Basic and patient-oriented researchImpact of Symptomatic Pericoronitis on Health-Related Quality of Life
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Patients and Methods
The data for these analyses on HRQOL are from subjects diagnosed with mild symptoms of pericoronitis, recruited for an institutional review board-approved, prospective, exploratory clinical trial. Patients presenting consecutively during 2006 and 2007 to an academic clinical center were asked to participate.
Inclusion criteria dictated that subjects were at risk assessment level I or II according to the standards of the American Society of Anesthesiologists, between ages 18 and 35 years, and
Results
The median age of 57 subjects with symptomatic pericoronitis was 23.1 years (interquartile range [IQR], 21.2 to 25.8 years) (Table 2). Slightly more males (51%) than females participated. Fifty-six percent of respondents were Caucasian, 21% were Asian, and 16% were African American. All subjects were at least high school graduates. Ninety-one percent had experienced at least some college.
Subjects' reports of worst pain and average pain in the week before enrollment are detailed in Figure 1.
Discussion
The most clinically relevant finding of these analyses is that symptomatic pericoronitis was associated with substantial adverse outcomes affecting quality of life and pain over a time frame of days to weeks. Importantly, these measures of pain and oral function appeared to be negatively affected in these subjects at levels similar to those reported for the principal treatment of this condition, third molar removal.15, 22
On postsurgery day (PSD) 1, Shugars et al reported “worst pain” as severe
Acknowledgments
The authors thank the patients who volunteered to provide data for these analyses. The authors also thank Ms Debora Price for helping manage the data for this project, and Ms Tiffany Hambright for her assistance as clinical coordinator.
References (25)
- et al.
Pericoronitis: Its nature and etiology
J Am Dent Assoc
(1971) - et al.
Third molars as an acute problem in Finnish university students
Oral Surg Oral Med Oral Pathol
(1993) - et al.
Comparison of the clinical status of third molars in young men in 1949 and 1990
Oral Surg Oral Med Oral Pathol
(1993) - et al.
Patient-centered outcome measures in oral surgery: Validity and sensitivity
Br J Oral Maxillofac Surg
(2003) - et al.
Can third molar surgery improve quality of life?A 6-month cohort study
J Oral Maxillofac Surg
(2003) - et al.
Developing a measure of patient perceptions of short-term outcomes of third molar surgery
J Oral Maxillofac Surg
(1996) - et al.
Patient's perception of recovery after third molar surgery
J Oral Maxillofac Surg
(1999) - et al.
Recovery after third molar surgery: Clinical and health-related quality of life outcomes
J Oral Maxillofac Surg
(2003) - et al.
Risk factors associated with prolonged recovery and delayed healing after third molar surgery
J Oral Maxillofac Surg
(2003) - et al.
The impact of intravenous antibiotics on health-related quality of life outcomes and clinical recovery after third molar surgery
J Oral Maxillofac Surg
(2004)
The impact of delayed clinical healing after third molar surgery on health-related quality-of-life outcomes
J Oral Maxillofac Surg
Impact of topical minocycline with third molar surgery on clinical recovery and health-related quality of life outcomes
J Oral Maxillofac Surg
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Level of pain intensity, cytokine profiling and microbial load after photodynamic therapy in acute severe pericoronitis
2020, Photodiagnosis and Photodynamic TherapyCitation Excerpt :The reason for the development of pericoronitis in mandibular molars is due to the presence of more limitations and exigency during the process of eruption, generally due to misaligned teeth or lack of space [2,3]. If the local inflammatory response limited to the tooth exaggerates, then there is a likely risk of developing systemic dissemination of the bacterial infection [4]. Th goal of the dental practitioner is to either extract or retain the molar associated with pericoronitis [5].
Comparison of the quality of life of patients with mandibular third molars and mild pericoronitis treated by extraction or by a periodontal approach
2020, British Journal of Oral and Maxillofacial SurgeryCitation Excerpt :McGrath and Bedi4 reported that the OHIP-14 index is more sensitive to improvements in oral health. Many studies have evaluated the effect of pericoronitis on the QoL rated by the OHIP-14 index1,4,7–10,15,16 and pericoronitis was treated with tooth extraction, which was reported to improve quality of life. A report by McGrath and Bedi that evaluated the removal of a single lower third molar with pericoronitis showed greater changes for the better in the severity scores in the OHIP-14 index at six months compared with the preoperative period.
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2015, Journal of Oral and Maxillofacial SurgeryCitation Excerpt :The oral function domain items of eating a regular diet and chewing food appeared to be more highly correlated with pain outcomes (rs ≥ 0.64 designated clinically quite important) than items in the lifestyle domain (rs < 0.55 designated clinically important). These data suggest that pericoronitis affects oral function more substantially than reported by McNutt et al5 and Bradshaw et al.6 Data from subjects' reports on the OHIP-14 instrument expand the understanding of the impact of pain with pericoronitis on oral health and quality of life over a longer time frame, that is, 3 months before enrollment.
SELECTIONS FROM THE CURRENT LITERATURE
2014, Journal of the American Dental Association
This research was supported by GCRC RR00046, CPSA U54RR024383, Oral and Maxillofacial Surgery Foundation, and the American Association of Oral and Maxillofacial Surgeons.