Correlation between Body Mass Index and the Occurrence of Postoperative Complications after Surgical Removal of the Lower Third Molar/Povezanost indeksa tjelesne mase i pojave komplikacija poslije operacijskog uklanjanja donjega treceg kutnjaka

• Published in: Acta stomatologica croatica 2022-03, Vol.56 (1), p.12
• Main Authors: Coga, Magdalena, Jerkovic, Daniel, Gavic, Lidia, Tadin, Antonija, Jerkovic, Kristian, Macan, Darko
• Format: Article
• Language: English
• Subjects: Analysis; Body mass index; Complications; Surgery
• ISSN: 0001-7019
• DOI: 10.15644/asc56/1/2

Objectives: Swelling, pain and trismus after the surgical removal of the mandibular third molars are the most common and expected postoperative complications. The aim of this cross-sectional study was to assess the association of those postoperative complications and BMI after surgical removal of the mandibular third molars. Material and methods: 84 patients who required the surgical removal of their lower third molar were enrolled in this study and were divided into 4 groups dependent on their BMI. Data were tested by one-way analysis ofvariance (Welch's ANOVA). The differences were tested by the intragroup using the Games-Howell test. Results: The effect of BMI on pain had a statistically significant difference within the first 24 postoperative hours: 4 hours (p=0.014), 6 hours (p=0.034, p=0.049), 12 hours (p= 0.00.P=0.023), and 24 hours (p=0.010). For swelling and trismus in the exception on first postoperative day between underweight and normal weight groups (p=0.026), and underweight and overweight groups (p=0.014) no statistically significant correlation was found Conclusion: BMI has an impact on a patient's early postoperative recovery. Cilj: Oteklina, bol i trizmus najcešce su, ali i ocekivane, komplikacije nakon operacijskoga uklanjanja donjega treceg kutnjaka. Cilj ovogistraživanja bio je procijeniti povezanostspomenutih postoperativnih komplikacija i BMI nakon kirurškoga uklanjanja donjih trecih kutnjaka. Materijali i metode: U ovo su istraživanje bila ukljucena 84 ispitanika kojima je bilo potrebno kirurški ukloniti donje trece kutnjake. Bili su podijeljeni u cetiri skupine, ovisno o izracunatom BMI-ju. Za ispitivanje dobivenih rezultata korištena je jednosmjerna analiza varijance (Welchova ANOVA), a razlike izmedu grupa testirane su Games-Howellovim testom. Rezultati: Ucinak BMI-ja na bol dokazan je statisticki znacajnom razlikom unutar prva 24 postoperativna sata: 4 sata (p = 0,014), 6 sati (p = 0,034, p = 0,049), 12 sati (p = 0,00, p = 0,023) i 24 sata (p = 0,010). S druge strane, nije pronadena statisticki znacajna povezanost za oteklinu i trizmus, s iznimkom otežanoga otvaranja usta prvoga postoperativnoga dana kod skupine pothranjenih u usporedbi s ispitanicima s normalnom tjelesnom masom (p = 0,026) i prekomjernom tjelesnom masom (p = 0,014). Zakljucak: BMI utjece na pacijentov rani postoperativni oporavak.