手術拔除下顎智齒是最常見的口腔顎面手術。可能伴隨術後併發症包含:術後疼痛腫脹、乾性齒槽炎、蜂窩性組織炎、下齒槽神經或舌神經損傷造成的感覺異常。本研究探討患者年齡大於25歲與年齡小於25歲,其年齡和手術拔除下顎第三大臼齒術後併發症發生率之間的關聯性。本研究回溯2017至2021年間於台南奇美醫學中心手術拔除的下顎智齒共6509例,整體的併發症發生率為1.96%。統計分析發現年齡大於25歲的患者和小於25歲的患者,手術拔除下顎第三大臼齒時的整體併發症發生率沒有統計學差異。大於25歲的患者若拔牙術前有症狀、或下顎第三大臼齒較深,則會比小於25歲的患者有比較高的機率發生術後併發症。
Surgical extraction of mandibular third molar is the most common surgical procedure in oral and maxillofacial surgery. However, this procedure can be associated with many postoperative complications including persistent pain, swelling, alveolar osteitis, cellulitis and paresthesia due to nerve injury. This study aimed to identify the correlation of postoperative complications with patient’s age. This study was a retrospective research conducted on patients with a history of surgical extraction of mandibular third molar in the period between 2017 and 2021 in dental clinic of Chi Mei Medical Center, Tainan, Taiwan. The factors of age, sex, and surgical difficulty level regarding postoperative complications were assessed. Among 6509 respondents, the overall complication rate was 1.96%. Statistical analysis found that there was no statistical difference in the incidence of complications during surgical extraction of the third molar between the patient group >25 years and the patient group ≦ 25 years old. Patients over the age of 25 who have symptoms before tooth extraction or deep third molars have a higher probability of postoperative complications than patients below the age of 25.