Page 65 - Demo

Alveolar iodine tampon packing reduces postoperative morbidity after third molar surgery634postoperatively. No postoperative antibiotics were given. The day after surgery, patients began using a .12% aqueous CHX mouth rinse twice a day for 1 minute for 7 days. Patients were given verbal and written postoperative instructions and were recalled for review after 1 week. Parameters for outcome assessmentThe primary outcome measures consisted of an OHRQoL measure, the short version of the Oral Health Impact Profile (OHIP)-14,35,36 and questions about possible postoperative sequela (e.g., pain, swelling, limited mouth opening) and self-care (e.g., use of pain medication, cooling with ice), VAS pain scores, and inflammatory complications (e.g., wound infection and AO). QuestionnairesQuality of lifeTo measure oral health related quality of life the OHIP-14 was used. 62 Participants rate on a 5-point scale (0 = never – 4 = very often) the experience of their dental problems. The total score ranges from 0 – 56. Examples of items are “Have you had trouble pronouncing any words because of problems with your teeth or mouth”; Have you found it uncomfortable to eat any foods because of problems with your teeth or mouth;.The OHIP-14 was filled out each consecutive evening in the first postoperative week. Pain was measured using an 11-point numerical rating scale (NRS) and measured each postoperative day for one week.10,11 Only one extra item (number of hours cooling with an ice pack) was added to the first day questionnaire.Assessment of wound infection and alveolar osteitisOne independent assessor evaluated the presence of wound infection or AO. Infection was defined by any of the following:37 the presence of purulent discharge in the extraction socket and/or excessive swelling with fluctuation, with or without pain; presence of a local abscess; or onset of facial or cervical cellulitis plus other signs suggesting infection, such as pain, increased heat, erythema, and/or fever. In patients diagnosed with infection, wound care