Comparative Evaluation of the Placement of Drain Versus Normal Suturing to Eliminate Postoperative Complications After the Surgical Removal of Impacted Third Molar

Abstract

Objective This study aimed to compare the efficiency of corrugated rubber drains and sutures in preventing complications after the surgical removal of impacted mandibular molars. Methodology Sixty patients enrolled for surgical extraction of wisdom teeth were studied. The patients were divided into two groups of 30. After extraction, Group A received a corrugated flat rubber drain and Group B had only conventional knotted sutures in the extraction site. Patients were evaluated for postoperative pain, edema, and trismus. Before the procedure and on postoperative days 1, 2, and 7, all parameters were measured and compared. Results Patients in Group A with surgical drains showed a significant reduction in all postoperative challenges in contrast to Group B with normal sutures. The intergroup comparison indicates that pain was highest before surgery and showed a significant reduction by day 7 in both groups. Similarly, trismus was also at its peak before surgery for both groups. However, in contrast to Group A, Group B with suturing alone demonstrated a substantial reduction in trismus by day 7. By the end of day 7, edema had substantially decreased in both groups, but it was not statistically significant ( P < 0.05). Conclusions The placement of surgical drains and the use of sutures alone have both shown similar and significant benefits in preventing postoperative challenges. However, intraoral drainage with a flat drain after mandibular third molar removal showed a significant reduction of pain, as measured by the visual analog scale (VAS) scale, or postoperative swelling.

Evaluation of a New Simplified Approach for Upper Superficial Impacted Wisdom Teeth Extraction. A Retrospective Split-Mouth Clinical Study

“…Among the complications, bear importance mandibular fractures [10], lesions to the inferior alveolar nerve [11][12][13], and alveolar osteitis [14][15][16]. Methods have been introduced aiming to control complications, such as drainage [17], or application of platelet-rich fibrin [18], gauzes soaked with cortisone [19], or ozone [20].…”

Evaluation of a New Simplified Approach for Upper Superficial Impacted Third Molar Extraction—A Retrospective Split-Mouth Study

“…Among the complications bear importance mandibular fractures [ 10 ], lesions to the inferior alveolar nerve [ 11 , 12 , 13 ], and alveolar osteitis [ 14 , 15 , 16 ]. Methods have been introduced aiming to control complications, such as drainage [ 17 ], or the application of platelet-rich fibrin [ 18 ], gauzes soaked with cortisone [ 19 ], or ozone [ 20 ]. Surgery was also implemented with the use of an Er:YAG Laser [ 21 ] and coronectomy to avoid inferior alveolar nerve lesions [ 22 ].…”