title: Surgical extraction of impacted teeth in elderly patients. A retrospective analysis of perioperative complications - the experience of a single institution.
abstract: OBJECTIVE
  The aim of this retrospective study was to investigate the most frequent complications and assess their overall rate associated with the surgical extraction of impacted teeth in an elderly patient population.
  
  
  BACKGROUND
  Oral health needs of the elders are often associated with surgical procedures for the creation of appropriate conditions for any further prosthetic treatment. One such process is the removal of severely decayed, fractured or impacted teeth detrimental to the fit or appearance of dentures. While broken and decayed teeth leave little doubt for their removal, impacted teeth divide opinion, some extreme regarding their prophylactic removal and the appropriate age for the procedure.
  
  
  METHODS
  Material was selected from the archives of an Out-Patient Dental Surgery Clinic of the Regional Centre of Dentistry in Szczecin, from 2002 to 2013. The database was independently screened by two investigators according to inclusion and exclusion criteria. After selection process, all included records were screened using a data extraction form to obtain the necessary data.
  
  
  RESULTS
  The total number of impacted teeth was 73, of which 29% were partially impacted. The overall complication rate was 24.6%. The most common complications were as follows: haematoma, nerve disturbances and local infections.
  
  
  CONCLUSIONS
  Surgical extraction in patients above 60 years of age is fraught with a high risk of possible complications.
authors: Dental Surgery Department, Pomeranian Medical University, Szczecin, Poland.
authors: Grzegorz
authors: G
authors: Trybek
authors: Dental Prosthetics Department, Pomeranian Medical University, Szczecin, Poland.
authors: Małgorzata
authors: M
authors: Chruściel-Nogalska
authors: Dental Surgery Department, Pomeranian Medical University, Szczecin, Poland.
authors: Małgorzata
authors: M
authors: Machnio
authors: Dental Surgery Department, Pomeranian Medical University, Szczecin, Poland.
authors: Tomasz
authors: T
authors: Smektała
authors: Dental Surgery Department, Pomeranian Medical University, Szczecin, Poland.
authors: Jerzy
authors: J
authors: Malinowski
authors: Private Dental Practice "Aesthetic Dent", Szczecin, Poland.
authors: Marcin
authors: M
authors: Tutak
authors: Dental Surgery Department, Pomeranian Medical University, Szczecin, Poland.
authors: Katarzyna
authors: K
authors: Sporniak-Tutak
mesh_terms: D000368:Aged; D006801:Humans; D008875:Middle Aged; D059035:Perioperative Period; D011183:Postoperative Complications; D012189:Retrospective Studies; D014081:Tooth Extraction / Q000592:standards*; D014095:Tooth, Impacted / Q000601:surgery*
keywords: elderly; oral pathology; oral surgery; treatment need