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VOLUME 12 , ISSUE 4 ( July-August, 2011 ) > List of Articles


Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables

Marcelo Carlos Bortoluzzi, Andre Guollo, Diogo L Capella, Rafael Manfro

Citation Information : Bortoluzzi MC, Guollo A, Capella DL, Manfro R. Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables. J Contemp Dent Pract 2011; 12 (4):239-244.

DOI: 10.5005/jp-journals-10024-1041

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.



The aim of this prospective study was to evaluate the pain course after surgical removal of third molars.

Materials and methods

The sample consisted of 100 consecutive patients. Pain intensity was assessed by means of a visual analog scale (VAS).


At day 1, moderate and severe pain were observed predominantly in patients who had surgery in the mandible (p < 0.001) and for patients younger than 24 years (p = 0.009), while more patients who weekly consumed mate tea (Ilex paraguariensis) showed pain classified as none or light (p = 0.017). At day 2, the profile of pain moderate/severe was more prevalent for patients who had surgery in the mandible (p < 0.001) with the report of difficult surgery (p = 0.042) and with odontotomy performed (p = 0.033). In the third postoperative day, severe/moderate pain was associated with surgery in the mandible (p < 0.001) and with odontotomy (p = 0.021) and ostectomy (p = 0.028) performed, with report of long and difficult procedure (p = 0.023), surgeries which last more than sixty minutes (p < 0.026), and for those patients who developed postoperative inflammatory complications (p < 0.001).


Higher pain complains could be expected for patients who have long and difficult mandibular third molar surgery characterized by odontotomy and ostectomy.

Clinical significance

Pain after third molar surgery is a common sequele. It is indispensable for the dentists to be apt in handling and preventing it as far as possible and know possible variables that may influence or increase these pain levels. It can be a clinical advantage. Better understanding the pain characteristics may guide the dentist through preoperative decisions.

How to cite this article

Bortoluzzi MC, Guollo A, Capella DL, Manfro R. Pain Levels after Third Molar Surgical Removal: An Evaluation of Predictive Variables. J Contemp Dent Pract 2011;12(4):239-244.

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