Evaluation of Complications Following Impacted Mandibular Third Molar Extraction in Patients with Different Hand Preference

Objective: Individual preference of using right or left hand for doing various hand workings, is the most easily observable form of the cerebral lateralization. It was stated that, among the right or left hand dominant individuals, there is an immunological asymetry, and a difference in motor control, visuospatial skills, and in the incidence of a number of disease. The aim of the study was to investigate pain, edema, trismus following the mandibular third molar extraction in patients with different hand preference. MaterialsandMethods: Forty-three patients who were indicated for bilateral surgical extraction of impacted mandibular third molars were included in the study. The interval between the extraction of the right and left molars of the patient was 30 days. The patients were divided into four groups; 1) left handed-right (right third molar), 2) left handed-left, 3) right handed-right, and 4) right handed-left. Measurements were made for comparison of pain, edema and trismus before and after operation. Results: The statistical significance was not observed between the groups regarding the pain, edema and trismus (p>0.05). Conclusion: The results suggest that severity of pain, edema and trismus may not be related to the hand preference following the right and left mandibular third molar extraction. Extended studies demonstrating an extent of an influence of hand preference in the complications of oral surgery, could be useful for planning the surgical interventions as well as for treatment results in maxillofacial surgery.

Farklı El Tercihi Olan Hastalarda Mandibular Gömülü Üçüncü Molar Çekim Sonrası Oluşan Komplikasyonların Değerlendirilmesi

Amaç: Bireyin çeşitli el işlerini yapmak için sağ veya sol elini tercih etmesi serebral lateralizasyonun en kolay gözlenebilen şeklidir. Sağ veya sol eli dominant olan kişiler arasında motor kontrol, vizyospasyal görevleri yerine getirmede, çeşitli hastalıkların görülme insidansında farklılıklar ve immün asimetri olduğu söylenmiştir. Bu çalışmada, mandibular 3. molar çekimini takiben görülen ağrı, ödem, trismusun el tercihi farklı olan hastalarda değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya, sağ ve sol mandibular gömülü 3. molar dişlerin çekiminin gerekli olduğu 43 hasta dahil edildi. Aynı hastadan sağ ve sol mandibular gömülü diş çekimi 30 gün arayla yapıldı. Dört hasta grubu oluşturuldu: 1) el tercihi sol-sağ (sağ mandibular 3. molar dişi çekilen), 2) el tercihi sol-sol, 3) el tercihi sağ-sağ, 4) el tercihi sağ-sol. Ağrı, ödem ve trismusun operasyondan önce ve sonra karşılaştırılması için ölçümler yapıldı. Bulgular: Gruplar arasında ağrı, ödem, trismus açısından istatistiksel bir fark görülmedi (p>0,05). Sonuç: Sonuçlar, sağ ve sol mandibular üçüncü molar ekstraksiyonu sonrası ağrı, ödem ve trismus şiddetinin el tercihi ile ilişkili olmayabileceğini düşündürmektedir. Fonksiyonel serebral lateralizasyon olan el tercihinin oral cerrahi komplikasyonlarında ne kadar etkin olduğunu ortaya çıkaracak daha kapsamlı araştırmaların gerek maksillofasiyal cerrahi girişimlerinin planlanmasında gerekse tedavi sonuçlarında faydalı olabileceği kanaatine varılmıştır.

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