ArticleBMC oral health2026
Does the clinical complexity of impacted mandibular third molars influence postoperative recovery?
Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransalveolar extraction of impacted mandibular third molars frequently presents formidable clinical challenges that may significantly impede postoperative convalescence. This investigation aimed to assess whether clinical diagnostic complexities influence the trajectory of patient recovery.
methodsIn this prospective study, 135 healthy adults (68 females, 67 males; mean age 27.3 ± 6.4 years) underwent mandibular third molar surgery under local anesthesia. Clinical diagnostic complexity was quantified using the Pederson Difficulty Index (PDI) derived from panoramic radiographs. Surgical duration (mean 9.4 ± 4.0 min) and complications - bleeding, swelling, trismus, pain, nerve paresthesia, infection, dry socket, TMJ disorders, and mandibular fracture—were systematically evaluated at postoperative days 3 and 7.
resultsPostoperative morbidity was most notable in pain (119 cases) and trismus (65 cases), with mild to moderate swelling in approximately 94% of patients; transient lingual nerve paresthesia occurred in two cases, with no other serious sequelae.
conclusionThis study demonstrated that cases with severe clinical complexity were associated with marginally higher complication rates and slightly longer extraction times compared with cases classified as moderate or mild by the difficulty index.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.