Surgical Difficulty and Operation Time as Determinants of Outcomes in Mandibular Third Molar Surgery
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Bahçeşehir University
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Total score on a 20-item postoperative patient satisfaction questionnaire following surgical extraction of impacted mandibular third molars
Overview
Brief Summary
This prospective observational cohort study is designed to evaluate early postoperative complications and patient-reported satisfaction following surgical extraction of impacted mandibular third molars under local anesthesia in adult patients. Standardized surgical and postoperative protocols are applied to all participants. The primary objective is to assess overall patient satisfaction on postoperative day 7 using a structured questionnaire. Secondary objectives are to describe the frequency and characteristics of early postoperative pain, swelling, trismus and other complications in the first postoperative week after surgery.
Detailed Description
Adult patients requiring surgical removal of an impacted mandibular third molar under local anesthesia will be prospectively enrolled at a single oral and maxillofacial surgery center. All procedures will be performed using a standardized surgical technique and a uniform postoperative medication and care protocol. Clinical examinations and patient-reported outcome measures will be obtained at baseline and at the postoperative day-7 follow-up visit. The study focuses on describing the early postoperative course after third molar surgery and on exploring how early complications relate to overall patient satisfaction with treatment.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 15 Years to 60 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Presence of one impacted mandibular third molar indicated for surgical extraction
- •Surgical removal of the impacted mandibular third molar planned under local anesthesia
- •Good general health (ASA I-II)
- •Ability to understand the study information and provide written informed consent
- •Willingness and ability to attend the postoperative day-7 follow-up visit and to complete all study questionnaires
Exclusion Criteria
- •Systemic diseases corresponding to ASA III or higher
- •Acute infection at the surgical site (e.g. acute pericoronitis, abscess) requiring emergency treatment
- •Previous surgical intervention at the same mandibular third molar region
- •Pregnancy or lactation
- •History of radiotherapy or chemotherapy involving the head and neck region
- •Known bleeding disorders or current use of anticoagulant medication that cannot be safely modified for surgery
- •Chronic use of systemic corticosteroids, immunosuppressive drugs, or long-term analgesic therapy that may interfere with pain assessment or healing
- •Known allergy or contraindication to the local anesthetic or routinely used postoperative medications in this study
- •Significant cognitive or psychiatric disorders, or language barriers that prevent reliable completion of the questionnaires
Outcomes
Primary Outcomes
Total score on a 20-item postoperative patient satisfaction questionnaire following surgical extraction of impacted mandibular third molars
Time Frame: day 7
Patient satisfaction will be assessed on postoperative day 7 using a 20-item postoperative mandibular third molar surgery patient satisfaction questionnaire. The questionnaire evaluates domains such as pain control, swelling, mouth opening, intraoperative and postoperative comfort, information provided by the surgeon, ability to chew and perform daily activities, willingness to undergo the procedure again, and overall satisfaction with care. Each item is rated on a 5-point Likert-type scale (1 = lowest satisfaction, 5 = highest satisfaction). A total satisfaction score will be calculated by summing all item scores, resulting in a minimum total score of 20 and a maximum total score of 100.
Secondary Outcomes
- Incidence and severity of early postoperative complications after surgical extraction of impacted mandibular third molars(day 7)
Investigators
Dilara KAZAN
assistant prof
Bahçeşehir University