Clinical investigation of gustatory and neurosensory alterations following mandibular third molar surgery: an observational prospective study
Objective This study aimed to prospectively observe gustatory and neurosensory alterations following surgical removal of mandibular third molars. Material and methods A prospective clinical study was conducted with patients who required mandibular third molar extraction, recruited from the Division...
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| Veröffentlicht in: | Clinical oral investigations 2019-07, Vol.23 (7), p.2941-2949 |
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| creator | Albuquerque, Assis Filipe Medeiros Soares, Eduardo Costa Studart de Barros Silva, Paulo Goberlânio de Lima, Barbara Betty Carvalho, Francisco Samuel Rodrigues Ribeiro, Thyciana Rodrigues de Sá Cavalcante, Davi Costa, Fábio Wildson Gurgel |
| description | Objective
This study aimed to prospectively observe gustatory and neurosensory alterations following surgical removal of mandibular third molars.
Material and methods
A prospective clinical study was conducted with patients who required mandibular third molar extraction, recruited from the Division of Oral and Maxillofacial Surgery at the Federal University of Ceará (Brazil). Age, sex, and radiographic signs were recorded. The outcome variables were the presence or absence of gustatory and neurosensory alterations. The patients were observed preoperatively and at 7, 30, 90, and 180 days postoperatively by using gustatory and neurosensory tests.
Results
The response to sweet (
p
= 0.509) and sour (
p
= 0.078) stimulus did not alter significantly over time. The salty threshold significantly increased from the preoperative to 7- and 30-day postoperative periods, returning to baseline values at 90 days postoperatively (
p
= 0.038). The bitter threshold increased significantly from the preoperative to 7-day postoperative period, returning to baseline values at 30 days after surgery (
p
|
| doi_str_mv | 10.1007/s00784-018-02798-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2164559907</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2164003735</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-f4148e2044138ff4a386d97545e60dadfd54c8b7571bc4f38dba2c27ccf05143</originalsourceid><addsrcrecordid>eNp9kcuOFCEUhonROBd9AReGxI2bUiigoNyZjjomk7iZPaG4tEwoaIFq0w8x7yxdNWriwg2cwHf-c_kBeIXRO4wQf1_aIWiHsOhQz0fRsSfgElMydIRz_HSN-24YBb4AV6XcI4TpwMlzcEHQgIng6BI87IKPXqsAfTzaUv1eVZ8iTA7ul1JVTfkEVTQw2iWnYmNZH0K1eQULdCmE9NPHPZwb56clqAzrd58NnNM5Lkve23z60GRgmorNxzWzlTw0xYPV1R8tLHUxpxfgmVOh2JeP9zW4-_zpbnfT3X778nX38bbThLPaOYqpsD2itE3hHFVEDGbkjDI7IKOMM4xqMXHG8aSpI8JMqtc919oh1pZyDd5usq2BH0ubWs6-aBuCijYtRfZ4oIyNI-INffMPep-W3JrfKIQIJ6xR_UbpNlHJ1slD9rPKJ4mRPHslN69k80quXslz0utH6WWarfmT8tucBpANKO0rth3-rf0f2V-QKqNf</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2164003735</pqid></control><display><type>article</type><title>Clinical investigation of gustatory and neurosensory alterations following mandibular third molar surgery: an observational prospective study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Albuquerque, Assis Filipe Medeiros ; Soares, Eduardo Costa Studart ; de Barros Silva, Paulo Goberlânio ; de Lima, Barbara Betty ; Carvalho, Francisco Samuel Rodrigues ; Ribeiro, Thyciana Rodrigues ; de Sá Cavalcante, Davi ; Costa, Fábio Wildson Gurgel</creator><creatorcontrib>Albuquerque, Assis Filipe Medeiros ; Soares, Eduardo Costa Studart ; de Barros Silva, Paulo Goberlânio ; de Lima, Barbara Betty ; Carvalho, Francisco Samuel Rodrigues ; Ribeiro, Thyciana Rodrigues ; de Sá Cavalcante, Davi ; Costa, Fábio Wildson Gurgel</creatorcontrib><description>Objective
This study aimed to prospectively observe gustatory and neurosensory alterations following surgical removal of mandibular third molars.
Material and methods
A prospective clinical study was conducted with patients who required mandibular third molar extraction, recruited from the Division of Oral and Maxillofacial Surgery at the Federal University of Ceará (Brazil). Age, sex, and radiographic signs were recorded. The outcome variables were the presence or absence of gustatory and neurosensory alterations. The patients were observed preoperatively and at 7, 30, 90, and 180 days postoperatively by using gustatory and neurosensory tests.
Results
The response to sweet (
p
= 0.509) and sour (
p
= 0.078) stimulus did not alter significantly over time. The salty threshold significantly increased from the preoperative to 7- and 30-day postoperative periods, returning to baseline values at 90 days postoperatively (
p
= 0.038). The bitter threshold increased significantly from the preoperative to 7-day postoperative period, returning to baseline values at 30 days after surgery (
p
< 0.001). Regarding neurosensory evaluation, there was an altered response to stimulus at 7 days postoperatively in specific studied areas, returning to baseline values 30 days after surgery (
p
< 0.05).
Conclusion
The present study shows that mandibular third molar removal was associated with slight sensory disturbances related to mechanical, tactile, and gustatory perception. Regarding the recovery period, all patients returned to normal function without intervention, over a period ranging from 30 to 90 days.
Clinical relevance
This study highlighted the importance of a sensory evaluation following removal of third molars, notably regarding mechanical perception and gustatory threshold assessment.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-018-02798-5</identifier><identifier>PMID: 30613870</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Dentistry ; Female ; Humans ; Male ; Mandible ; Maxillofacial ; Medicine ; Molar ; Molar, Third - surgery ; Molars ; Original Article ; Prospective Studies ; Sensation ; Sensory evaluation ; Surgery ; Taste Disorders - etiology ; Taste perception ; Teeth ; Tooth Extraction ; Tooth, Impacted - surgery ; Trigeminal Nerve Injuries</subject><ispartof>Clinical oral investigations, 2019-07, Vol.23 (7), p.2941-2949</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-f4148e2044138ff4a386d97545e60dadfd54c8b7571bc4f38dba2c27ccf05143</citedby><cites>FETCH-LOGICAL-c375t-f4148e2044138ff4a386d97545e60dadfd54c8b7571bc4f38dba2c27ccf05143</cites><orcidid>0000-0002-3262-3347</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-018-02798-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-018-02798-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30613870$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albuquerque, Assis Filipe Medeiros</creatorcontrib><creatorcontrib>Soares, Eduardo Costa Studart</creatorcontrib><creatorcontrib>de Barros Silva, Paulo Goberlânio</creatorcontrib><creatorcontrib>de Lima, Barbara Betty</creatorcontrib><creatorcontrib>Carvalho, Francisco Samuel Rodrigues</creatorcontrib><creatorcontrib>Ribeiro, Thyciana Rodrigues</creatorcontrib><creatorcontrib>de Sá Cavalcante, Davi</creatorcontrib><creatorcontrib>Costa, Fábio Wildson Gurgel</creatorcontrib><title>Clinical investigation of gustatory and neurosensory alterations following mandibular third molar surgery: an observational prospective study</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objective
This study aimed to prospectively observe gustatory and neurosensory alterations following surgical removal of mandibular third molars.
Material and methods
A prospective clinical study was conducted with patients who required mandibular third molar extraction, recruited from the Division of Oral and Maxillofacial Surgery at the Federal University of Ceará (Brazil). Age, sex, and radiographic signs were recorded. The outcome variables were the presence or absence of gustatory and neurosensory alterations. The patients were observed preoperatively and at 7, 30, 90, and 180 days postoperatively by using gustatory and neurosensory tests.
Results
The response to sweet (
p
= 0.509) and sour (
p
= 0.078) stimulus did not alter significantly over time. The salty threshold significantly increased from the preoperative to 7- and 30-day postoperative periods, returning to baseline values at 90 days postoperatively (
p
= 0.038). The bitter threshold increased significantly from the preoperative to 7-day postoperative period, returning to baseline values at 30 days after surgery (
p
< 0.001). Regarding neurosensory evaluation, there was an altered response to stimulus at 7 days postoperatively in specific studied areas, returning to baseline values 30 days after surgery (
p
< 0.05).
Conclusion
The present study shows that mandibular third molar removal was associated with slight sensory disturbances related to mechanical, tactile, and gustatory perception. Regarding the recovery period, all patients returned to normal function without intervention, over a period ranging from 30 to 90 days.
Clinical relevance
This study highlighted the importance of a sensory evaluation following removal of third molars, notably regarding mechanical perception and gustatory threshold assessment.</description><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mandible</subject><subject>Maxillofacial</subject><subject>Medicine</subject><subject>Molar</subject><subject>Molar, Third - surgery</subject><subject>Molars</subject><subject>Original Article</subject><subject>Prospective Studies</subject><subject>Sensation</subject><subject>Sensory evaluation</subject><subject>Surgery</subject><subject>Taste Disorders - etiology</subject><subject>Taste perception</subject><subject>Teeth</subject><subject>Tooth Extraction</subject><subject>Tooth, Impacted - surgery</subject><subject>Trigeminal Nerve Injuries</subject><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kcuOFCEUhonROBd9AReGxI2bUiigoNyZjjomk7iZPaG4tEwoaIFq0w8x7yxdNWriwg2cwHf-c_kBeIXRO4wQf1_aIWiHsOhQz0fRsSfgElMydIRz_HSN-24YBb4AV6XcI4TpwMlzcEHQgIng6BI87IKPXqsAfTzaUv1eVZ8iTA7ul1JVTfkEVTQw2iWnYmNZH0K1eQULdCmE9NPHPZwb56clqAzrd58NnNM5Lkve23z60GRgmorNxzWzlTw0xYPV1R8tLHUxpxfgmVOh2JeP9zW4-_zpbnfT3X778nX38bbThLPaOYqpsD2itE3hHFVEDGbkjDI7IKOMM4xqMXHG8aSpI8JMqtc919oh1pZyDd5usq2BH0ubWs6-aBuCijYtRfZ4oIyNI-INffMPep-W3JrfKIQIJ6xR_UbpNlHJ1slD9rPKJ4mRPHslN69k80quXslz0utH6WWarfmT8tucBpANKO0rth3-rf0f2V-QKqNf</recordid><startdate>20190701</startdate><enddate>20190701</enddate><creator>Albuquerque, Assis Filipe Medeiros</creator><creator>Soares, Eduardo Costa Studart</creator><creator>de Barros Silva, Paulo Goberlânio</creator><creator>de Lima, Barbara Betty</creator><creator>Carvalho, Francisco Samuel Rodrigues</creator><creator>Ribeiro, Thyciana Rodrigues</creator><creator>de Sá Cavalcante, Davi</creator><creator>Costa, Fábio Wildson Gurgel</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3262-3347</orcidid></search><sort><creationdate>20190701</creationdate><title>Clinical investigation of gustatory and neurosensory alterations following mandibular third molar surgery: an observational prospective study</title><author>Albuquerque, Assis Filipe Medeiros ; Soares, Eduardo Costa Studart ; de Barros Silva, Paulo Goberlânio ; de Lima, Barbara Betty ; Carvalho, Francisco Samuel Rodrigues ; Ribeiro, Thyciana Rodrigues ; de Sá Cavalcante, Davi ; Costa, Fábio Wildson Gurgel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-f4148e2044138ff4a386d97545e60dadfd54c8b7571bc4f38dba2c27ccf05143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mandible</topic><topic>Maxillofacial</topic><topic>Medicine</topic><topic>Molar</topic><topic>Molar, Third - surgery</topic><topic>Molars</topic><topic>Original Article</topic><topic>Prospective Studies</topic><topic>Sensation</topic><topic>Sensory evaluation</topic><topic>Surgery</topic><topic>Taste Disorders - etiology</topic><topic>Taste perception</topic><topic>Teeth</topic><topic>Tooth Extraction</topic><topic>Tooth, Impacted - surgery</topic><topic>Trigeminal Nerve Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albuquerque, Assis Filipe Medeiros</creatorcontrib><creatorcontrib>Soares, Eduardo Costa Studart</creatorcontrib><creatorcontrib>de Barros Silva, Paulo Goberlânio</creatorcontrib><creatorcontrib>de Lima, Barbara Betty</creatorcontrib><creatorcontrib>Carvalho, Francisco Samuel Rodrigues</creatorcontrib><creatorcontrib>Ribeiro, Thyciana Rodrigues</creatorcontrib><creatorcontrib>de Sá Cavalcante, Davi</creatorcontrib><creatorcontrib>Costa, Fábio Wildson Gurgel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>Proquest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albuquerque, Assis Filipe Medeiros</au><au>Soares, Eduardo Costa Studart</au><au>de Barros Silva, Paulo Goberlânio</au><au>de Lima, Barbara Betty</au><au>Carvalho, Francisco Samuel Rodrigues</au><au>Ribeiro, Thyciana Rodrigues</au><au>de Sá Cavalcante, Davi</au><au>Costa, Fábio Wildson Gurgel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical investigation of gustatory and neurosensory alterations following mandibular third molar surgery: an observational prospective study</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2019-07-01</date><risdate>2019</risdate><volume>23</volume><issue>7</issue><spage>2941</spage><epage>2949</epage><pages>2941-2949</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objective
This study aimed to prospectively observe gustatory and neurosensory alterations following surgical removal of mandibular third molars.
Material and methods
A prospective clinical study was conducted with patients who required mandibular third molar extraction, recruited from the Division of Oral and Maxillofacial Surgery at the Federal University of Ceará (Brazil). Age, sex, and radiographic signs were recorded. The outcome variables were the presence or absence of gustatory and neurosensory alterations. The patients were observed preoperatively and at 7, 30, 90, and 180 days postoperatively by using gustatory and neurosensory tests.
Results
The response to sweet (
p
= 0.509) and sour (
p
= 0.078) stimulus did not alter significantly over time. The salty threshold significantly increased from the preoperative to 7- and 30-day postoperative periods, returning to baseline values at 90 days postoperatively (
p
= 0.038). The bitter threshold increased significantly from the preoperative to 7-day postoperative period, returning to baseline values at 30 days after surgery (
p
< 0.001). Regarding neurosensory evaluation, there was an altered response to stimulus at 7 days postoperatively in specific studied areas, returning to baseline values 30 days after surgery (
p
< 0.05).
Conclusion
The present study shows that mandibular third molar removal was associated with slight sensory disturbances related to mechanical, tactile, and gustatory perception. Regarding the recovery period, all patients returned to normal function without intervention, over a period ranging from 30 to 90 days.
Clinical relevance
This study highlighted the importance of a sensory evaluation following removal of third molars, notably regarding mechanical perception and gustatory threshold assessment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30613870</pmid><doi>10.1007/s00784-018-02798-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3262-3347</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-6981 |
| ispartof | Clinical oral investigations, 2019-07, Vol.23 (7), p.2941-2949 |
| issn | 1432-6981 1436-3771 |
| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Dentistry Female Humans Male Mandible Maxillofacial Medicine Molar Molar, Third - surgery Molars Original Article Prospective Studies Sensation Sensory evaluation Surgery Taste Disorders - etiology Taste perception Teeth Tooth Extraction Tooth, Impacted - surgery Trigeminal Nerve Injuries |
| title | Clinical investigation of gustatory and neurosensory alterations following mandibular third molar surgery: an observational prospective study |
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