Correlation between Swelling Post Odontectomy in Lower Third Molar with the Increase of Concentration Alpha Amylase Saliva

Idawati Muhajir, Harmas Yazid Yusuf, Lucky Riawan

Abstract: Introduction: Odontectomy is surgical procedure that cause inflammation involving post-operative pain, swelling, and general oral dysfunction during the immediate post-operative phase. There are several methods for identify swelling post odontectomy, such measurement of compositions concentration saliva. Alpha amylase is one of the composition of saliva that considered to have a correlation with post odontectomy swelling. Objective: This study aimed to investigate the correlation between the swelling post odontectomy in lower third molar with the concentration level of alphaamylase Method: A consecutive random sampling study involving was performed in 41 patients. Patience were categorized into classification of impacted teeth (class Ia, Ib, Ic, IIa, IIb, IIc). The measurement of facial dimension was performed in preoperative, post-operative day 1, post-operative day 3, post-operative day 7, and the measurement of concentration alphaamylase level was performed in preoperative, post-operative 2 hourss, post-operative day 3, post-operative day 7. Result: The results of the study, there was no significant relationship between swelling post odontectomy in lower third molar with increased of concentration alphaamylase of class impaction Ia (r=0, 96; p value > 0, 05), Ib (r= -0, 60; p value > 0, 05), Ic (r=0, 79; p value> 0, 05), and significant relationship of class impaction IIa (r=-0, 66; p value < 0, 05), IIb (r=-0, 82; p value < 0, 05), IIc (r=-0, 19; p value < 0, 05) for each variabel. Conclusion: In conclusion, there were no significant relationship between swelling post odontectomy in lower third molar with increased of concentration alphaamylase of class impaction Ia, Ib, Ic and significant relationship of class impaction IIa, IIb, IIc.

Keywords: Odontectomy, Swelling, AlphaAmylase