Journal of AdvancedMedical and Dental Sciences Research

1 Department of Head And Neck Oncology, B. Borooah Cancer Institute & Research Centre, Guwahati

Introduction: Third molar removal in oral surgery has become a common practice and it causes an acute inflammation with intense discomfort as well as pain, trismus and swelling during the postoperative period.   Aim and Objectives: The present study explores the effect of graft placement on secondary factors pain and swelling after lower third molar surgical removal. Material and Methods: Secondary parameters pain and swelling was compared among all the three groups. In all the groups, the patients were asked for pain at the operated site  on 1st review (post-op 2nd day),  2nd review (post-op 7th day) & 3rd review post-op 1 month). Facial swelling was measured preoperatively, after 2 days, 7 days postoperatively using visual scoring on clinical observation. The data were collected and entered into a Microsoft Excel Worksheet and analyzed using SPSS (version 7.5) statistical package. Chi square test and Annova test was applied  to find the statistical correlation and p value <0.05 was considered significant. Results: On second post-op day, 2 (9.52%) of patients from group I (G-graft) had severe pain , 3 (14.28%) had moderate pain , and 16 (76.19%) patients had mild pain.  In group II (G bone), 19 (90.47%) had mild pain, and 2 (9.52%) patients had moderate pain. In  group III (Control) 17 (80.95%) had mild pain , and 4 (19.4%) patients had moderate pain. The relation of pain scores on day 2,  day 7 (P_7D), day30 (P_30D)   between groups was found not significant (p>0.05). Cases of facial swelling was more in control group, the relation of a swelling scores on day 2  between groups was found not significant (p >0.05). The relation between different swelling scores on day2   and difficulty score in Group I, Group II, Group III was found to be significant(p<0.05) (table 7). The relation between duration of surgery and swelling in Group I, II and III was found to be highly significant (p<0.05). Conclusion: The present study concluded that G-Graft can be used in bony defects to enhance the bone healing and provokes less inflammatory process as compared to cases without graft. Pain and swelling had highly significant correlation with difficulty score and duration of surgery

Corresponding Author: Dr. Partha Sarathi Chakraborty, PG fellow, Department of Head And Neck Oncology, B. Borooah Cancer Institute & Research Centre, Guwahati, India.

This article may be cited as:   Chakraborty PS, Adhyapok AK, Debnath S. Comparison of Pain and Swelling in Patients with and without Graft Placement after third Molar Extraction. J Adv Med Dent Scie Res 2015;3(2):16-22.