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Surgical extraction of impacted teeth in elderly patients. A retrospective analysis of perioperative complications – the experience of a single institution
Author(s) -
Trybek Grzegorz,
ChruścielNogalska Małgorzata,
Machnio Małgorzata,
Smektała Tomasz,
Malinowski Jerzy,
Tutak Marcin,
SporniakTutak Katarzyna
Publication year - 2016
Publication title -
gerodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 54
eISSN - 1741-2358
pISSN - 0734-0664
DOI - 10.1111/ger.12182
Subject(s) - medicine , dentistry , dentures , retrospective cohort study , perioperative , complication , inclusion and exclusion criteria , population , surgery , alternative medicine , environmental health , pathology
Objective The aim of this retrospective study was to investigate the most frequent complications and assess their overall rate associated with the surgical extraction of impacted teeth in an elderly patient population. Background Oral health needs of the elders are often associated with surgical procedures for the creation of appropriate conditions for any further prosthetic treatment. One such process is the removal of severely decayed, fractured or impacted teeth detrimental to the fit or appearance of dentures. While broken and decayed teeth leave little doubt for their removal, impacted teeth divide opinion, some extreme regarding their prophylactic removal and the appropriate age for the procedure. Material and methods Material was selected from the archives of an Out‐Patient Dental Surgery Clinic of the Regional Centre of Dentistry in Szczecin, from 2002 to 2013. The database was independently screened by two investigators according to inclusion and exclusion criteria. After selection process, all included records were screened using a data extraction form to obtain the necessary data. Results The total number of impacted teeth was 73, of which 29% were partially impacted. The overall complication rate was 24.6%. The most common complications were as follows: haematoma, nerve disturbances and local infections. Conclusion Surgical extraction in patients above 60 years of age is fraught with a high risk of possible complications.