ArticleClinical oral investigations2021
Radiological risk indicators for persistent postoperative morbidity after third molar removal.
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Potentially Preventable Hospitalisation Related to Severe Third Molar Disease: A Systematic Review.Dentistry journal · 2026Review
- Is cone beam computed tomography accurate in predicting inferior alveolar nerve exposure during mandibular third molar extraction?BMC oral health · 2025Article
- Limitations of panoramic radiographs in predicting mandibular wisdom tooth extraction and the potential of deep learning models to overcome them.Scientific reports · 2024Article
- Article
- Pathologic conditions associated with impacted third molars: A retrospective study of panoramic radiographs in a Southern Brazilian population.Imaging science in dentistry · 2023Article
- Midfacial development and the wisdom of teeth: A case series.Clinical case reports · 2022Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAlthough panoramic radiographs are extensively studied for diagnosis and preoperative planning in third molar surgery, research on the predictive value of this radiographic information regarding the postoperative recovery of patients remains underexploited. This prospective cohort study aimed to assess the potential relationship between radiologic risk indicators and persistent postoperative morbidity, in 1009 patients undergoing 2825 third molar extractions in context of the M3BE study.
methodsTwo observers evaluated ten radiographic parameters: vertical and horizontal eruption status, third molar orientation, surgical difficulty, nerve relation, maxillary sinus relation, presence of periapical and pericoronal radiolucencies, caries, and third or second molar resorption. Patients' postoperative recovery was recorded 3 and 10 days after surgery. Univariate logistic regression was performed to assess potential associations between radiographic risk indicators and persistent postoperative morbidity.
resultsDeep impactions were significantly associated with the persistence of postoperative pain, trismus and swelling until 10 days after surgery, prolonged need for pain medication, and the inability to resume daily activities and work/studies. Pericoronal radiolucencies and resorption were significantly associated with persistent morbidity and a longer recovery time, whereas caries and periapical lesions were linked to a shorter recovery time.
conclusionBased on the results of this study, clinicians may better inform patients at risk for persistent postoperative discomfort according to what was preoperatively diagnosed on the panoramic radiograph. CLINICAL RELEVANCE: Preoperative panoramic radiographs contain information about patients at risk of prolonged recovery after third molar removal. Several risk indicators for persistent postoperative morbidity were identified.
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