Incidence and Clinical Manifestations of Delayed Subperiosteal Abscess Following Mandibular Third Molar Surgery: A Short-Term follow up Study

Hashemi , Z; Mehdizadeh , M; Agha Ali,  M

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Volume 30, Issue 2 (2-2025)

__Armaghane Danesh__ 2025, 30(2): 262-274

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Incidence and Clinical Manifestations of Delayed Subperiosteal Abscess Following Mandibular Third Molar Surgery: A Short-Term follow up Study

Z Hashemi¹

, M Mehdizadeh²

, M Agha Ali²

1- Department of Dentistry, Qom University of Medical Sciences, Qom, Iran , zahrahashemi3393@gmail.com
2- Department of Dentistry, Qom University of Medical Sciences, Qom, Iran

Abstract: (672 Views)

Abstract

Background & aim: One of the complications of mandibular impacted and semi-impacted third molar surgery, is subperiosteal abscess (SPA) that few studies have been conducted. Therefore, the present study was conducted with the aim of investigating the incidence and clinical features of these abscesses.

Methods: The present observational study was conducted from 2020 to 2021 by a maxillofacial surgeon at the maxillofacial surgery department of Qom Dental School or the private sector. The statistical population of the present study consisted of patients who were referred for surgery of impacted and semi-impacted third molars of the mandible and included 100 people. The surgery was performed in a standard and routine manner and the data were collected using a checklist. The collected data were analyzed using the Prescriber software and version 22 and SPSS statistical software and the Fisher's exact test and Chi-square statistical tests.

Results: The current study was conducted on 100 patients with an average age of 26.27 years. 70% of the subjects were female, and 30% were male. 21% of teeth in class I position, 76% in class II and 3% in class III. 2% of teeth were level A, 72% level B and 26% level C. The incidence rate of this complication was 4%, which was observed in molar teeth in level C P&G (P<0/05). 2% of abscesses were observed in teeth with class II and another 2% in teeth with class III P&G Classification (P<0/05). Statistically significant relationship between age, gender and orientation the third molar and the incidence of abscesses were not observed(P>0/05)

Conclusion: Subperiosteal abscess is a complication with a prevalence of 4%, which can occur with clinical manifestations such as pain, swelling up to two teeth adjacent to the third molar two weeks or more after surgery. The position of the lower molar in relation to the ramus and depth of bone embedment are risk factors for this complication. It is hoped that the present research will be a basis for relevant people to conduct more comprehensive research on this important issue.

Keywords: Impacted and semi-impacted third molar, Subperiosteal abscess(SPA), Delayed onset infections, Mandibular third molar surgery.

Full-Text [PDF 514 kb] (76 Downloads)

Type of Study: Research | Subject: Dentistry
Received: 2024/11/14 | Accepted: 2025/08/18 | Published: 2025/08/26

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Hashemi Z, Mehdizadeh M, Agha Ali M. Incidence and Clinical Manifestations of Delayed Subperiosteal Abscess Following Mandibular Third Molar Surgery: A Short-Term follow up Study. armaghanj 2025; 30 (2) :262-274
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