Patients' perceptions of recovery after routine extraction of healthy premolars

Gavriel Chaushu*, Adrian Becker, Rafael Zeltser, Naomi Vasker, Sari Branski, Stella Chaushu

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    19 Scopus citations

    Abstract

    Introduction: In this prospective study, we evaluated patients' perceptions of recovery after orthodontic premolar extractions. Methods: Thirty patients (18 girls, 12 boys, mean age 14.6 ± 3.8 years) were given a health-related quality of life questionnaire to be completed each postoperative day (POD) for 7 days. The questionnaire was designed to assess each patient's perception of recovery: pain, oral function, general activity measures, and other variables. The impact of possible predictor variables, such as age, sex, length of surgical procedure, number of simultaneous extractions, and time during the day, was assessed. Results: Severe pain (16.7%, 3.3%) and consumption of analgesics (70%, 13.2%) declined dramatically from POD 1 to POD 2. Improvements in oral function and other symptoms were evident by POD 2. Absence from school resembled interference in daily activities (POD 2). Age was the most significant predictor variable, with results showing delayed recoveries for patients older than 15 years. The most striking differences were reported for enjoying food (P <.05), taste (P <.05), and food stagnation (P <.05). The number of extractions performed at the same appointment had no affect on posttreatment recovery. Conclusions: This study was designed to provide baseline health-related quality of life information with which to compare other surgical procedures frequently needed in orthodontic treatment, such as removal of third molars and exposure of impacted teeth. Additionally, it provides information for patients and clinicians on postoperative recovery after premolar orthodontic extractions.

    Original languageAmerican English
    Pages (from-to)170-175
    Number of pages6
    JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
    Volume131
    Issue number2
    DOIs
    StatePublished - Feb 2007

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