nvestigation of the Relationship Between Primary and Secondary Wound Healing After Surgical Extraction of Maxillary Third Molar Teeth with Different Impaction Degrees and Postoperative Complications

BOZKURT P.

Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, cilt.26, sa.2, ss.166-172, 2020 (TRDizin)

Özet

Objective: The purpose of this prospective, random-ized, split-mouth clinical trial was to evaluate the effects of sutureless healing after surgical removal of impacted maxillary third molars. Material and Methods: Sixty patients, aged between 18-40, with symmetrical positioned bilateral impacted maxillary third molars, were included. According to Pell and Gregory’s classification of depths, patients were divided into 3 groups, each containing 20 pa-tients. After surgeries, one side was primarily sutured; the other side was left unsutured for secondary healing. Operation times and post-operative complications including pain, oedema, alveolar osteitis, in-fection and excessive bleeding were examined for each side. Results:Operative time was higher in all sutured wounds. Pain was higher in Class-B sutured wounds during the 6th, 12th hours compared to Class-B unsutured wounds; however, no significant difference was observed between sutured and unsutured wounds in Class-A and Class-C. Postoperative oedema, alveolar osteitis, bleeding and infec-tion values presented no significant difference between sutured and unsutured wounds in all impaction groups. All wounds healed at 1-week follow-ups. Conclusion: We are of the opinion that regardless of impaction degree; unsutured secondary healing for intraoral wounds may be a safe technique for upper impacted third molar surgery. Due to the fact that operative time is shortened, it might in-crease patient satisfaction.