Gr. Ogden et al., QUALITY-OF-LIFE FOLLOWING 3RD MOLAR REMOVAL - A PATIENT VERSUS PROFESSIONAL PERSPECTIVE, British Dental Journal, 185(8), 1998, pp. 407-410
Aims To identify the adverse effects of third molar surgery having the
greatest impact on patients' perceived quality of life; and to compar
e the rankings between patients, dental practitioners (GDPs) and hospi
tal consultants. Method Seven adverse effects were identified after in
terviewing 20 patients. A questionnaire was sent to 120 patients whose
third molars had been removed and 121 dental surgeons (100 GDPs and 2
1 consultants in oral and maxillofacial surgery). Results Response rat
es for patients, GDPs and consultants were 72.5%, 92% and 76.2% respec
tively. Patients ranked highest the effects on eating, while dental su
rgeons ranked 'pain' the highest. The mean rankings of consultants and
patients generally showed a closer agreement, than with GDPs. However
, no statistically significant differences were detected between the m
ean rankings of GDPs and consultants. Conclusions Dental surgeons' per
ceptions of the impact of third molar surgery on their patients' quali
ty of life show statistically significant differences from those of pa
tients for four of the seven parameters assessed. Clinicians should co
nsider mentioning the effects on ability to eat when obtaining informe
d consent, since patients would appear to rank this an important side
effect.