Features of the postoperative period course after the removal of the retinal lower third molars using the “Kolapol KP-3 LM”osteoplastic material
DOI:
https://doi.org/10.11603/2311-9624.2020.1.11217Keywords:
removal of lower third molars, “Klopol KP-3LM”osteoplastic material, inflammatory reaction, intensity of pain syndromeAbstract
The article presents the results of studying the features of the wound healing course after the atypical removal operation of the lower third molars at the filling of the removed teeth cell with osteoplastic material "Kolapol KP -3LM". The severity of the inflammatory response in the soft tissues of the trauma site and the intensity and duration of the pain syndrome were investigated.
The aim of the study – to learn the influence of the "Kolapol KP -3LM" osteoplastic material using after the atypical removal operation of the lower third molars on the severity of the inflammatory response of soft tissues in the area of trauma, the intensity and duration of pain in the postoperative period.
Materials and Methods. 32 patients, aged 18–23, were included in clinical observations. The atypical removal operation of the lower third molars has been carried in patients in accordance with the recommendations in the hospital (S. Asanami and Ya. Kazasaki, 1993). The patients were divided into two groups: group 1 – the healing of the cell was carried under a blood clot (15 people) and group 2 – the cell after operation was filled by the “Kolapol-KP-3 LM” osteoplastic material (17 people). Patients were monitored for 4 days. The severity of inflammatory response, intensity and duration of pain on the Verbal Descriptor Scale was clinically evaluated.
Results and Discussion. The clinical manifestations of the inflammatory reaction, that occur when the lower third molars are removed, were less pronounced at the using of the "Kolapol KP-3LM" osteoplastic material. In group 2 of patients, the symptoms of inflammation were regressed faster: the pain, the swelling of the tissues in the area of the cell of the removed tooth, the serous discharge from the wound, the normalization of body temperature. In these patients, throughout the observation period, the intensity of pain was lower, as evidenced by the higher percentage of patients who didn’t have pain and less percentage in which the pain was mild and moderate.
Conclusions. The using of the “Kolapol KP-3LM” osteoplastic material leads to a decrease in the inflammatory response in the postoperative period after the atypical removal operation of the lower third molars compared with the patients in which cell healing was carried under a blood clot. The “Kolapol KP-3LM” osteoplastic material doesn’t reduce the duration of the pain syndrome in the postoperative period, but it significantly reduces its intensity.
References
Ogonovsky, R.Z., Khomich, N.M., & Kuznyak, N.B. (2014). Likuvannia zapalnykh uskladnen pislia operatsii atypovoho vydalennia nyzhnikh tretikh moliariv: ohliad literatury (chastyna 1) [Treatment of inflammatory complications after surgery for atypical removal of the lower third molars: a literature review (part 1)]. Visnyk problem biolohii i medytsyny – Bulletin of Problems of Biology and Medicine, 1 (106), 17-22 [in Ukrainian].
Piptyuk, T.V., Puryk, V.P., & Piptyuk, V.M. (2012). Khirurhichni metody likuvannia patsiientiv iz zatrudnenym prorizuvanniam nyzhnikh tretikh moliariv [Surgical methods of treatment of patients with difficulty cutting the lower third molars]. Halytskyi likarskyi visnyk – Galician Doctor’s Bulletin, 19 (1), 161-164 [in Ukrainian].
Cheliy, O.I., & Pyptyuk, T.V. (2011). Sposib khirurhichnoho likuvannia retenovanykh nyzhnikh tretikh moliariv [A method of surgical treatment of retained lower third molars]. UA Patent No 63781. Kyiv: State Patent Office of Ukraine [in Ukrainian].
Pishkovtsi, M.Ya., Pishkovtsi, Ya.Ya., Myhovych, I.M. (2011). Sposib atypovoho vydalennia tretioho moliara verkhnoi shchelepy [The method of atypical removal of the impacted third molar of the upper jaw]. UA Patent No 65240. Kyiv: State Patent Office of Ukraine [in Ukrainian].
Bienstock, D.A., Dodson, T.B., Perrott, D.H., Chuang, S.K. (2011). Prognostic factors affecting the duration of disability after third molar removal. Journal of Oral and Maxillofacial Surgery, 69 (5), 1272-1277. DOI: https://doi.org/10.1016/j.joms.2010.06.211
Suomalainen, A. (2010). Reliability of CBCT and other radiographic methods in preoperative evaluation of lower third molars. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology, 109 (2), 276-284. DOI: https://doi.org/10.1016/j.tripleo.2009.10.021
Dobryy-Vechir, T.V. (2011). Osoblyvosti khirurhichnoho likuvannia khvorykh z utrudnenym prorizuvanniam nyzhnikh tretikh moliariv [Features of surgical treatment of patients with difficult eruption of lower third molars]. Candidate’s thesis. O. Bohomolets National Medical University, Kyiv [in Ukrainian].
Akhmerov, V.D. (2011). Sposib profilaktyky pisliaoperatsiinykh zapalnykh uskladnen pry atypovomu vydalenni tretioho moliara [A method of preventing postoperative inflammatory complications with atypical removal of the lower third molar]. Patent UA No 66122. Kyiv: State Patent Office of Ukraine [in Ukrainian].
Deo, S.P., & Shetty, P. (2011). Effect of submucosal injection of dexamethasone on post-operative sequelae of third molar surgery. Journal of Nepal Medical Association, 51 (182), 25-30. DOI: https://doi.org/10.31729/jnma.247
Anisha, M., Malik, M., & Virang, P. (2012). Comparison of primary and secondary closure of the surgical wound after removal of impacted mandibular third molars. Journal of Maxillofacial and Oral Surgery, 11 (3), 276-283.
Khomych, N.M. (2017). Kompleksne mistseve likuvannia pisliaoperatsiinykh uskladnen atypovoho vydalennia nyzhnikh tretikh moliariv [Complex local treatment of postoperative complications of atypical removal of the lower third molars]. Candidate’s Extended abstract. Danylo Halytskyi Lviv National Medical University, Lviv [in Ukrainian].
Hayduk, R.V. (2014). Khirurhichne likuvannia retentsii ta dystonii zubiv pry zastosuvanni hidrooksyapatytu iz zadanymy vlastyvostiamy [Surgical treatment of tooth retention and dystonia with hydroxyapatite with specified properties]. Candidate’s Extended abstract. Shupyk National Medical Academy of Postgraduate Education, Kyiv [in Ukrainian].
Moriano, R.C., M. de Melo, W., & Carneiro-Avelino, C. (2012). Comparative radiographic evaluation of alveolar bone healing associated with autologous platelet-rich plasma after impacted mandibular third molar surgery. Journal of Oral and Maxillofacial Surgery, 70, 19-24. DOI: https://doi.org/10.1016/j.joms.2011.03.028
Lysenko, O.S., Levytskyi, A.P., & Borysenko, A.V. (2014). Osteostymuliuiucha aktyvnist osteotropnykh kompozytsii na osnovi nanokonstrukturovanoi biokeramiky [Osteostimulatory activity of osteotropic compositions based on nanoconstructed bioceramics]. Visnyk stomatolohii – Bulletin of Dentistry, 1, 2-8 [in Ukrainian].
Hudarian, O.O., Idashkina, N.H., & Nekhanevych, Zh.M. (2017). Zastosuvannia riznykh fraktsii autoplazmy krovi (PRF, A-PRF ta I-PRF) pry khirurhichnomu likuvanni ratynovanykh tretikh moliariv nyzhnioi shchelepy [The use of different fractions of autoplasma of blood (PRF, A-PRF and I-PRF) in the surgical treatment of ratified third molars of the mandible]. Visnyk problem biolohii i medytsyny – Bulletin of Problems of Biology and Medicine, 1(135), 352–356 [in Ukrainian].
Asanamy, S., & Kasazaky, Ya. (2003). Kvalifitsirovannoe udaleniye tretikh molyarov [Qualified removal of third molars]. Moscow: Azbuka [in Russian].
Gaston-Johanson, F., Albert, M., Fagan, E., & Zimmerman, L. (1990). Similarities in pain descriptions of four different ethnic-culture groups. Journal of Pain Symptom Manage, 5 (2), 94-100. DOI: https://doi.org/10.1016/S0885-3924(05)80022-3
