Publication date: Available online 11 December 2018
Source: Journal of Oral and Maxillofacial Surgery
Author(s): Saleh Alkadi, Leo Stassen
Abstract
Objective
Wound closure technique for lower third molar surgery (LTMS) is an operative factor that influences wound healing and early post-operative complications. This study investigates two closure techniques; partial closure using one suture and the suture-less technique, after using a modified buccal envelope flap for LTMS.
Materials and methods
This is a prospective, randomized, double-blind, split mouth controlled trial. Partial closure using one suture was compared to the suture-less technique. Surgical sites were divided into two groups, Group A: one suture, and Group B: suture-less. Each patient received both treatments at the same time. During the first post-operative week, all patients were asked to daily assess pain, facial swelling, and bleeding, using self-assessment scales. All patients attended follow-up appointment at one week, to objectively assess facial swelling and wound healing, and at one month, to assess wound healing. Analysis of data was carried out using the statistical package SPSS (IBM SPSS Statistics 24). A p value ≤ 0.05 was accepted as statistically significant.
Results
Thirty- seven patients, who had bilateral impacted third molars of similar surgical difficulty, were recruited. Thirty-four successfully completed the study. The results showed a statistically significant difference between the two techniques in a) post-operative pain at day five (p = 0.046), and six (p = 0.034), b) socket healing at one week (p = 0.002), and one month (p = 0.014), and c) soft tissue healing at one week (p = 0.016).
Conclusion
One-suture technique for LTMS is superior to the suture-less technique in reduction of post-operative pain, and improving wound healing during early post-operative period. There is no difference between the two techniques in reduction of post-operative swelling.
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