OC group, and 1 case of DS occurred in control-patients group (1.25%) (P=0.4436). The postoperative pain proved significantly higher in OC compared to control (first and fifth postoperation day). In OC a predisposition to dehiscence of the wound (86.84% P=0.0021) and emergence of laterocervical lymphadenitis (81.57% P=0.0010) was found, while no cases of postextractive abscesses and trismus of the masseter were found.
CONCLUSION: Although no correlation between DS and estroprogestinic therapy has been found, a more difficult healing of tissues has been observed as well as a significantly higher subjective pain index in the postoperative days considered in OC patients.
Authors:
S Sivolella; G Boccuzzo; M Franco; E Stellini; A Di Fiore; M Berengo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva stomatologica     Volume:  59     ISSN:  0026-4970     ISO Abbreviation:  Minerva Stomatol     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2011-01-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421071     Medline TA:  Minerva Stomatol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  611-23     Citation Subset:  D; IM    
Affiliation:
Department of Oral Surgery, University of Padua, Institute of Clinical Dentistry, Padua, Italy - stefano.sivolella@libero.it.
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