LAMA WAKTU OPERASI, LUAS DAERAH OPERASI, BANYAKNYA LARUTAN IRIGASI DAN JENIS ANESTESI DENGAN KOMPLIKASI YANG TERJADI PASCAODONTEKTOMI

Abstract

Background: There have been changes in clinical performance
management paradigm. Previously, clinical management
focused on the outcome occurred. Nowadays, the improvement
of health care processes becomes the main focus. Impacted-
tooth case is a frequentdental problem and a major
cause of patient complaints.Common complications during
odontectomy are oedema, trismus, paresthesia and dry socket.
Objective: This research aims to measure the relations between
operating time, operating area, amount of irrigation and
type of anaesthesia used with post odontectomy complications,
and to measure factors affecting odontectomy complications.
Methods: This study applied a cross-sectional study design.
Data were collected prospectively at Cipto Mangunkusumo
Central Hospital, consisting of subjective and objective clinical
examinations. Patient complaints post odontectomy, length of
surgery, operations area, amount of irrigations and type of
anaesthesia used were collected.The data obtained were
analyzed by using multiple logistic regression methods.
Results: There were 57 patients aged 18-55 years. Co-morbidity
was significantly associated with higher odontectomy
complications (p=0.026). Oedema, trismus, and paresthesia
increased with increasing length of surgery. However, length
of operation, operations area, amount of irrigations and type
of anaesthesia used were not statistically associated to odontectomy
complications.
Conclusions:Co-morbidity is associated with higher postoperative
morbidity. In revising and implementing clinical protocol,
co-morbidity should be considered as an important factor.
Keywords: clinical performance, complications, odontectomy,
teaching hospital