Comparison of postoperative complications after impacted mandibular third molar extraction with conventional suturing versus tube drainage.

Abstract

<jats:p>Objectives: To determine the effectiveness of tube drain compared with conventional suturing on postoperative complications after extraction of impacted mandibular third molars. Study Design: Cross Sectional study (Comparative). Setting: Department of Oral &amp; Maxillofacial Surgery, Institute of Dentistry, LUMHS Jamshoro/Hyderabad. Period: Six months duration from 12-11-2015 to 13-05-2016. Material &amp; Methods: All the patient age from 18 to 45 years irrespective of gender, having mesioangular impacted mandibular third molar were included in the study. Patients were divided into two groups, Group-A and group-B. The severity of pain was recorded by using Visual Analog Scale from 0 no pain to 10 worst pain, degree of swelling was measured by facial size through Amin and Laskin criteria and mouth opening was measured by interincisal distance through ruler. All data was recorded on the 3rd and 7th day by the clinician. Results: Mean age of group A was 31.22+7.21 years, and mean age of group B was 28.34+5.33 years. Male were found slightly more as compared to female. On 3rd day the post-operative pain assessment was almost equal in both groups p-value 0.06 and assessment of post-operative swelling on 3rd day was found with insignificant difference p-value 0.22. Assessment of pain on 7th post-operative day was that the severe pain was found significantly reduced in group B as compared to group A p-value 0.01, swelling was significantly reduced in group B p-value 0.04. While mouth opening was also found significantly more in group B as compared to group A p-value 0.022. Conclusion: After removal of impacted mandibular third molars, incorporating tube drain is very effective as compared to conventional suturing in reducing the facial swelling, trismus and postoperative pain.</jats:p>

Effect of Dexamathasone in Surgical Extraction of Mandibular Impacted Third Molar

“…However, because clinicians tend to stress such complications when aring informed consent or the sheets with PO instructions, patients seem to focus more attention on function(ie, chewing, swallowing, "Therefore, studies evaluating the effect of third molar surgery or perioperative medications on patients' Quality of Life (QOL) and correlating the effect with objectively measured sequelae are becoming more important to offer patients the optimal management". In this trial male participants were more than fifty percent which is in accordance with the study of Channar KA [9] in 2014, and Rajper [5] in 2020 "Stratified analyses by gender were not carried out due to the unavailability of enough individual patient data. None of the individual trials, however, suggested that there might be a genderdependent effect of CS".…”

“…Swelling of the local region is the most frequent usual complication and it usually occur after surgical procedure postoperatively (PO) because of tissue injuries [3][4] to minimize reducing PO discomfort is of important concern, both for patients and doctor. Well skilled surgeon, a time limited operation and by the application of cold dressings have a beneficial better effect on PO edema [5].…”