Alveolar iodine tampon packing after impacted third molar surgery improves oral health–related quality of life and postoperative sequela: a randomized study

Alveolar iodine tampon packing after impacted third molar surgery improves oral health–related quality of life and postoperative sequela: a randomized study

Objective The aim of this study was to evaluate the effect of an iodine tampon on postoperative discomfort after surgical removal of a mandibular third molar. Material and methods Patients were randomly assigned to two groups: one group received an alveolar iodine-containing tampon in the extraction...

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Bibliographic Details
Published in:Oral and maxillofacial surgery Vol. 25; no. 2; pp. 181 - 190
Main Authors: Lindeboom, Jerome A., Tuk, Jacco G., Möllenkamp, Patrick, van Wijk, Arjen J.
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-06-2021
Springer Nature B.V
Subjects:
Activities of daily living
Adult
Clinical trials
Dentistry
Female
Hospitals
Humans
Iodine
Male
Mandible
Maxillofacial surgery
Medicine
Medicine & Public Health
Molar, Third - surgery
Nonsteroidal anti-inflammatory drugs
Oral and Maxillofacial Surgery
Oral hygiene
Original
Original Article
Pain
Pain, Postoperative - etiology
Pain, Postoperative - prevention & control
Patients
Postoperative period
Quality of Life
Questionnaires
Surgeons
Tooth Extraction
Tooth, Impacted - surgery
Alveolar packing
Pain
Third molars
OHRQoL
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Summary:Objective The aim of this study was to evaluate the effect of an iodine tampon on postoperative discomfort after surgical removal of a mandibular third molar. Material and methods Patients were randomly assigned to two groups: one group received an alveolar iodine-containing tampon in the extraction socket ( N  = 44), and the other group used a disposable syringe (Monoject®) to rinse the wound ( N  = 43). Postoperative discomfort was assessed with the Oral Health Impact Profile-14 (OHIP-14) questionnaire, Pain Intensity Numerical Rating Scale (PI-NRS), and questions about self-care and discomfort. Results This study included 87 patients (52 women and 35 men) with an average age of 26.47 years (SD, 6.36). The mean OHIP-14 sum scores were significantly lower in the iodine tampon group compared with the Monoject® syringe group. Mean PI-NRS scores significantly differed between the iodine tampon group (3.33; SE, 0.27) and Monoject® syringe group (4.46; SE, 0.27) (F (1, 85) = 8.16, p  < 0.01), with no interaction effect between time and PI-NRS ( F (6, 510) = 1.26, p  = 0.28). Patients in the iodine tampon group reported less postoperative discomfort. Conclusions Insertion of an iodine-containing tampon in the postoperative socket reduced the pain and impact on oral health-related quality of life during the first postoperative week and positively influenced postoperative sequelae.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ISSN:1865-1550
1865-1569
DOI:10.1007/s10006-020-00898-9