Assessment of the effect of wound closure technique on postoperative sequaele and complications after impacted mandibular third molar extraction

Anighoro, E. O.; Gbotolorun, Olalekan Micah; Adewole, Richard Ayodeji; Arotiba, Godwin Toyin; Effiom, Olajumoke Ajibola

doi:10.4236/ojst.2013.39087

Cited by 12 publications

(8 citation statements)

References 18 publications

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“…However, this observation is controversial issue between researchers. The reason for this discrepancy is unclear (16) and might be resulted from variations in the individual inflammatory response (12) . In addition, the ability of the surgeon (29) and the difficulty of the operation might influence the outcome of the surgery.…”

Section: Discussionmentioning

confidence: 99%

“…In another study, researchers revealed no statistical significant difference between the two techniques (15) . Anighoro et al (16) showed a significant reduction in postoperative pain and trismus in single suture technique, however, no difference in the values of facial swelling when compared with multiple suturing technique. The summery of the above studies seen in table (1).…”

Section: Single Suture Techniquementioning

confidence: 97%

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A Review of Wound Closure Technique-Patient Morbidity Relationship After Wisdom Tooth Surgery

Al-Samman¹

2016

Iraqi dent. j.

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Background: Surgical removal of impacted mandibular third molars is associated with various postoperative complications like pain, swelling and trismus. These complications influence the patients' quality of life in the week following surgery. Many surgical interventions had been attempted to limit these complications, among them is the wound closure techniques. This study carry out a literature review to evaluate the impact of these techniques on patient morbidity following LM3 surgery. Materials and method: The MEDLINE and PubMed database was searched for the related studies. Twenty-one randomized prospective clinical trials, that measure part or all of the immediate outcomes, were included. Results: Twenty-one randomized prospective clinical trials were evaluated. They described the partial wound closure modalities, including single suture technique, the excision of mucosa immediately distal to the second molar, the placement of drain, and a "sutureless" technique. Conclusion:The role of wound closure techniques on immediate postoperative sequlae revealed a varied opinion among researchers.

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Section: Discussionmentioning

confidence: 99%

Section: Single Suture Techniquementioning

confidence: 97%

A Review of Wound Closure Technique-Patient Morbidity Relationship After Wisdom Tooth Surgery

Al-Samman¹

2016

Iraqi dent. j.

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“…is is further associated with a significant deterioration in oral healthrelated quality of life in the immediate postoperative period [4] and an increase in the total expenditure for removal of third molars [5,6]. e magnitude of these sequelae depends on the extent of inflammatory response resulting from the extent of tissue damage produced [7], which in turn depends on certain demographics including age, gender, oral health status, and anatomic and operative factors such as increased surgical difficulty, magnitude of ostectomy, and duration of surgery [7]. Different closure techniques with or without incorporation of drains [8]; use of drugs such as analgesics [9], corticosteroids [10], and antibiotics [11]; and physical therapeutic methods such as cryotherapy [12], soft laser application [13], and sutureless techniques [14][15][16][17][18] are among the number of modalities reported in the literature to minimize postoperative pain, swelling, and trismus.…”

Section: Introductionmentioning

confidence: 99%

“…Sutureless closure with minimal manipulation of soft tissues and healing by secondary intention, decreasing time of surgery, leaving a self-drainage pathway for inflammatory exudate, and thereby reducing postoperative inflammation with impact on improving the oral health related quality of life index. Abundant data exists regarding the advantages of sutureless technique after third molar surgery like less pain, swelling, and trismus with comparatively few undesirable effects [5,7,[15][16][17][18] related to healing by secondary intention. In addition, there may be high potential for the formation of a periodontal pocket in relation to the adjacent second molar, but however, the literature is equivocal.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation

Mahat

Yadav

et al. 2020

International Journal of Dentistry

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Objective. To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. Materials and Methods. Forty-eight patients were equally grouped into multiple sutures (group 1) and sutureless (group 2) groups using a computer-generated random table. The same operator performed all the surgical procedures. Postoperative variables such as pain, swelling, and trismus were measured by a single concealed observer using a 10 cm Numerical Rating Scale (NRS), flexible plastic measuring tape, and vernier caliper preoperatively and on 1st, 2nd, and 7th postoperative days. Results. This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods (P<0.05). The mean NRS score was significantly higher in group 1 on the 1st postoperative day (P=0.01). Though mean duration of surgery, swelling as measured from tragus to commissure, trismus, NRS score except on the 1st postoperative day, total number of analgesics consumed, and complications were noted more in the multiple sutures group, the difference was not statistically significant. Conclusion. Our results support the use of sutureless technique after third molar surgery to minimize postoperative morbidity and the overall operative time and reduce the cost within the Nepalese subpopulation.

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“…The formation of localized alveolar osteitis following mandibular third molar disimpaction is a result of a complex interaction between systemic factors, local infection and surgical trauma. [8][9][10][11][12] Notable among these factors are intraoperative complications such as alveolar bone fracture, root fracture, surgical difficulty, wound closure technique, 11,12 and, in some few cases, patient's non-adherence to post-disimpaction instructions. Findings from literature have suggested an increase in the frequency of localized alveolar osteitis following tooth extraction in female.…”

Section: Introductionmentioning

confidence: 99%

Localized alveolar osteitis: the role of suture technique following disimpaction of mandibular third molars in a Nigerian Teaching Hospital

Owobu¹,

Balarabe²,

Nwabueze³

et al. 2019

J Dentomaxillofac Sci

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Objective: The formation of localized alveolar osteitis following mandibular third molar disimpaction is a result of a complex interaction between systemic factors, local infection and surgical trauma. This study evaluates the relationship between wound closure techniques in the development of localized alveolar osteitis (Dry Socket) following disimpaction of mandibular third molar teeth in Aminu Kano Teaching Hospital. Material and Methods: A total of 120 patients between the ages of 18 and 45 years were recruited into the study. A gender ratio of male to female, 1.07 :1, was recorded. They were then divided into two groups (A & B) according to wound closure technique used. Group A had suture-less/partial wound closure and Group B had complete wound closure technique. Data were analyzed using SPSS version 20.0 (SPSS Inc, Chicago IL), with simple descriptive statistics and the X 2 text, as appropriate. P <.05 was considered significant. Results: A total number of 23 patients (7.2%) developed localized alveolar osteitis from both groups. The prevalence of localized alveolar osteitis was higher in patients who received suture-less/partial wound closure technique (91.3%), while (8.7%) developed dry socket in complete wound closure technique. The difference between the two group was statistically significant (p<0.05). Conclusion: This study revealed that wound closure technique following disimpaction of mandibular third molar teeth is a major factor in the development of localized alveolar osteitis.

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Assessment of the effect of wound closure technique on postoperative sequaele and complications after impacted mandibular third molar extraction

Abstract: Aims and Objectives: The aim of the study was to compare the effect of complete and partial wound closures on postoperative sequelae and complications after surgical removal of impacted mandibular third molars. Patients and Methods: One hundred and

Cited by 12 publications

References 18 publications

A Review of Wound Closure Technique-Patient Morbidity Relationship After Wisdom Tooth Surgery

A Review of Wound Closure Technique-Patient Morbidity Relationship After Wisdom Tooth Surgery

A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation

Localized alveolar osteitis: the role of suture technique following disimpaction of mandibular third molars in a Nigerian Teaching Hospital

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