Prevention of Inflammatory Complications after Atypical Tooth Removal

Abstract

Purpose: To determine the effectiveness of the “Tantum Verde®” drug for the prevention of inflammatory complications in patients after performing an extraction operation of impacted and ectopic wisdom teeth. Materials and Methods: Seventy patients after an extraction operation of impacted and ectopic wisdom teeth were examined. We have divided the surveyed patients into two observation groups: the main group is 34 patients, who have used “Tantum Verde®” drug (Aziende Chimiche Riunite Angelini Francesco A.C.R.A.F. S.p.A., Ancona, Italy) to prevent inflammatory complications in the oral cavity for 4-5 days and a control group – 36 patients with common preventive Furacilin mouthwash (also for 4-5 days). Results: Inflammatory infiltration of the mucous membrane of the retromolar region in the area of the postoperative wound, on the next day after the surgery, was in all patients (100%), both in the main and in the control group. In the main group, 20 patients had moderate inflammatory infiltration of the mucous membrane (58.8%), and insignificant – in 14 patients (41.2%). In the control group: moderate infiltration – in 22 patients (61.1%), and insignificant – in 14 patients (38.9%). 2-3 days after surgery, in the main group, moderate inflammatory infiltration of the retromolar region was in 13 patients (38.2%), and insignificant – in 21 patients (61.8%). In the control group: moderate infiltration – in 24 patients (in 66.7%), and insignificant – in 12 patients (in 33.3%). In 5-6 days after the surgery, in the main group an inflammatory infiltration of the mucous membrane of the retromolar region was insignificant in all patients (in 100%). In the control group: moderate infiltration persisted in 8 patients (in 22.2%), and insignificant – in 30 patients (in 77.8%). Conclusions: Based on our researches we can conclude that the hygienic care of the oral cavity with the “Tantum Verde®” drug in patients after the removal of impacted wisdom teeth is more effective, than traditional means. It has been proven that the non-steroidal drug “Tantum Verde” has an expressed anti-inflammatory effect, and also provides a good cleaning of the postoperative wound in the retromolar region. The use of our method of hygienic treatment of the oral cavity in this contingent of patients can significantly reduce the number of postoperative inflammatory complications. The proposed method of the oral cavity care in patients after surgical treatment for the removal of impacted wisdom teeth is the most effective for preventing the development of inflammatory complications and is recommended for use both in maxillofacial hospitals and in surgical departments of dental clinics.