Comparing OHRQoL: One or Two Sessions for Wisdom Teeth Removal

Prospective Comparison of Single vs. Staged Extractions: OHRQoL Outcomes for Wisdom Teeth Removal

This single-center prospective cohort study includes patients aged 18-30 years aimed to compare the effects of bilateral extraction of wisdom teeth at a single appointment (Group A) versus two separate appointments (Group B) on patients' oral health-related quality of life (OHRQoL). The primary outcome is Oral Health Impact Profile 14 score, while secondary outcomes included postoperative pain and maximum interincisal opening.

Inclusion Criteria:

• Patients referred to the Oral and Maxillofacial Surgery Department for bilateral extraction of impacted mandibular third molars.
• Asymptomatic, impacted mandibular third molars.
• Impaction classified as Class I, Position A according to the Pell and Gregory classification.
• Patients with an ASA (American Society of Anesthesiologists) Physical Status Classification of ASA 1.

Exclusion Criteria:

• Local pathology associated with third molars (e.g., cysts or tumors).
• Diagnosis of acute pericoronitis.
• Usage of anti-inflammatory drugs or antibiotics within the last week.
• Operations requiring osteotomy.
• Patients with psychiatric disorders or taking drugs that may impair their mental health.
• Patients unwilling to undergo data collection procedures.
• Pregnant or lactating women.
• Heavy smokers.
• Operations lasting longer than 45 minutes for one side (from the time the first incision is made to the last suture placed).