Background: The extraction of the mandibular third molar is one of the most frequent intervention in oral surgery. A common indication for wisdom tooth extraction is represented by pericoronitis, which can determine discomfort and pain in patients. The present study aimed to evaluate the impact of patients' quality of life by comparing a surgical approach with a periodontal approach. METHODS We evaluated 82 patients diagnosed with pericoronitis that occurred at the third molar site. In total, 41 of them received a periodontal treatment and 41 were treated by extraction. The quality of life (QoL) of the patients was assessed by using the Oral Health Impact Profile-14 (OHIP-14) index. RESULTS A total of 82 patients were included in the study and were followed up for 6 months. Of the patients, 41 received a periodontal treatment and 41 underwent surgical extraction. At the baseline, the OHIP-14 scores of the surgical group were higher (19.71, SD 9.90) than the periodontal group (14.41, SD 8.71). At 1 week, there was a reduction in terms of OHIP-14 in both groups, but the periodontal group showed lower values (12.3, SD 8.11). Long-term follow-up showed a reduction of the OHIP-14 values, with a difference in favor of the surgical group (0.10, SD 0.45). However, there was a reduction in OHIP-14 scores in both groups. CONCLUSION Although the periodontal treatment offered a rapid improvement in terms of quality of life during the first week after the treatment, after 1 month and 6 months, the extraction of the mandibular third molar extraction remained the best treatment, removing the occurrence of re-inflammation of the site.

中文翻译：

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下颌第三磨牙和轻度冠心炎患者的生活质量。两种不同治疗方法的比较：拔牙法或牙周法。

背景：下颌第三磨牙的拔除是口腔外科手术中最常见的干预措施之一。智齿拔牙的常见适应症是冠心炎，它可以确定患者的不适和疼痛。本研究旨在通过比较手术方法和牙周方法来评估患者生活质量的影响。方法我们评估了82例确诊为第三次磨牙的冠心炎患者。总共有41位接受了牙周治疗，其中41位经过了拔牙治疗。通过使用口腔健康影响档案14（OHIP-14）指数评估患者的生活质量（QoL）。结果共有82例患者被纳入研究，并随访6个月。在病人中 41名接受牙周治疗，41名接受手术摘除。在基线时，手术组的OHIP-14评分（19.71，SD 9.90）高于牙周组（14.41，SD 8.71）。在第1周，两组的OHIP-14均降低，但牙周组的OHIP-14值较低（12.3，SD 8.11）。长期随访显示OHIP-14值降低，对手术组有利（0.10，SD 0.45）。但是，两组的OHIP-14得分均降低。结论虽然牙周治疗在治疗后的第一周内生活质量有了快速改善，但在1个月和6个月后，下颌第三磨牙的拔牙仍是最好的治疗方法，从而消除了再发炎的发生。该网站。