Abstract
ObjectiveTo evaluate whether periapical surgery affects oral health-related quality of life (OHRQoL) within the first postoperative week.Study designThe primary outcomes in 133 patients (54 men, 79 women; mean age 50.8 years) undergoing periapical surgery were the Oral Health Impact Profile-14 (OHIP-14) score and postoperative sequelae, including pain, analgesic intake, swelling, limited mouth opening, chewing difficulties, and postoperative infection.ResultsWe found a significant effect on OHIP-14, pain, and analgesics, which decreased throughout the week. We found no significant differences in mean OHIP-14, pain scores, or analgesic use for gender, medical history, surgical flaps, operation time, or location of the operated teeth. Younger patients had a higher OHIP-14 score in the first 2 days after surgery and more pain on the first postoperative day. Women experienced more pain during the first 3 days. Smokers had a higher OHIP-14 score on the first postoperative day and greater pain during the first 3 days compared to non-smokers.ConclusionWe identified a low incidence of pain and reduced OHRQoL following periapical surgery. The postoperative reduction in OHRQoL and pain were of short duration, with maximum intensity in the early postoperative period and rapidly decreasing with time.
Highlights
Periapical surgery is a therapeutic surgical procedure to treat teeth with periapical inflammation, when orthograde retreatment is problematic or fails to lead to regression of the apical pathology [1, 2]
Oral and Maxillofacial Surgery adjunct platelet concentrate on postoperative quality of life (QoL), whereas a recent study evaluating the impact of adjunct leukocyte and platelet-rich-fibrin on QoL after periapical surgery found no significant improvement during the first postoperative week [15,16,17]
Repeated measures ANOVA was used to analyze the mean overall Oral Health Impact Profile-14 (OHIP-14) scores collected each day during the first postoperative week, indicating a significant effect for the repeated measurements (F(6, 792) = 72.8, p < 0.001)
Summary
Periapical surgery is a therapeutic surgical procedure to treat teeth with periapical inflammation, when orthograde retreatment is problematic or fails to lead to regression of the apical pathology [1, 2]. Periapical surgery causes tissue damage and can have both a local and systemic impact that deteriorates the patient’s quality of life (QoL). Oral and Maxillofacial Surgery adjunct platelet concentrate on postoperative QoL, whereas a recent study evaluating the impact of adjunct leukocyte and platelet-rich-fibrin on QoL after periapical surgery found no significant improvement during the first postoperative week [15,16,17]. The aim of the present study was to investigate whether periapical surgery affects oral health-related quality of life (OHRQoL) during the first postoperative week. Patients were surveyed using the Oral Health Impact Profile-14 (OHIP-14) questionnaire. We assessed postoperative pain, analgesic intake, and infection in the first postoperative week
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