Incidence of Delayed Infections after Lower Third Molar Extraction
Department of Biomedical and Neuromotor Science, Section of Clinical Dentistry, Alma Mater Studiorum, Università di Bologna, Via San Vitale, 59, 40125 Bologna, Italy
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Author to whom correspondence should be addressed.
Academic Editors: Joseph Nissan and Gavriel Chaushu
Int. J. Environ. Res. Public Health 2022, 19(7), 4028; https://doi.org/10.3390/ijerph19074028
Received: 28 January 2022
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Revised: 23 March 2022
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Accepted: 25 March 2022
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Published: 29 March 2022
(This article belongs to the Topic State-of-the-Art Dentistry and Oral Health)
Purpose: This retrospective study aimed to verify that the onset of delayed infection after lower third molar extraction was influenced by the amount of distal space. Patients and Methods: We evaluated 265 patients (age range 12–55 years), who had one or two mandibular third molars to be extracted. All 380 third molars were removed for orthodontic reasons, periodontal disease, or pericoronitis and were evaluated by the Pell and Gregory classification using the panoramic radiographs. Results: Delayed infection, characterized from purulent exudates from the alveolus and swelling, was reported in 21 extractions between 2 and 8 weeks after surgery. In 16 of the 21 cases of infection, a class III of Pell and Gregory was observed, and this anatomic condition evidenced an extremely reduced space distal to the second molar. Conclusion: This study confirmed that the absence of distal space was significantly correlated with delayed infection. These data are important for proper examination of a patient because, in the case of class I or II of Pell and Gregory, a delayed infection was less likely to occur, while a class III of Pell and Gregory could indicate a greater likelihood of this type of infection.
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MDPI and ACS Style
Monaco, G.; Gatto, M.R.A.; Pelliccioni, G.A. Incidence of Delayed Infections after Lower Third Molar Extraction. Int. J. Environ. Res. Public Health 2022, 19, 4028. https://doi.org/10.3390/ijerph19074028
AMA Style
Monaco G, Gatto MRA, Pelliccioni GA. Incidence of Delayed Infections after Lower Third Molar Extraction. International Journal of Environmental Research and Public Health. 2022; 19(7):4028. https://doi.org/10.3390/ijerph19074028
Chicago/Turabian StyleMonaco, Giuseppe, Maria R.A. Gatto, and Gian A. Pelliccioni. 2022. "Incidence of Delayed Infections after Lower Third Molar Extraction" International Journal of Environmental Research and Public Health 19, no. 7: 4028. https://doi.org/10.3390/ijerph19074028
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