The impact of third molar symptoms, pain, and swelling on oral health-related quality of life

• Published in: Journal of oral and maxillofacial surgery Vol. 62; no. 9; pp. 1118 - 1124
• Main Authors: Slade, Gary D., Foy, Susan P., Shugars, Daniel A., Phillips, Ceib, White, Raymond P.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.09.2004; Elsevier
• Subjects: Adolescent; Adult; Age Factors; Attitude to Health; Biological and medical sciences; Chi-Square Distribution; Cohort Studies; Dentistry; Edema - psychology; Facial bones, jaws, teeth, parodontium: diseases, semeiology; Female; Humans; Logistic Models; Male; Medical sciences; Middle Aged; Molar, Third - pathology; Molar, Third - surgery; Non tumoral diseases; Otorhinolaryngology. Stomatology; Patient Acceptance of Health Care; Prospective Studies; Quality of Life; Tooth Extraction; Tooth Loss - etiology; Toothache - psychology; Human; Edema; Swelling; Stomatology; Dental disease; Unerupted tooth; Quality of life; Third molar tooth; Oral cavity; Symptomatology; Pain; Treatment; Surgery
• ISSN: 0278-2391; 1531-5053
• DOI: 10.1016/j.joms.2003.11.014

This study was designed to assess the impact of “pain and swelling” associated with third molars on patients’ quality of life before surgery. The data for these analyses were obtained from a larger ongoing study designed to examine the surgical and medical management of problems associated with third molars. Data from 480 patients with 4 third molars scheduled for removal were used in the analysis. Questionnaires administered presurgery assessed patients’ medical and dental history, their reasons for seeking third molar removal, and sociodemographic characteristics. Adverse impacts on oral health-related quality of life were measured using the 14-item Oral Health Impact Profile (OHIP) questionnaire. The primary outcome variable was the percentage of people reporting 1 or more of the 12 non-pain-specific OHIP items “fairly often” or “very often” during the 3 months before enrollment. One third (178 of 480) of patients said they were seeking third molar surgery because of current or previous symptoms of pain/swelling, and 17% reported 1 or more of the 12 non-pain-specific OHIP items. In the multivariate logistic regression model, the odds of one or more impacts was greater for people who presented because of symptoms (odds ratio [OR], 2.9; 95% confidence interval [CI], 1.7 to 4.8), who were aged 25 years or more (OR, 1.9; 95% CI, 1.1-3.3), and who had a self-reported history of tooth loss due to pathology or trauma (OR, 2.9; 95% CI, 1.9 to 5.5). Adverse impacts on quality of life occurred for 1 in 8 patients seeking third molar surgery, and the odds increased 3-fold for patients who had experienced pain/swelling compared with those who were asymptomatic.