| ObjectiveTo provide reference for future clinical practice and research during the COVID-19 period,the clinical characteristics and changes of patients with wisdom teeth extracted under general anesthesia in ambulatory surgery were investigated,analyzing the feasibility,standardization and necessity of such surgery.MethodsA study included a total of 218 patients undergoing ambulatory surgery to extract wisdom teeth who were admitted to the hospital of ambulatory surgery from January 1,2021 to June 30,2022.According to the relevant requirements of the hospital,the pre-surgery,during the operation,postoperative,and continuing nursing services were performed.The clinical data were recorded,including: whether they had received tooth extraction under local anesthesia in the past,whether they had suffered from wisdom tooth-related diseases many times(more than or equal to two times)since the beginning of the COVID-19,the reason for choosing ambulatory surgery,the opeartion time,the postoperative reaction,complications as well as DFS,SAS and SDS before and after surgery,.The relationship between these clinical materials and the age range of patients or the number of wisdom teeth was explored.And the hospital infection and satisfaction evaluation of patients were collected after discharge.Results1.The average age of 218 patients was 28.76 ± 7.71 years.Among 218 cases,15(6.88%)were adolescents(14-19),129(59.17%)were young adults(20-30),56(25.69%)were adults(31-40),16(7.34%)were middle-aged and elderly individuals(41-59),and 2(0.92%)were elderly individuals(> 60).There were 8 patients(3.67%)with 1 wisdom tooth,40 patients(18.35%)with 2 wisdom teeth,67 patients(30.73%)with 3 wisdom teeth,and 103 patients(47.25%)with 4 wisdom teeth;2.A total of 83 patients(38.07%)had received tooth extraction under local anesthesia in the past,and the proportion of patients with different wisdom teeth or age stages was significantly different(P<0.05).A total of 106 patients(48.62%)had suffered from wisdom tooth-related discomfort many times since the beginning of the COVID-19.Among them,the proportion of patients at different ages was significantly different(P<0.05),but the proportion of patients with different number of wisdom teeth was not significantly different(P>0.05);3.Among the patients,113(51.83%)chose psychological factor,and 101(46.33%)chose time factors.In addition,75(34.40%)chose economic factors,and 24(11.01%)considered physiological factors.The factors selected by patients with different age or number of wisdom teeth were significantly different(P<0.05);4.Except the elderly individuals,the DFS and SAS scores of the patients at different ages continued to decrease during the treatment process(P<0.05).And except the middle-aged and the elderly,the SDS scores of the patients at different ages continued to decrease during the treatment process(P<0.05).The DFS,SAS and SDS scores of patients with different number of wisdom teeth continued to decrease during the treatment process(P<0.05).5.According to the recorded,the number of third molars has a certain impact on the operation time(P<0.05);6.A total of 125(57.34%)patients had postoperative pain,accounting for the largest proportion.Besides,there were other symptoms,included 101 patients with nasopharynx discomfort(46.33%),66 patients with limited mouth opening(30.28%),20 patients with postoperative nausea and vomiting(9.17%),12 patients with fever(5.50%),3 patients with hemorrhage(1.38%),2 patients with operation area infection(0.92%),and 2 patients with dry socket(0.92%).There was no significant difference in postoperative reactions and complications between different age groups and the number of teeth(P>0.05),except that patients in adolescence were more prone to fever than patients in other age stages(P<0.05).And except 2 patients(0.92%)with operation area infection,other patients have no other hospital infection,such as respiratory tract infection,urinary system infection,blood system infection,skin and soft tissue infection,etc;7.According to the statistical results of patients’ satisfaction,the proportion of patients with 4 points was the highest,131(60.09%),followed by 5 points,62(28.4%).There were 21 patients(9.63%)with 3 points,2 patients(0.92%)with 2 points and 2patients(0.92%)with 1 point.ConclusionPatients undergoing ambulatory surgery to extract impacted third molars is complementary to outpatient clinics and traditional wards which is suitable for patients of different ages and with different numbers of wisdom teeth.This approach can effectively alleviate the DFS,SAS and SDS scores of patients,improve the comfort and efficiency of the treatment,and reduce the probability of nosocomial infection,which is conducive to the prevention and control of the epidemic of COVID-19.However,this method have higher requirements for the environmental conditions..This method is worth promoting under the conditions of standardized management of the hospital,reasonable operation of each stage of treatment,close cooperation of medical staff of various disciplines and perfect equipment of medical nursing equipment. |
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