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Medicina Oral, Patología Oral y Cirugía Bucal (Internet)

On-line version ISSN 1698-6946


LOPEZ CARRICHES, Carmen; GOMEZ FONT, Rafael; MARTINEZ-GONZALEZ, José Mª  and  DONADO RODRIGUEZ, Manuel. Influence of smoking upon the postoperative course of lower third molar surgery. Med. oral patol. oral cir.bucal (Internet) [online]. 2006, vol.11, n.1, pp.56-60. ISSN 1698-6946.

Objectives: To determine whether smoking influences the postoperative course (pain and trismus) of lower third molar surgery, with a clinicalevaluation of surgical wound condition and analysis of the possible differences between smokers and nonsmokers. Design: The study subjects were randomly distributed into two groups(smokers and nonsmokers) and subjected to lower third molar extraction in the Unit of Oral and Maxillofacial Surgery (Madrid Complutense University, Spain).The study variables were trismus after 7 days, the intensity of pain and theneed for rescue medication during a period of one week. The surgical wound wasalso assessed (color, presence of plaque, etc.). Results: Two cases of postoperative infection were documented among thesmokers, and postoperative trismus was found to be greater among the latter (p=0.05). Conclusions: There were no statistically significant differences between the two groups in terms of pain, though trismus was greater among the smokers. Smoking did not influence wound condition (color, marginal inflammation, appositioning of the margins, ulceration, etc.).

Keywords : Third molar surgery; postoperative complications; smoking.

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