An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar Extractions

Objectives. The purpose of the present study was to investigate the occurrence and clinical features of delayed-onset infections after mandibular third-molar extractions. Method and Materials. An observational cohort study was conducted on 179 patients undergoing mandibular third-molar extraction be...

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Main Authors: Giulia Brunello, Marleen De Biagi, Giulia Crepaldi, Fernanda Izaura Rodrigues, Stefano Sivolella
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2017/1435348
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author Giulia Brunello
Marleen De Biagi
Giulia Crepaldi
Fernanda Izaura Rodrigues
Stefano Sivolella
author_facet Giulia Brunello
Marleen De Biagi
Giulia Crepaldi
Fernanda Izaura Rodrigues
Stefano Sivolella
author_sort Giulia Brunello
collection DOAJ
description Objectives. The purpose of the present study was to investigate the occurrence and clinical features of delayed-onset infections after mandibular third-molar extractions. Method and Materials. An observational cohort study was conducted on 179 patients undergoing mandibular third-molar extraction between January 2013 and December 2015, for a total of 217 extractions. Data were recorded at the time of extraction (T0), on suture removal seven days later (T1), and 30 days after the extraction, when patients were contacted and asked about their healing process (T2). The statistical analysis was performed with nonparametric tests. A p value lower than 0.05 was considered statistically significant. Results. Eight delayed-onset infections were recorded, amounting to 3.7% of all extractions. The median time elapsing from the extraction to the delayed-onset infection was 35 days (IQR 28–40; min 24–max 49). Younger age and longer surgical procedures seemed to be more often associated with this complication. Conclusion. Delayed-onset infections after third-molar extractions are relatively rare postoperative complications characterized by a swelling, usually with a purulent discharge. Patients should be informed of this possibility, which might develop even several weeks after the extraction.
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spelling doaj-art-6ce39f538e134fe9ac6033da46c6b2a12025-02-03T01:32:51ZengWileyInternational Journal of Dentistry1687-87281687-87362017-01-01201710.1155/2017/14353481435348An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar ExtractionsGiulia Brunello0Marleen De Biagi1Giulia Crepaldi2Fernanda Izaura Rodrigues3Stefano Sivolella4Department of Management and Engineering, University of Padova, Stradella S. Nicola 3, 36100 Vicenza, ItalyDepartment of Neurosciences, School of Dentistry, University of Padova, Via Giustiniani 3, 35128 Padova, ItalyDepartment of Neurosciences, School of Dentistry, University of Padova, Via Giustiniani 3, 35128 Padova, ItalySchool of Dentistry, Department of Social and Preventive Dentistry, Sao Paulo State University (UNESP), Campus Araçatuba, R. José Bonifàcio 1193, 16015-050 Araçatuba, SP, BrazilDepartment of Neurosciences, School of Dentistry, University of Padova, Via Giustiniani 3, 35128 Padova, ItalyObjectives. The purpose of the present study was to investigate the occurrence and clinical features of delayed-onset infections after mandibular third-molar extractions. Method and Materials. An observational cohort study was conducted on 179 patients undergoing mandibular third-molar extraction between January 2013 and December 2015, for a total of 217 extractions. Data were recorded at the time of extraction (T0), on suture removal seven days later (T1), and 30 days after the extraction, when patients were contacted and asked about their healing process (T2). The statistical analysis was performed with nonparametric tests. A p value lower than 0.05 was considered statistically significant. Results. Eight delayed-onset infections were recorded, amounting to 3.7% of all extractions. The median time elapsing from the extraction to the delayed-onset infection was 35 days (IQR 28–40; min 24–max 49). Younger age and longer surgical procedures seemed to be more often associated with this complication. Conclusion. Delayed-onset infections after third-molar extractions are relatively rare postoperative complications characterized by a swelling, usually with a purulent discharge. Patients should be informed of this possibility, which might develop even several weeks after the extraction.http://dx.doi.org/10.1155/2017/1435348
spellingShingle Giulia Brunello
Marleen De Biagi
Giulia Crepaldi
Fernanda Izaura Rodrigues
Stefano Sivolella
An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar Extractions
International Journal of Dentistry
title An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar Extractions
title_full An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar Extractions
title_fullStr An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar Extractions
title_full_unstemmed An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar Extractions
title_short An Observational Cohort Study on Delayed-Onset Infections after Mandibular Third-Molar Extractions
title_sort observational cohort study on delayed onset infections after mandibular third molar extractions
url http://dx.doi.org/10.1155/2017/1435348
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