The influence of closure or dressing of third molar sockets on post-operative swelling and pain

Influence of a pedicle flap design on acute postoperative sequelae after lower third molar removal

“…Third molar tooth removal is frequently associated with debilitating acute complications including pain, swelling, trismus 24 , and alveolar osteitis (dry socket) 9 . As a consequence, research has concentrated on finding techniques to minimize these complications, including the use of surgical drains 6,7,26,29 , different closure techniques 11,13 and various flap designs 15,18,19,24,27,30 .…”

Primary and Secondary Closure of the Surgical Wound After Removal of Impacted Mandibular Third Molars

“…But rest of the cases healed by primary healing. Many other authors also came across this problem as found by Dubois [12] in 50%, Holland and Hindle in 66% [7] and Sutas and Verasak [10] in 73% of cases in primary closure.…”

“…According to Holland and Hindle [7] a primary closure is preferred by Howe, Archer, Kruger, Thoma & Killey key whereas many other authors preferred the wound to heal by secondary intention. In a similar attempt to decrease postoperative problems many authors have also tried tube drain in the buccal fold after surgical removal of third molars [8][9][10].…”

“…Holland and Hindle [7] showed that postoperative pain & swelling were marked in complete closure than in the open healing. They also found that the closed socket had broken down within a week & healed by secondary intention.…”

Management of cystic surgical wound of the mandible: A comparative study analyzing closed versus open wound healing

“…These differences apart from being influenced by the types and extent of surgeries performed, which in this circumstance was determined by the size of the cystic lesion, may also be due to individual variations with regard to inflammatory response to the trauma induced by the surgery. According to certain authors, suturing especially when tight favours oedema, trismus and pain by creating a unidirectional valve that allows fragments of food to rich the surgical site, but not to leave it easily [17,18]. This can be the origin of local infection, inflammation, oedema, dehiscence and pain from impaired drainage [19].…”