Assessing health outcomes after extraction of third molars: the postoperative symptom severity (PoSSe) scale

  1. Lookup NU author(s)
  2. Dr Danny Ruta
Author(s)Ruta DA; Bissias E; Ogston S; Ogden GR
Publication type Article
JournalBritish Journal of Oral & Maxillofacial Surgery
Year2000
Volume38
Issue5
Pages480-487
ISSN (print)0266-4356
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
A postoperative symptom severity (PoSSe) scale was devised from questions commonly used in the clinical assessment of patients who have had third molars extracted, and divided into subscales corresponding to seven main adverse effects that had been identified in a previous study. Ninety-seven patients completed the 15-item questionnaire at one week, and 71 patients at four weeks, after extraction of impacted third molars.After statistical testing, four items were discarded and the final PoSSe scale achieved a high level of internal reliability. Patients' PoSSe scores were highly correlated with scales that measured six distinct health dimensions. The level of social functioning, together with the number of impacted teeth and number of painkillers taken, explained 62% of the variation in PoSSe scores between patients one week postoperatively. The PoSSe was more responsive than the Short Form 36-item Health Survey.In conclusion, we found the PoSSe Scale to be a reliable, valid and responsive measure of the severity of symptoms after extraction of third molars, and of the impact of those symptoms on patients' perceived health. Copyright 2000 The British Association of Oral and Maxillofacial Surgeons.
PublisherChurchill Livingstone
URLhttp://dx.doi.org/10.1054/bjom.2000.0339
DOI10.1054/bjom.2000.0339
Actions    Link to this publication