Research Article
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EVALUATION OF THE IMPACTS OF SURGICAL REMOVAL OF IMPACTED TEETH ON ALTERATIONS OF THE MOOD WITH BECK DEPRESSION INVENTORY

Year 2022, Volume: 25 Issue: 1, 20 - 28, 25.03.2022

Mustafa Sami Demirsoy , Aras Erdil , Sefa Çolak , Mehmet Kemal Tümer

https://doi.org/10.7126/cumudj.1019628

Abstract

Objectives
To determine whether the inflammatory complications following impacted third molar surgeries and varying surgical difficulties impact individuals' mood alterations.
Materials and Methods
A prospective, double-blind, observational study was designed with three study groups (slightly, moderate, and very difficult) constituted with surgical difficulty scores. The participants were evaluated preoperatively and postoperatively on the sixth hour, second and seventh days. The visual analog scale (VAS) and Beck depression scale (BDS) scores, maximal mouth opening, and swelling amounts were recorded.
Results
A total of 75 patients were enrolled and divided into three study groups with an equal number of participants.
The preoperative mean BDS scores of the study groups (slightly, moderate, very difficult) were 9.16, 7.16, and 8.12, and mean VAS scores were 2.86, 1.4, and 1.56, respectively. A significant correlation was observed between the surgical difficulty and the increased BDS scores on the second and seventh postoperative days (p=0.031, p=0.001). Significant correlations were observed between surgical difficulty and VAS scores (p=0.018) and maximum mouth opening amounts (p=0.021) on the second postoperative day. Also, postoperative swelling amounts were significantly affected by surgical difficulty on the postoperative second day (p=0.007). The impact of surgical difficulty and inflammatory complication-related factors on the postoperative BDS scores' increase was also evaluated, and the postoperative pain, trismus, swelling, and operation time correlated.
Conclusion
The surgical removal of impacted molar teeth has significant effects on alterations in mood. It would be beneficial to consider different aspects of the postoperative term that the patient will experience in third molar surgeries.

Keywords

Lower third molar Inflammatory complications Beck depression inventory Surgical removal

References

  • 1. Chen Q, Chen J, Hu B, Feng G, Song J. Submucosal injection of dexamethasone reduces postoperative discomfort after third-molar extraction: A systematic review and meta-analysis. J Am Dent Assoc. 2017;148(2):81-91. doi:10.1016/j.adaj.2016.09.014
  • 2. Fonseca RJ, Powers MP, Frost DE, Le B, Elsevier (Amsterdam). Oral and Maxillofacial Surgery: 1. St. Louis: Elsevier; 2018.
  • 3. Üstün Y, Erdoǧan Ö, Esen E, Karsli ED. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(5):535-539. doi:10.1016/S1079-2104(03)00464-5
  • 4. Bui CH, Seldin EB, Dodson TB. Types, Frequencies, and Risk Factors for Complications after Third Molar Extraction. J Oral Maxillofac Surg. 2003;61(12):1379-1389. doi:10.1016/j.joms.2003.04.001
  • 5. Miloro M, Ghali GE, Larsen PE, Waite PD. Peterson’s Principles of Oral And Maxillofacial Surgery.; 2011. doi:8005687281
  • 6. Avellaneda-Gimeno V, Figueiredo R, Valmaseda-Castellón E. Quality of life after upper third molar removal: A prospective longitudinal study. Med Oral Patol Oral Cir Bucal. 2017;22(6):e759-e766. doi:10.4317/medoral.21781
  • 7. Garcia Garcia A, Gude Sampedro F, Gandara Rey J, Gallas Torreira M. Trismus and pain after removal of impacted lower third molars. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1997;55(11):1223-1226. doi:10.1016/s0278-2391(97)90172-5
  • 8. Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Gude-Sampedro F, Gándara Rey JM, García-García A. Relationships between surgical difficulty and postoperative pain in lower third molar extractions. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2007;65(5):979-983. doi:10.1016/j.joms.2006.06.281
  • 9. Sainz de Baranda B, Silvestre F-J, Silvestre-Rangil J. Relationship Between Surgical Difficulty of Third Molar Extraction Under Local Anesthesia and the Postoperative Evolution of Clinical and Blood Parameters. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2019;77(7):1337-1345. doi:10.1016/j.joms.2019.02.020
  • 10. Lindeboom JA, Tuk JG, Möllenkamp P, van Wijk AJ. Alveolar iodine tampon packing after impacted third molar surgery improves oral health-related quality of life and postoperative sequela: a randomized study. Oral Maxillofac Surg. 2021;25(2):181-190. doi:10.1007/s10006-020-00898-9
  • 11. Materni A, De Angelis N, Di Tullio N, Colombo E, Benedicenti S, Amaroli A. Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study. J Clin Med. 2021;10(4). doi:10.3390/jcm10040593
  • 12. Erdil A, Akbulut N, Altan A, Demirsoy MS. Comparison of the effect of therapeutic elastic bandage, submucosal dexamethasone, or dexketoprofen trometamol on inflammatory symptoms and quality of life following third molar surgery: a randomized clinical trial. Clin Oral Investig. 2021;25(4):1849-1857. doi:10.1007/s00784-020-03487-y
  • 13. Steer RA, Beck AT, Garrison B. Applications of the beck depression inventory. Assess Depress. 1986:123-142. doi:10.1007/978-3-642-70486-4
  • 14. Bringmann LF, Lemmens LHJM, Huibers MJH, Borsboom D, Tuerlinckx F. Revealing the dynamic network structure of the Beck Depression Inventory-II. Psychol Med. 2015;45(04):747-757. doi:10.1017/S0033291714001809
  • 15. Luoni C, Bisulli F, Canevini MP, et al. Determinants of health-related quality of life in pharmacoresistant epilepsy: results from a large multicenter study of consecutively enrolled patients using validated quantitative assessments. Epilepsia. 2011;52(12):2181-2191. doi:10.1111/j.1528-1167.2011.03325.x
  • 16. Dogru Huzmeli E, Sarac ET. Examination of Sleep Quality, Anxiety and Depression in Stroke Patients. Turkish J Cerebrovasc Dis. 2017;23(2):51-55. doi:10.5505/tbdhd.2017.81905
  • 17. Hill CM, Mostafa P, Stuart AG, Thomas DW, Walker R V. ECG variations in patients pre- and post-local anaesthesia and analgesia. Br Dent J. 2009;207(12):E23. doi:10.1038/sj.bdj.2009.978
  • 18. Demirsoy MS, Tumer MK, Erdil A, Ozkan Y. Evaluation of the effects of the surgical removal of impacted third molars on the emotional state of individuals with Beck depression inventory. Niger J Clin Pract. 2020;23(10):1407.
  • 19. Caetano R. Standards for reporting non-randomized evaluations of behavioral and public health interventions: The TREND statement. Addiction. 2004;99(9):1075-1080. doi:10.1111/j.1360-0443.2004.00785.x
  • 20. Freudlsperger C, Deiss T, Bodem J, Engel M, Hoffmann J. Influence of lower third molar anatomic position on postoperative inflammatory complications. J Oral Maxillofac Surg. 2012;70(6):1280-1285. doi:10.1016/j.joms.2011.12.014
  • 21. Alcântara CEP, Falci SGM, Oliveira-Ferreira F, Santos CRR, Pinheiro MLP. Pre-emptive effect of dexamethasone and methylprednisolone on pain, swelling, and trismus after third molar surgery: A split-mouth randomized triple-blind clinical trial. Int J Oral Maxillofac Surg. 2014;43(1):93-98. doi:10.1016/j.ijom.2013.05.016
  • 22. Deepti C, Rehan HS, Mehra P. Changes in quality of life after surgical removal of impacted mandibular third molar teeth. J Maxillofac Oral Surg. 2009;8(3):257-260. doi:10.1007/s12663-009-0063-2
  • 23. Pautke C, Ristow O, Hohlweg-Majert B, Kehl V, Hahnefeld L, Koerdt S. Kinesiologic taping reduces morbidity after oral and maxillofacial surgery: a pooled analysis. Physiother Theory Pract. 2014;30(6):390-398. doi:10.3109/09593985.2014.891068
  • 24. Toms L, McQuay HJ, Derry S, Moore RA, Moore M. Single dose oral paracetamol (acetaminophen) for postoperative pain in adults. Cochrane Database Syst Rev. 2008;(4). doi:10.1002/14651858.CD004602.pub2
  • 25. Duarte-Rodrigues L, Miranda EFP, Souza TO, de Paiva HN, Falci SGM, Galvão EL. Third molar removal and its impact on quality of life: systematic review and meta-analysis. Qual Life Res. 2018;27(10):2477-2489. doi:10.1007/s11136-018-1889-1
  • 26. de Santana-Santos T, de Souza-Santos adson-A-S, Martins-Filho P-R-S, da Silva L-C-F, de Oliveira E Silva E-D, Gomes A-C-A. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables. Med Oral Patol Oral Cir Bucal. 2013;18(1):e65-70. doi:10.4317/medoral.18039
  • 27. Colorado-Bonnin M, Valmaseda-Castello´n E, Berini-Ayte´s L, Gay-Escoda C. Quality of life following lower third molar removal. Clin Pap Oral Surg. 2006;35(1):343-347. doi:10.1016/j.ijom.2005.08.008
  • 28. McGrath C, Comfort MB, Lo ECM, Luo Y. Changes in life quality following third molar surgery--the immediate postoperative period. Br Dent J. 2003;194(5):265-268; discussion 261. doi:10.1038/sj.bdj.4809930
  • 29. White RPJ, Shugars DA, Shafer DM, Laskin DM, Buckley MJ, Phillips C. Recovery after third molar surgery: clinical and health-related quality of life outcomes. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2003;61(5):535-544. doi:10.1053/joms.2003.50106
  • 30. McGrath C, Comfort MB, Lo ECM, Luo Y. Can third molar surgery improve quality of life? A 6-month cohort study. J Oral Maxillofac Surg. 2003;61(7):755-759. doi:10.1016/s0278-2391(03)00150-2
  • 31. Habib AS, Kertai MD, Cooter M, Greenup RA, Hwang S. Risk factors for severe acute pain and persistent pain after surgery for breast cancer: a prospective observational study. Reg Anesth Pain Med. 2019;44(2):192-199. doi:10.1136/rapm-2018-000040
  • 32. Larouche M, Brotto LA, Koenig NA, Lee T, Cundiff GW, Geoffrion R. Depression, Anxiety, and Pelvic Floor Symptoms Before and After Surgery for Pelvic Floor Dysfunction. Female Pelvic Med Reconstr Surg. 2020;26(1):67-72. doi:10.1097/SPV.0000000000000582
  • 33. Trevizan FB, Miyazaki MC de OS, Silva YLW, Roque CMW. Quality of Life, Depression, Anxiety and Coping Strategies after Heart Transplantation. Brazilian J Cardiovasc Surg. 2017;32(3):162-170. doi:10.21470/1678-9741-2017-0029

Year 2022, Volume: 25 Issue: 1, 20 - 28, 25.03.2022

Mustafa Sami Demirsoy , Aras Erdil , Sefa Çolak , Mehmet Kemal Tümer

https://doi.org/10.7126/cumudj.1019628

Abstract

References

  • 1. Chen Q, Chen J, Hu B, Feng G, Song J. Submucosal injection of dexamethasone reduces postoperative discomfort after third-molar extraction: A systematic review and meta-analysis. J Am Dent Assoc. 2017;148(2):81-91. doi:10.1016/j.adaj.2016.09.014
  • 2. Fonseca RJ, Powers MP, Frost DE, Le B, Elsevier (Amsterdam). Oral and Maxillofacial Surgery: 1. St. Louis: Elsevier; 2018.
  • 3. Üstün Y, Erdoǧan Ö, Esen E, Karsli ED. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(5):535-539. doi:10.1016/S1079-2104(03)00464-5
  • 4. Bui CH, Seldin EB, Dodson TB. Types, Frequencies, and Risk Factors for Complications after Third Molar Extraction. J Oral Maxillofac Surg. 2003;61(12):1379-1389. doi:10.1016/j.joms.2003.04.001
  • 5. Miloro M, Ghali GE, Larsen PE, Waite PD. Peterson’s Principles of Oral And Maxillofacial Surgery.; 2011. doi:8005687281
  • 6. Avellaneda-Gimeno V, Figueiredo R, Valmaseda-Castellón E. Quality of life after upper third molar removal: A prospective longitudinal study. Med Oral Patol Oral Cir Bucal. 2017;22(6):e759-e766. doi:10.4317/medoral.21781
  • 7. Garcia Garcia A, Gude Sampedro F, Gandara Rey J, Gallas Torreira M. Trismus and pain after removal of impacted lower third molars. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1997;55(11):1223-1226. doi:10.1016/s0278-2391(97)90172-5
  • 8. Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Gude-Sampedro F, Gándara Rey JM, García-García A. Relationships between surgical difficulty and postoperative pain in lower third molar extractions. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2007;65(5):979-983. doi:10.1016/j.joms.2006.06.281
  • 9. Sainz de Baranda B, Silvestre F-J, Silvestre-Rangil J. Relationship Between Surgical Difficulty of Third Molar Extraction Under Local Anesthesia and the Postoperative Evolution of Clinical and Blood Parameters. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2019;77(7):1337-1345. doi:10.1016/j.joms.2019.02.020
  • 10. Lindeboom JA, Tuk JG, Möllenkamp P, van Wijk AJ. Alveolar iodine tampon packing after impacted third molar surgery improves oral health-related quality of life and postoperative sequela: a randomized study. Oral Maxillofac Surg. 2021;25(2):181-190. doi:10.1007/s10006-020-00898-9
  • 11. Materni A, De Angelis N, Di Tullio N, Colombo E, Benedicenti S, Amaroli A. Flapless Surgical Approach to Extract Impacted Inferior Third Molars: A Retrospective Clinical Study. J Clin Med. 2021;10(4). doi:10.3390/jcm10040593
  • 12. Erdil A, Akbulut N, Altan A, Demirsoy MS. Comparison of the effect of therapeutic elastic bandage, submucosal dexamethasone, or dexketoprofen trometamol on inflammatory symptoms and quality of life following third molar surgery: a randomized clinical trial. Clin Oral Investig. 2021;25(4):1849-1857. doi:10.1007/s00784-020-03487-y
  • 13. Steer RA, Beck AT, Garrison B. Applications of the beck depression inventory. Assess Depress. 1986:123-142. doi:10.1007/978-3-642-70486-4
  • 14. Bringmann LF, Lemmens LHJM, Huibers MJH, Borsboom D, Tuerlinckx F. Revealing the dynamic network structure of the Beck Depression Inventory-II. Psychol Med. 2015;45(04):747-757. doi:10.1017/S0033291714001809
  • 15. Luoni C, Bisulli F, Canevini MP, et al. Determinants of health-related quality of life in pharmacoresistant epilepsy: results from a large multicenter study of consecutively enrolled patients using validated quantitative assessments. Epilepsia. 2011;52(12):2181-2191. doi:10.1111/j.1528-1167.2011.03325.x
  • 16. Dogru Huzmeli E, Sarac ET. Examination of Sleep Quality, Anxiety and Depression in Stroke Patients. Turkish J Cerebrovasc Dis. 2017;23(2):51-55. doi:10.5505/tbdhd.2017.81905
  • 17. Hill CM, Mostafa P, Stuart AG, Thomas DW, Walker R V. ECG variations in patients pre- and post-local anaesthesia and analgesia. Br Dent J. 2009;207(12):E23. doi:10.1038/sj.bdj.2009.978
  • 18. Demirsoy MS, Tumer MK, Erdil A, Ozkan Y. Evaluation of the effects of the surgical removal of impacted third molars on the emotional state of individuals with Beck depression inventory. Niger J Clin Pract. 2020;23(10):1407.
  • 19. Caetano R. Standards for reporting non-randomized evaluations of behavioral and public health interventions: The TREND statement. Addiction. 2004;99(9):1075-1080. doi:10.1111/j.1360-0443.2004.00785.x
  • 20. Freudlsperger C, Deiss T, Bodem J, Engel M, Hoffmann J. Influence of lower third molar anatomic position on postoperative inflammatory complications. J Oral Maxillofac Surg. 2012;70(6):1280-1285. doi:10.1016/j.joms.2011.12.014
  • 21. Alcântara CEP, Falci SGM, Oliveira-Ferreira F, Santos CRR, Pinheiro MLP. Pre-emptive effect of dexamethasone and methylprednisolone on pain, swelling, and trismus after third molar surgery: A split-mouth randomized triple-blind clinical trial. Int J Oral Maxillofac Surg. 2014;43(1):93-98. doi:10.1016/j.ijom.2013.05.016
  • 22. Deepti C, Rehan HS, Mehra P. Changes in quality of life after surgical removal of impacted mandibular third molar teeth. J Maxillofac Oral Surg. 2009;8(3):257-260. doi:10.1007/s12663-009-0063-2
  • 23. Pautke C, Ristow O, Hohlweg-Majert B, Kehl V, Hahnefeld L, Koerdt S. Kinesiologic taping reduces morbidity after oral and maxillofacial surgery: a pooled analysis. Physiother Theory Pract. 2014;30(6):390-398. doi:10.3109/09593985.2014.891068
  • 24. Toms L, McQuay HJ, Derry S, Moore RA, Moore M. Single dose oral paracetamol (acetaminophen) for postoperative pain in adults. Cochrane Database Syst Rev. 2008;(4). doi:10.1002/14651858.CD004602.pub2
  • 25. Duarte-Rodrigues L, Miranda EFP, Souza TO, de Paiva HN, Falci SGM, Galvão EL. Third molar removal and its impact on quality of life: systematic review and meta-analysis. Qual Life Res. 2018;27(10):2477-2489. doi:10.1007/s11136-018-1889-1
  • 26. de Santana-Santos T, de Souza-Santos adson-A-S, Martins-Filho P-R-S, da Silva L-C-F, de Oliveira E Silva E-D, Gomes A-C-A. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables. Med Oral Patol Oral Cir Bucal. 2013;18(1):e65-70. doi:10.4317/medoral.18039
  • 27. Colorado-Bonnin M, Valmaseda-Castello´n E, Berini-Ayte´s L, Gay-Escoda C. Quality of life following lower third molar removal. Clin Pap Oral Surg. 2006;35(1):343-347. doi:10.1016/j.ijom.2005.08.008
  • 28. McGrath C, Comfort MB, Lo ECM, Luo Y. Changes in life quality following third molar surgery--the immediate postoperative period. Br Dent J. 2003;194(5):265-268; discussion 261. doi:10.1038/sj.bdj.4809930
  • 29. White RPJ, Shugars DA, Shafer DM, Laskin DM, Buckley MJ, Phillips C. Recovery after third molar surgery: clinical and health-related quality of life outcomes. J oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2003;61(5):535-544. doi:10.1053/joms.2003.50106
  • 30. McGrath C, Comfort MB, Lo ECM, Luo Y. Can third molar surgery improve quality of life? A 6-month cohort study. J Oral Maxillofac Surg. 2003;61(7):755-759. doi:10.1016/s0278-2391(03)00150-2
  • 31. Habib AS, Kertai MD, Cooter M, Greenup RA, Hwang S. Risk factors for severe acute pain and persistent pain after surgery for breast cancer: a prospective observational study. Reg Anesth Pain Med. 2019;44(2):192-199. doi:10.1136/rapm-2018-000040
  • 32. Larouche M, Brotto LA, Koenig NA, Lee T, Cundiff GW, Geoffrion R. Depression, Anxiety, and Pelvic Floor Symptoms Before and After Surgery for Pelvic Floor Dysfunction. Female Pelvic Med Reconstr Surg. 2020;26(1):67-72. doi:10.1097/SPV.0000000000000582
  • 33. Trevizan FB, Miyazaki MC de OS, Silva YLW, Roque CMW. Quality of Life, Depression, Anxiety and Coping Strategies after Heart Transplantation. Brazilian J Cardiovasc Surg. 2017;32(3):162-170. doi:10.21470/1678-9741-2017-0029
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Mustafa Sami Demirsoy 0000-0001-8654-2799

Aras Erdil 0000-0002-9582-5114

Sefa Çolak 0000-0002-0807-9089

Mehmet Kemal Tümer 0000-0002-6250-0954

Publication Date March 25, 2022
Submission Date November 5, 2021
Published in Issue Year 2022Volume: 25 Issue: 1

Cite

EndNote Demirsoy MS, Erdil A, Çolak S, Tümer MK (March 1, 2022) EVALUATION OF THE IMPACTS OF SURGICAL REMOVAL OF IMPACTED TEETH ON ALTERATIONS OF THE MOOD WITH BECK DEPRESSION INVENTORY. Cumhuriyet Dental Journal 25 1 20–28.
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