Management of postoperative morbidity after third molar surgery: a review of the literature

Abstract

Background: Patients' complaints of pain, swelling and limitation in mouth opening following lower third molar surgery is an important factor affecting their daily life. The aim of this study was to review the different methods of minimizing postoperative morbidity following lower third molarsurgery.

Methods: Relevant literatures from Scirus, Pubmed and Medline computerized search on management of postoperative morbidity following third molar surgery were evaluated and highlighted. Information was also obtained from texts and journals in the medical libraries of Federal School of Dental Technology and the University of Nigeria both in Enugu.

Results: studies reviewed have not pointed to the effectiveness of the routine use of any systemic or local agent for minimizing postoperative morbidity after third molar surgery without other undesirable effects. Oral surgeons across the world have devised several methods, which include the use of drugs, different surgical techniques, laser therapy and the use of drains.

Conclusion: Postoperative morbidity after the surgical removal of impacted lower third molar still remains an important factor in patients' recovery and comfort. The awareness of different methods of reducing morbidity after lower third molar surgery would help both the surgeon and the patients in the management of impacted lower third molar.