The Use of Three Different Suturing Techniques for Wound Closure of Mucoperiosteal Flaps After Surgical Removal of Impacted Lower Wisdom Teeth (Comparative Study)

Abstract

Aims: The aim of the study is to determine the effects of different suturing techniques on post-operative complications (pain and swelling) following the removal of impacted lower wisdom teeth. Materials and Methods: Sixty medically fit patients were randomly selected with an age range between 16–42 years of both sexes. They were divided into 3 groups. These patients had impacted lower third molars indicated for surgical extraction. The first group comprised of twenty patients, the flap would be closed by simple interrupted suturing technique, and in the second group (20 patients) by vertical mattress suturing technique, and anchoring suture techniques for the third group (20 patients). All groups will be compared by clinical assessment to determine post-operative complications including pain and swelling. Results: In all treatment groups, pain (on VAS) reached its peak on the first post-operative day then faded away. In all groups, swelling was most severe in the first post-operative day and gradually decreased, with the anchor suturing technique showing significant difference of swelling at day three Conclusions: Changing the method of suturing appear to have no effect on the degree of pain, swelling following surgical removal of impacted mandibular third molars.