BACKGROUND: To establish whether telephone follow-up is really able to intercept post-extraction complications and to evaluate the degree of patient satisfaction with this kind of post-surgical monitoring. MATERIAL AND METHODS: six hundred and thirty-eight patients were enrolled and randomly assigned to a test or control group. Test group patients were monitored by telephone follow-up 24 and 72 hours after surgery to investigate the presence of local symptoms that are frequently associated with surgical wound infection and inflammation. Both test and control group patients were examined 7 days at suture removal. Patients with systemic diseases, those in which intra-operative accidents occurred during surgery and those for whom extraction suture was not required, were excluded. RESULTS: At least one complication among alveolar osteitis, alveolar inflammation, alveolar infection and dehiscence involved 15.70% of the patients in the test group and 30.70% of the patients in the control group and telephone follow-up proved to be useful in early identification of anomalies in the post-extraction wound healing process. Comparable results were recorded in all extraction subgroups divided according to the type (surgical and non-surgical) and the number (single and multiple) of extractions performed in the same session. Telephone follow-up showed an 8.60 ± 1.17 (0 to 10 score scale) average acceptance. All cases of alveolar osteitis and infection occurred in patients who underwent antibiotic prophylaxis. CONCLUSIONS: Telephone follow-up seems to allow early detection of any possible wound healing complications, it is widely accepted by patients and it could therefore be considered a valid method for wound healing monitoring after tooth extractions, due to its effectiveness, feasibility and low costs.

Is telephone follow-up really effective in early diagnosis of inflammatory complications after tooth extraction? / Pippi, R; Pietrantoni, A; Patini, R; Santoro, M.. - In: MEDICINA ORAL, PATOLOGÍA ORAL Y CIRUGÍA BUCAL. - ISSN 1698-6946. - 23:6(2018), pp. e707-e715. [10.4317/medoral.22465]

Is telephone follow-up really effective in early diagnosis of inflammatory complications after tooth extraction?

Pippi R
Primo
;
Pietrantoni A
Secondo
;
Santoro M.
Ultimo
2018

Abstract

BACKGROUND: To establish whether telephone follow-up is really able to intercept post-extraction complications and to evaluate the degree of patient satisfaction with this kind of post-surgical monitoring. MATERIAL AND METHODS: six hundred and thirty-eight patients were enrolled and randomly assigned to a test or control group. Test group patients were monitored by telephone follow-up 24 and 72 hours after surgery to investigate the presence of local symptoms that are frequently associated with surgical wound infection and inflammation. Both test and control group patients were examined 7 days at suture removal. Patients with systemic diseases, those in which intra-operative accidents occurred during surgery and those for whom extraction suture was not required, were excluded. RESULTS: At least one complication among alveolar osteitis, alveolar inflammation, alveolar infection and dehiscence involved 15.70% of the patients in the test group and 30.70% of the patients in the control group and telephone follow-up proved to be useful in early identification of anomalies in the post-extraction wound healing process. Comparable results were recorded in all extraction subgroups divided according to the type (surgical and non-surgical) and the number (single and multiple) of extractions performed in the same session. Telephone follow-up showed an 8.60 ± 1.17 (0 to 10 score scale) average acceptance. All cases of alveolar osteitis and infection occurred in patients who underwent antibiotic prophylaxis. CONCLUSIONS: Telephone follow-up seems to allow early detection of any possible wound healing complications, it is widely accepted by patients and it could therefore be considered a valid method for wound healing monitoring after tooth extractions, due to its effectiveness, feasibility and low costs.
2018
oral surgery; complications; telephone follow-up
01 Pubblicazione su rivista::01a Articolo in rivista
Is telephone follow-up really effective in early diagnosis of inflammatory complications after tooth extraction? / Pippi, R; Pietrantoni, A; Patini, R; Santoro, M.. - In: MEDICINA ORAL, PATOLOGÍA ORAL Y CIRUGÍA BUCAL. - ISSN 1698-6946. - 23:6(2018), pp. e707-e715. [10.4317/medoral.22465]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1174970
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