title: Oral hygiene and postoperative pain after mandibular third molar surgery.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the association between oral hygiene before surgery and pain, inflammation, and trismus after the surgical removal of 190 impacted lower third molars.
  
  
  METHODS
  Patient hygiene was assessed by the simplified oral hygiene index. The maximum active interincisal oral opening was determined before surgery by using a millimeter scale, from the upper incisive edge to the lower incisive edge. Pain and inflammation were in turn recorded in written form by each patient 2, 6, and 12 hours after the operation and every day thereafter for 7 days.
  
  
  RESULTS
  Maximum postoperative pain was recorded 6 hours after extraction, with peak inflammation after 24 hours. The patients with the poorest oral hygiene reported higher pain levels throughout the postoperative period and more analgesic consumption in the first 48 hours. In contrast, oral hygiene appeared to exert no influence on either trismus or inflammation.
  
  
  CONCLUSIONS
  Poor oral hygiene before the surgical removal of 190 impacted lower third molars is correlated with greater postoperative pain.
authors.affiliation: Valencia University Medical and Dental School, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Peñarrocha
authors.forename: J M
authors.initials: JM
authors.lastname: Sanchis
authors.forename: U
authors.initials: U
authors.lastname: Sáez
authors.forename: C
authors.initials: C
authors.lastname: Gay
authors.forename: J V
authors.initials: JV
authors.lastname: Bagán
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D000704:Analysis of Variance; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D004177:Dipyrone / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007249:Inflammation; D008297:Male; D008334:Mandible / Q000502:physiology / Q000601:surgery*; D008964:Molar, Third / Q000601:surgery*; D009068:Movement; D009910:Oral Hygiene; D009911:Oral Hygiene Index; D010027:Osteotomy / Q000009:adverse effects; D010149:Postoperative Pain / Q000209:etiology*; D011183:Postoperative Complications; D018709:Statistics, Nonparametric; D013524:Surgical Flaps; D014081:Tooth Extraction / Q000009:adverse effects; D014095:Tooth, Impacted / Q000601:surgery*; D014313:Trismus / Q000209:etiology
chemical_list: D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal; D004177:Dipyrone