Evaluation quality of life after apicoectomy using two defferent flap design

Dimova, Cena and Popovska, Lidija and Popovska, Mirjana and Evrosimovska, Biljana (2015) Evaluation quality of life after apicoectomy using two defferent flap design. In: Conference on Food Quality and Safety, Health and Nutrition - NUTRICON 2015, 19-20 Nov 2015, Skopje, Macedonia.

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Abstract

INTRODUCTION. Apicectomy has become an integral part of a comprehensive dental treatment.
The primary objective of apicectomy is to eradicate the etiological agents of periapical pathoses and to restore the periodontium to a state of biologic and functional health. The aim of this study was to evaluate patient experience of quality of life following apicoectomy using two different flap design gingival (envelope) and semilunar.
MATERIAL AND METHOD. The study consisted of 60 patients referred for oral surgical treatment - apicoectomy with periapical osteotomy on frontal teeth. One operator were carried out the treatments. All patients were given a questionnaire with 15 questions to evaluate their quality of life for 7 days after the oral surgery interventions. The patient’s answers were referred as: not at all -1; very little -2; some- 3; quite a bit – 4; very much-5). An equal number of patients were assigned to each group. Group 1 was treated by apicoectomy with gingival flap design and Group 2 was treated by apicoectomy with semilunar flap design. The statistical evaluation included descriptive and analytical methods.
RESULTS. The average time needed for completion the surgical procedure was approximately 45 minutes. The results showed that patients in Group 1 reported significantly more pain and took significantly more analgesics on day 3. On days 1 and 2, patients of the Group 2 reported significantly more difficulty in mouth opening, mastication, and the ability to speak.
CONCLUSION. High incidence of symptoms were reported by the patients in both groups. There were no significant differences found in the distribution of patients according to age, gender, periradicular diagnosis, and site of operation between the two groups. The apicoectomy procedure using semilunar flap design provided significantly less postoperative pain, but more difficulties in mouth opening, mastication, and the ability to speak immediately postoperatively.

Key words: oral surgery, apicoectomy, quality of life, flap design, pain

Item Type:	Conference or Workshop Item (Poster)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Cena Dimova
Date Deposited:	24 Nov 2015 10:39
Last Modified:	24 Nov 2015 10:39
URI:	https://eprints.ugd.edu.mk/id/eprint/14328

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