IADR Abstract Archives

Quality of Life Affects Third Molar Decisions in Pericoronitis Subjects

Objectives:  Pericoronitis is a major determinant of third molar [3M] symptoms and the most commonly reported reason for 3M removal.  Symptomatic pericoronitis impacts quality of life [QoL]; and currently, the only effective treatment is removal of the symptomatic 3M(s).  Although removal of 3Ms improves QoL, not all individuals with pericoronitis elect to have 3Ms removed.  Understanding the factors involved in 3M decisions can assist clinicians in advising patients.  This study was designed to assess the impact of QoL and other factors on the timing and decision for 3M removal.

Methods:  Healthy subjects 18-35 years with mild signs/symptoms of pericoronitis were enrolled in an IRB-approved study. Demographic, clinical, and QoL data were collected at enrollment. Subjects voluntarily scheduled surgery. The principal outcome variable was subjects’ decision to have or not have surgery within six months of enrollment. Possible predictor variables were demographic characteristics, having dental insurance or not, and QoL measures.

Results: The mean age of the 113 subjects was 23.2±3.8 years. Seventy-eight subjects elected 3M removal within six months of enrollment (removed) and 35 subjects retained 3M(s) at six months post-enrollment (retained). Between these two groups, a greater proportion of the removed group compared to the retained group were Caucasians (57.7% vs. 37.1%, P=0.04), had dental insurance (47.4% vs. 28.6%, P=0.06), and reported having trouble with opening their mouths (38.4% vs. 17.1%, P=0.03) and having trouble maintaining a regular social life (25.7% vs. 8.6%, P=0.05). The multivariate logistic regression model revealed the odds of electing 3M removal within six months of enrollment were greater for those who were Caucasian (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.06-5.67) and had trouble opening their mouths (OR, 2.17; 95% CI, 1.05-4.49).

Conclusion:  Having problems with oral function and lifestyle significantly affected subjects’ decision for 3M removal, an under-reported predictor for surgery.

Division: AADR/CADR Annual Meeting
Meeting: 2014 AADR/CADR Annual Meeting (Charlotte, North Carolina)
Location: Charlotte, North Carolina
Year: 2014
Final Presentation ID: 1252
Abstract Category|Abstract Category(s): Oral & Maxillofacial Surgery
Authors
  • Tang, Dana  ( University of North Carolina, Chapel Hill, NC, USA )
  • Phillips, Ceib  ( University of North Carolina, Chapel Hill, NC, USA )
  • Proffit, William  ( University of North Carolina, Chapel Hill, NC, USA )
  • Koroluk, Lorne  ( University of North Carolina, Chapel Hill, NC, USA )
  • White, Raymond  ( University of North Carolina, Chapel Hill, NC, USA )
  • SESSION INFORMATION
    Poster Session
    Oral & Maxillofacial Surgery II
    03/21/2014