%0 Journal Article
%T Bilin li sedasyonun alt g m¨¹l¨¹ 3. molar di lerin  ekimi sonras  hasta konforu ¨¹zerine etkisi
%A £¿zkan £¿zg¨¹l
%A Selahattin Or
%J Cumhuriyet Dental Journal
%D 2012
%I Cumhuriyet University Faculty of Dentistry
%R 10.7126/cdj.2012.1532
%X Objectives: Different surgical techniques and/or different drugs that have been used and still being used in order to limit and eliminate edema, trismus and pain after surgical removal of impacted teeth. Conscious sedation is known to improve the comfort of the patients during procedures under local anesthesia however its effect on postoperative comfort of the patient is not known. The purpose of this study is to investigate the effect of conscious sedation on the postoperative pain and edema and compare with surgeries performed under local anesthesia and analyze the numerical data with statistics. Materials and Methods: Forthy systemically healthy patients underwent to a surgical removal of an impacted mandibular third molar between the ages 18-36 (mean 24.4) and they were divided into 2 groups.  First group¡¯s operations were performed with conscious sedation and local anesthesia (Group A). The second group¡¯s operations performed (Group B) only with local anesthesia. Visual Analog Scale (VAS) of pain was measured at 6th, 12th and 24th hours and edema was measured at 48th hour within the randomized, double-blind study design, Results: Edema was measured to be statistically more in patients that underwent the surgical procedures under only local anesthesia (p<0,05) (p=0,00). The VAS measurements of patients that underwent the the surgical procedures under conscious sedation at 12th and 24th hour were significantly less than the patients that only had local anesthesia during surgery (p<0,05) (p=0,036) . Conclusions: Conscious sedation is considered as a safe method for keeping the patient discomfort to be an acceptable level during and after the surgical removal of 3rd molars. Keywords: Impacted 3rd molar, concious, sedation, pain, edema.    ZET Ama : G m¨¹l¨¹ di lerin cerrahi  ekimi sonras  olu an  dem, a r  ve trismusun  iddetinin kontrol alt na al nmas  i in farmakolojik ve/ veya  ekim tekni i ile ilgili bir ok y ntem kullan lm   olup halen de kullan lmaya devam etmektedir. Bilin li sedasyon destekli lokal anestezi uygulamalar  hastalar n daha konforlu bir operasyon ge irmesini sa lamakta, ancak postoperatif d nemdeki hasta konforuna olan katk s  bilinmemektedir. Bu  al  mada ama ; bilin li sedasyon uygulamas n n g m¨¹l¨¹ 3. molar  ekimi sonras  olu an a r ya ve  deme etkisini yaln z lokal anestezi ile ger ekle tirilen operasyonlarla ka  la t rmak ve say sal verilere d kerek istatistiksel olarak analiz etmektir. Gere  ve Y ntem:  ift k r randomize yap lan  al  mada g m¨¹l¨¹ alt 3. molar di lerin cerrahi  ekimi gereken 18- 36 ya  (ort.24,4) aral   nda toplam 4
%K G m¨¹l¨¹ 3. molar
%K bilin li sedasyon
%K a r
%K dem
%U http://dergi.cumhuriyet.edu.tr/ojs/index.php/dishekimligi/article/view/1532