Influence of a novel suturing technique on periodontal health of mandibular second molar following impacted third molar surgery: a split-mouth randomized clinical trial.

Oral surgery Periodontal pocket Sutures Third molar

Journal

Maxillofacial plastic and reconstructive surgery
ISSN: 2288-8101
Titre abrégé: Maxillofac Plast Reconstr Surg
Pays: England
ID NLM: 101633100

Informations de publication

Date de publication:
22 Mar 2022
Historique:
received: 24 09 2021
accepted: 13 03 2022
entrez: 22 3 2022
pubmed: 23 3 2022
medline: 23 3 2022
Statut: epublish

Résumé

Surgical extraction of the third molar is the most common surgical procedure in the oral surgery field and is associated with several complications. This study aimed to compare the effects of a newly presented suturing technique with the routine suture after surgical removal of the third molar on the postoperative complications. This randomized clinical trial was designed as a split-mouth double-blinded investigation. Twenty patients were involved in the current study. After the surgical removal of the third molar, the new suturing technique was used to close the wound on one side of the patient randomly (case side), and the other side was sutured by the routine simple interrupted stitches (control side). Pain, edema, trismus, pocket depth, and the attachment loss of the distal of the second molar were assessed following the surgery. The data were statistically analyzed and compared between the sides. Pain and edema following the surgery in the control side were significantly less than in the case side. The pocket depth and the gingival attachment loss of the distal aspect of the second molar in the case side were significantly less than in the control side. No case of dry socket was observed in the case side. It seems that the newly presented suturing technique is able to keep the wound margins close to each other and may be helpful in reducing the periodontal complication of the second molar following the surgical removal of the impacted third molars.

Sections du résumé

BACKGROUND BACKGROUND
Surgical extraction of the third molar is the most common surgical procedure in the oral surgery field and is associated with several complications. This study aimed to compare the effects of a newly presented suturing technique with the routine suture after surgical removal of the third molar on the postoperative complications.
MATERIALS AND METHODS METHODS
This randomized clinical trial was designed as a split-mouth double-blinded investigation. Twenty patients were involved in the current study. After the surgical removal of the third molar, the new suturing technique was used to close the wound on one side of the patient randomly (case side), and the other side was sutured by the routine simple interrupted stitches (control side). Pain, edema, trismus, pocket depth, and the attachment loss of the distal of the second molar were assessed following the surgery. The data were statistically analyzed and compared between the sides.
RESULTS RESULTS
Pain and edema following the surgery in the control side were significantly less than in the case side. The pocket depth and the gingival attachment loss of the distal aspect of the second molar in the case side were significantly less than in the control side. No case of dry socket was observed in the case side.
CONCLUSION CONCLUSIONS
It seems that the newly presented suturing technique is able to keep the wound margins close to each other and may be helpful in reducing the periodontal complication of the second molar following the surgical removal of the impacted third molars.

Identifiants

pubmed: 35314922
doi: 10.1186/s40902-022-00342-w
pii: 10.1186/s40902-022-00342-w
pmc: PMC8938538
doi:

Types de publication

Journal Article

Langues

eng

Pagination

12

Informations de copyright

© 2022. The Author(s).

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Auteurs

Mohammad Esmaeelinejad (M)

Department of Oral and Maxillofacial Surgery, School of Dentistry, Semnan University of Medical Sciences, Semnan, Iran. esmaeelnejad@gmail.com.
Iranian Association of Oral and Maxillofacial Surgeons, Tehran, Iran. esmaeelnejad@gmail.com.

Mohammadhossein Mansourian (M)

Private Practice, Tehran, Iran.

Farzad Aghdashi (F)

Iranian Association of Oral and Maxillofacial Surgeons, Tehran, Iran.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Classifications MeSH