Effect of smoking on patient-reported postoperative complications following minor oral surgical procedures.

Autor:	Sanari AA; Internship Training Program (formerly), Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia., Alsolami BA; Dental Department, King Fahad General Hospital, Ministry of Health, Jeddah, Saudi Arabia., Abdel-Alim HM; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia., Al-Ghamdi MY; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia., Meisha DE; Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	The Saudi dental journal [Saudi Dent J] 2020 Nov; Vol. 32 (7), pp. 357-363. Date of Electronic Publication: 2019 Oct 24.
DOI:	10.1016/j.sdentj.2019.10.004
Abstrakt:	Objective: This study evaluated the effect of smoking on patient-reported postoperative complications after minor oral surgical procedures by comparing the post-extraction symptoms between smokers and nonsmokers. Materials and Methods: Patients undergoing minor oral surgical procedures were recruited and followed up prospectively on the first, second, seventh, and twenty-first days after simple dental extractions. Results: A total of 85 patients completed the study. Postoperative pain, measured with a visual analog scale, was consistently higher among smokers than nonsmokers (P < 0.0001). Patient-reported experience of bleeding events was significantly less among nonsmokers (P = 0.009) only on the first postoperative day. Facial swelling was more common in smokers than in nonsmokers (P = 0.04) on the second postoperative day. Postoperative infection was reported more by smokers than nonsmokers (P > 0.05). Trismus did not vary with time according to smoking status. On the 21st postoperative day, there were no statistically significant differences in postoperative complications between the groups. Conclusions: The patient-reported pain score was consistently higher among smokers. The study's findings suggested that initial differences in patient-reported complications between smokers and nonsmokers undergoing minor oral surgical procedures diminished after a week. Competing Interests: The authors have no conflicts of interest to declare. (© 2019 The Authors.)
Databáze:	MEDLINE
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