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

Mohammad Esmaeelinejad1,2, Mohammadhossein Mansourian3, Farzad Aghdashi2,4
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Semnan University of Medical Sciences, Semnan, Iran
2Iranian Association of Oral and Maxillofacial Surgeons, Tehran, Iran
3Private practice, Tehran, Iran
4Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Tóm tắt

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.

Tài liệu tham khảo

Gbotolorun OM, Arotiba GT, Ladeinde AL (2007) Assessment of factors associated with surgical difficulty in impacted mandibular third molar extraction. J Oral and Maxillofacial Surg. 65(10):1977–1983 Cetinkaya BO, Sumer M, Tutkun F et al (2009) Influence of different suturing techniques on periodontal health of the adjacent second molars after extraction of impacted mandibular third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 108(2):156–161 Quek SL, Tay CK, Tay KH et al (2003) Pattern of third molar impaction in a Singapore Chinese population: a retrospective radiographic survey. Int J Oral Maxillofacial Surg. 32(5):548–552 Chaudhary M, Singh M, Singh S et al (2012) Primary and secondary closure technique following removal of impacted mandibular third molars: a comparative study. Natl J Maxillofac Surg. 3(1):10 Hashemi HM, Beshkar M, Aghajani R (2012) The effect of sutureless wound closure on postoperative pain and swelling after impacted mandibular third molar surgery. Br J Oral Maxillofac Surg. 50(3):256–258 Krausz A, Machtei E, Peled M (2005) Effects of lower third molar extraction on attachment level and alveolar bone height of the adjacent second molar. Int J Oral Maxillofac Surg. 34(7):756–760 Montero J, Mazzaglia G (2011) Effect of removing an impacted mandibular third molar on the periodontal status of the mandibular second molar. J Oral Maxillofac Surg. 69(11):2691–2697 Alqahtani NA, Khaleelahmed S, Desai F (2017) Evaluation of two flap designs on the mandibular second molar after third molar extractions. J Oral Maxillofac Pathol 21(2):317 Erdogan Ö, Tatlı U, Üstün Y et al (2011) Influence of two different flap designs on the sequelae of mandibular third molar surgery. Oral Maxillofac Surg. 15(3):147–152 Osunde OD, Saheeb BD, Adebola RA (2011) Comparative study of effect of single and multiple suture techniques on inflammatory complications after third molar surgery. J Oral Maxillofac Surg. 69(4):971–976 Safi Y, Kadkhodazadeh M, Safai P et al (2014) Evaluation of alveolar crest bone loss via premolar bitewing radiographs: presentation of a new method. J Periodontal Implant Sci. 44(5):222 Alling CC, Catone GA (1993) Management of impacted teeth. J Oral Maxillofac Surg. 51(1):3–6 Yuasa H, Kawai T, Sugiura M (2002) Classification of surgical difficulty in extracting impacted third molars. Br J Oral Maxillofacial Surg. 40(1):26–31 Passarelli PC, Lajolo C, Pasquantonio G et al (2019) Influence of mandibular third molar surgical extraction on the periodontal status of adjacent second molars. J Periodontol. 90(8):847–855 Peng KY, Tseng YC, Shen EC et al (2001) Mandibular second molar periodontal status after third molar extraction. J Periodontol. 72(12):1647–1651