Comparative Evaluation of Suture Versus Sutureless Surgery in Mandibular Third Molar Impactions
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ORIGINAL ARTICLE
Comparative Evaluation of Suture Versus Sutureless Surgery in Mandibular Third Molar Impactions Dinesh Kumar1
•
Parveen Sharma2 • Shruti Chhabra2 • Rishi Bali2
Received: 6 May 2020 / Accepted: 27 September 2020 Ó The Association of Oral and Maxillofacial Surgeons of India 2020
Abstract Purpose The purpose of this study is to compare the suture versus sutureless surgery in impacted mandibular third molar and to evaluate the morbidity and complications associated with each technique. Materials and Methods A total of 50 patients with asymptomatic impacted mandibular third molars were randomly divided into two groups of 25 patients each. Radiographs were taken to assess the angulation and degree of eruption in the third molar. A small modified Szmyd, V-shaped flap was raised in all cases, and teeth were extracted. In Group I—Suture group (suture was used to close the flap), and in Group II—Sutureless group (no suture used to close the flap). The post-operative pain, swelling, trismus, haemorrhage, periodontal pocket, and alveolar osteitis were evaluated at 24 h, 48 h, 5th days, 7th days, and 2 weeks after surgery. The statistical analysis was done using the Chi-square ‘‘t’’ test and Independent Samples ‘‘t’’ test.
& Dinesh Kumar [email protected] Parveen Sharma [email protected] Shruti Chhabra [email protected] Rishi Bali [email protected] 1
Unit of Oral and Maxillofacial Surgery, M.M. College of Dental Sciences and Research, Mullana, Ambala, Haryana 133203, India
2
Department of Oral and Maxillofacial Surgery, D. A.V. [C] Dental College, Yamuna Nagar 135001, India
Observations and Results Pain, swelling, and trismus were found to be significantly reduced especially in the immediate post-operative period in the sutureless group as compared to the suture group (p \ 0.001). There were no incidences of intra-operative and post-operative haemorrhage in any case. Follow-up of all the patients showed that there was no difference in periodontal sequelae and alveolar osteitis Conclusions Sutureless surgery with small flap was found to be less invasive, time-saving, and also a cost-effective method. This technique significantly reduced the early crucial phase of patient discomfort and demonstrates good results. Keywords Mandibular third molar Impaction Modified Szmyd incision Sutureless surgery
Introduction Mandibular third molars have the greatest (42.37%) incidence of impaction [1], and their surgical removal is one of the most frequently performed procedure [2]. The surgical approach for the removal of lower third molars is different as the reflection of soft tissues and the amount of bone removed is substantially greater than other surgical tooth extractions [3]. Different methods have been formulated to carry out the removal of lower third molars, with common objectives of adequate visibility, satisfactory wound healing, decreased surgical morbidity, and patient comfort. Various complications associated with removal of lower third molars from early post-operative period to
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