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. 2022 Mar;56(1):12-21.
doi: 10.15644/asc56/1/2.

Correlation between Body Mass Index and the Occurrence of Postoperative Complications after Surgical Removal of the Lower Third Molar

Magdalena Coga  1 , Daniel Jerkovic  2 , Lidia Gavic  3 , Antonija Tadin  4 , Kristian Jerkovic  5 , Darko Macan  6
Affiliations

Correlation between Body Mass Index and the Occurrence of Postoperative Complications after Surgical Removal of the Lower Third Molar

Magdalena Coga et al. Acta Stomatol Croat. 2022 Mar.

Abstract

Objectives: Swelling, pain and trismus after the surgical removal of the mandibular third molars are the most common and expected postoperative complications. The aim of this cross-sectional study was to assess the association of those postoperative complications and BMI after surgical removal of the mandibular third molars.

Material and methods: 84 patients who required the surgical removal of their lower third molar were enrolled in this study and were divided into 4 groups dependent on their BMI. Data were tested by one-way analysis of variance (Welch's ANOVA). The differences were tested by the intragroup using the Games-Howell test.

Results: The effect of BMI on pain had a statistically significant difference within the first 24 postoperative hours: 4 hours (p=0.014), 6 hours (p=0.034, p=0.049), 12 hours (p= 0.00.P=0.023), and 24 hours (p=0.010). For swelling and trismus in the exception on first postoperative day between underweight and normal weight groups (p=0.026), and underweight and overweight groups (p=0.014) no statistically significant correlation was found.

Conclusion: BMI has an impact on a patient's early postoperative recovery.

Keywords: BMI; MeSH terms: Tooth Extraction; Pain; Postoperative Complications; Surgical Removal of Third Molar; Swelling; Third Molar; Trismus.

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Conflict of interest statement

Conflict of interest: The authors report no conflict of interest and the article is not funded or supported by any research grant.

References

    1. Marciani RD. Third molar removal: an overview of indications, imaging, evaluation, and assessment of risk. Oral Maxillofac Surg Clin North Am. 2007. February;19(1):1–13. [v.] 10.1016/j.coms.2006.11.007 - DOI - PubMed
    1. Baranović M, Macan D. Alveotomy of the wisdom tooth: Indications and cotraindications in theory and practice. Acta Stomatol Croat. 2004;38(4):297–8.
    1. Sejfija Z, Koani F, Macan D. Prevalence of Pathologies Associated with Impacted Third Molars in Kosovar Population: an Orthopanthomography Study. Acta Stomatol Croat. 2019;53(1):72–81. 10.15644/asc53/1/8 - DOI - PMC - PubMed
    1. Benediktsdóttir IS, Wenzel A, Petersen JK, Hintze H. Mandibular third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(4):438–46. 10.1016/j.tripleo.2003.10.018 - DOI - PubMed
    1. Đanić P, Salaric I, Macan D. New Findings on Local Tramadol Use in Oral Surgery. Acta Stomatol Croat. 2017;51(4):336–44. 10.15644/asc51/4/9 - DOI - PMC - PubMed

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