Abstract
Abstract : A total of 91 impacted lower third molars was removed and patient adrenocortical response, both before and after surgery, was measured. Both serum free and urine total 17-hydroxycorticosteroids were determined in these patients and in 33 control subjects. The preoperative serum mean of 20.68 gamma percent for the surgery patients was significantly higher than that of 14.17 gamma percent found for the controls. It was also significantly higher than the 13.74 gamma percent found for our 633 laboratory control subjects and the 17.53 gamma percent for 286 subjects scheduled for simple exodontia. One hour after operation the effect of anticipating and experiencing impaction surgery was no longer evident. Urinary excretion of corticosteroids was not significantly different for the impaction and control groups. (Author)
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