Abstract
Objective To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. Materials and Methods. Forty-eight patients were equally grouped into multiple sutures (group 1) and sutureless (group 2) groups using a computer-generated random table. The same operator performed all the surgical procedures. Postoperative variables such as pain, swelling, and trismus were measured by a single concealed observer using a 10 cm Numerical Rating Scale (NRS), flexible plastic measuring tape, and vernier caliper preoperatively and on 1st, 2nd, and 7th postoperative days. Results This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods (P < 0.05). The mean NRS score was significantly higher in group 1 on the 1st postoperative day (P < 0.05). The mean NRS score was significantly higher in group 1 on the 1st postoperative day (Conclusion Our results support the use of sutureless technique after third molar surgery to minimize postoperative morbidity and the overall operative time and reduce the cost within the Nepalese subpopulation.
Highlights
Impacted tooth is defined as a tooth that is prevented from erupting into position [1] within the expected time [2] due to a physical barrier within the path of eruption [3]. ird molar impactions are associated with several acute or chronic pathological changes, such as pain, infection, caries, periodontal disease, root resorption, bone loss, cyst formation, and benign tumors, justifying its removal
Abundant data exists regarding the advantages of sutureless technique after third molar surgery like less pain, swelling, and trismus with comparatively few undesirable effects [5, 7, 15,16,17,18] related to healing by secondary intention
Us, we compared the effects of multiple sutures and sutureless technique in patients referred for third molar surgical extraction in BPKIHS with the objective to evaluate the effectiveness of both techniques in reducing postoperative complications. is would help us to improve the outcome on oral health-related quality of life and decrease the treatment cost for our patients
Summary
Impacted tooth is defined as a tooth that is prevented from erupting into position [1] within the expected time [2] due to a physical barrier within the path of eruption [3]. ird molar impactions are associated with several acute or chronic pathological changes, such as pain, infection, caries, periodontal disease, root resorption, bone loss, cyst formation, and benign tumors, justifying its removal. Us, we compared the effects of multiple sutures and sutureless technique in patients referred for third molar surgical extraction in BPKIHS with the objective to evaluate the effectiveness of both techniques in reducing postoperative complications.
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