Complications of Third Molar Extraction done by BDS Interns under Supervision in a Dental College in Central India
INTRODUCTION: Third molar is the most commonly observed impacted tooth in the oral cavity, with a higher prevalence among mandibular teeth. AIM: To assess the Complications of Third Molar Extraction done by BDS Interns under Supervision in a Dental College in Central India. MATERIALS AND METHOD: This cross-sectional study was conducted over a period of three years. BDS interns between the years 2016-2018 posted in the department of oral surgery were observed while doing third molar extractions under supervision. All patients underwent standard surgical protocol. Routine follow-up was done after one week and suture was removed. Complications, if any were noted down by the faculty and appropriate management of the same was done by the OPD incharge. Patients not available for follow up were excluded from the analysis. Data was analyzed using SPSS version 23.0. and the student’s independent samples t-test was applied to find out associations between the complications. RESULTS: A total of 1368 patients were included and a total of 2369 third molars were extracted with a majority of the teeth being in the mandibular region (69.8%). Males (62.5%) formed a majority of the population. The most common intra-operative complication was Swelling/pain/ trismus (36.8%) followed by dry socket (14.9%). Whereas the most common intra-operative complication was soft tissue injury (1.9%) followed by bleeding at the extraction site (1.8%). Both soft tissue injury (p=0.02) and swelling/pain/trismus (p=0.03) were found to be significant. CONCLUSION: The low percentages of intra-operative and post-operative complications among interns indicate adherence to proper exodontia protocols.
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