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Effect of periapical surgery on oral health-related quality of life1417acquisition is subjective, and the data cannot be controlled. As such, some bias may be present [19, 24]. Facial swelling as such was not measured but reported on the OHIP-14 questionnaire, so the OHIP-14 scores were used to subjectively assess postoperative swelling. Objective methods for assessing the degree of postoperative swelling are more accurate than the estimations made by patients themselves, but as stated by Happonen et al.[25], there is no real objective way to assess the degree of intraoral swelling, which is experienced by the patients as being at least as unpleasant as extraoral swelling. Moreover, the amount of postoperative swelling is inter-individually different and the absence of a control group in the present study makes it difficult to draw a significant conclusion. ConclusionsWe identified a low incidence of postoperative pain and reduced OHRQoL following periapical surgical treatment. The postoperative reduction in OHRQoL and pain were of short duration, with maximum intensity in the early postoperative period and decreasing with time.