{
    "abstract": "Third molar extractions present a wide spectrum of reported complications, spanning from 2.6 % to 30.9 %, making it challenging to predict outcomes for individual patients.This study seeks to evaluate third molar extractions conducted exclusively by stomatology or maxillofacial surgery residents, examining associated complications. Its aim also extends to delineating the related risks concerning epidemiological and clinical factors, juxtaposed against findings in the existing literature.\nAn observational prospective cohort study was conducted at the Clinical and Academic Centre of Coimbra, Portugal, from July 2021 to December 2023. Descriptive statistics were used considering the adequate statistical parameters. Inferential statistical analysis was performed using Student's \n485 patients underwent third molar extractions performed exclusively by stomatology and maxillofacial surgery residents, comprising a total of 686 extracted teeth and resulting in 71 reported complications (14.6 % per patient and 10.3 % per extracted tooth). Results revealed that patients undergoing lower third molar extraction faced a 3.7 times higher risk of complications compared to those undergoing upper third molar extraction. Teeth categorized as \"IIIC\" by Pell and Gregory's classification and those undergoing osteotomy and odontosection also exhibited a higher-than-expected complication rate with statistically significant differences being observed. No other variables showed a positive or negative statistically significant correlation with complication occurrence.\nDespite the expectation of a heightened complication rate, this study revealed that a successful and comprehensive training regimen results in encountering complication rates akin to those documented in established literature.These findings also underscore the importance of recognizing that a resident's surgical accomplishment is intrinsically tied to acknowledging and respecting their learning curve.",
    "authors": [
        {
            "affiliation": "Faculty of Medicine, University of Coimbra, Coimbra 3004-561, Portugal.\nStomatology Service, Head, Neck & Skin Surgery Department, Coimbra Hospital and University Centre, Coimbra, Portugal.\nClinical and Academic Centre of Coimbra, Coimbra, Portugal.",
            "firstname": "Jo\u00e3o Mendes",
            "initials": "JM",
            "lastname": "de Abreu"
        },
        {
            "affiliation": "Clinical and Academic Centre of Coimbra, Coimbra, Portugal.\nMaxillofacial Surgery Service, Head, Neck & Skin Surgery Department, Coimbra Hospital and University Centre, Coimbra, Portugal.",
            "firstname": "\u00c9rica",
            "initials": "\u00c9",
            "lastname": "Cerqueira"
        },
        {
            "affiliation": "Clinical and Academic Centre of Coimbra, Coimbra, Portugal.\nMaxillofacial Surgery Service, Head, Neck & Skin Surgery Department, Coimbra Hospital and University Centre, Coimbra, Portugal.",
            "firstname": "Anabela",
            "initials": "A",
            "lastname": "Quit\u00e9rio"
        },
        {
            "affiliation": "Faculty of Medicine, University of Coimbra, Coimbra 3004-561, Portugal.\nClinical and Academic Centre of Coimbra, Coimbra, Portugal.\nForensic Dentistry Laboratory, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.",
            "firstname": "Tiago",
            "initials": "T",
            "lastname": "Nunes"
        },
        {
            "affiliation": "Faculty of Medicine, University of Coimbra, Coimbra 3004-561, Portugal.\nStomatology Service, Head, Neck & Skin Surgery Department, Coimbra Hospital and University Centre, Coimbra, Portugal.\nClinical and Academic Centre of Coimbra, Coimbra, Portugal.",
            "firstname": "Jos\u00e9",
            "initials": "J",
            "lastname": "Figueiredo"
        },
        {
            "affiliation": "Faculty of Medicine, University of Coimbra, Coimbra 3004-561, Portugal.\nClinical and Academic Centre of Coimbra, Coimbra, Portugal.\nForensic Dentistry Laboratory, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.",
            "firstname": "Ana",
            "initials": "A",
            "lastname": "Corte-Real"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024 The Authors. Published by Elsevier Ltd.",
    "doi": "10.1016/j.sipas.2024.100256\n10.3310/hta24300\n10.1177/0022034512449346\n10.1002/14651858.CD004345.pub2\n10.1111/joor.12589\n10.1016/j.cxom.2012.06.004\n10.3390/healthcare9060750\n10.1016/j.rodmex.2016.02.010\n10.1186/s13005-015-0068-7\n10.1159/000324550\n10.1046/j.0909-8836.1999.eos107604.x\n10.1016/j.tripleo.2003.10.018\n10.1016/j.oooo.2017.12.006\n10.1016/j.ijsu.2014.07.013\n10.11607/jop.1151\n10.1111/joor.13175\n10.1016/j.fsc.2020.06.005\n10.1016/j.joms.2003.04.001\n10.1016/j.joms.2005.04.022\n10.4317/medoral.22556\n10.1016/0030-4220(93)90005-o\n10.18295/squmj.2019.19.03.009\n10.17219/dmp/80944\n10.5167/uzh-102762",
    "journal": "Surgery in practice and science",
    "keywords": [
        "Oral and maxillofacial surgery residency",
        "Oral surgery",
        "Postoperative complications",
        "Stomatology residency",
        "Surgical education",
        "Third molar"
    ],
    "methods": null,
    "publication_date": "2025-01-23",
    "pubmed_id": "39845430\n32589125\n22622663\n25069437\n29171914\n23021399\n34207131\n25890111\n21576990\n10625102\n15088029\n29397341\n25046131\n24482784\n33817818\n33010865\n14663801\n31538464\n16094577\n30573720\n8233418\n17484797\n31728221\n30152638\n25342640",
    "results": "485 patients underwent third molar extractions performed exclusively by stomatology and maxillofacial surgery residents, comprising a total of 686 extracted teeth and resulting in 71 reported complications (14.6 % per patient and 10.3 % per extracted tooth). Results revealed that patients undergoing lower third molar extraction faced a 3.7 times higher risk of complications compared to those undergoing upper third molar extraction. Teeth categorized as \"IIIC\" by Pell and Gregory's classification and those undergoing osteotomy and odontosection also exhibited a higher-than-expected complication rate with statistically significant differences being observed. No other variables showed a positive or negative statistically significant correlation with complication occurrence.",
    "title": "Assessment of complications in third molar surgery performed by resident surgeons: A comprehensive analysis.",
    "xml": "<Element 'PubmedArticle' at 0x7885062e2a20>"
}