Proximity of a Lower Third Molar to the Inferior Alveolar Canal as a Predictor of Delayed Recovery》.pdf
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Proximity of a Lower Third Molar to the Inferior Alveolar Canal as a Predictor of Delayed Recovery》.pdf
J Oral Maxillofac Surg
64:1371-1376, 2006
Proximity of a Lower Third Molar
to the Inferior Alveolar Canal as a
Predictor of Delayed Recovery
Donald J. Hull, DDS,* Daniel A. Shugars, DDS, PhD, MPH,†
Raymond P. White, Jr, DDS, PhD,‡ and Ceib Phillips, PhD§
Purpose: This study was designed to test the hypothesis that removal of lower third molars below the
occlusal plane and in close proximity to the inferior alveolar canal (IAC) delays recovery after surgery as
compared with lower third molars below the occlusal plane yet not close to the IAC.
Patients and Methods: Recovery data were available for 579 patients enrolled in an institutional
review board–approved clinical trial. After surgery a questionnaire designed to assess health-related
quality of life (HRQOL) recovery was given to the patient to be completed each day for 14 days. At each
postsurgery visit, clinical data were collected detailing healing and treatment. Based on radiographic
findings, patients with at least 1 mandibular third molar below the occlusal plane were identified.
Outcomes for patients with at least 1 radiographic sign indicating proximity of a lower third molar to the
IAC were compared with those with none. Clinical and HRQOL outcomes were compared with
Cochran-Mantel-Haensel statistics (P .05).
Results: No significant differences were found between groups for delayed clinical recovery. If
radiographic signs for a patient at presurgery evaluation indicated close proximity of a lower third molar
to the IAC, odds were significantly increased for delayed HRQO
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