A Comparative Study: Efficacy of Tissue Glue and Sutures after Impacted Mandibular Third Molar Removal

Abstract

Objective To compare the efficacy of cyanoacrylate (tissue glue) placement after surgical removal of impacted mandibular third molars. Materials and Methods Thirty patients with bilaterally impacted mandibular third molars were studied in this controlled clinical trial. One side closure after surgical removal of third molar was done with conventional sutures and other side with cyanoacrylate. Results The data analysis showed that postoperative bleeding with cyanoacrylate method was less significant than with suturing on the first and second day after surgery. There was no significant difference in the severity of pain between the two methods. Conclusion This study suggested that the efficacy of both, cyanoacrylate and suturing in wound closure were similar in the severity of pain, but use of cyanoacrylate showed better hemostasis.

Evaluation of Complications Following Impacted Mandibular Third Molar Extraction in Patients with Different Hand Preference

“…In our study, there was no statistically significant difference between groups when the levels of trismus at postoperative 2 and 7 days were compared. We observed that trismus was severe on day 2 in all groups and decreased on day 7, consistent with the results of other studies in the literature (17)(18)(19)(20)(21)(22). Similarly, no statistically significant difference was found between groups in edema at postoperative 2 and 7 days.…”

“…Trismus reaches its maximum level 2 days after extraction and may last for 7-10 days (21). It has been claimed that the duration and severity of this complication varies from patient to patient (17)(18)(19)(20)(21). In our study, there was no statistically significant difference between groups when the levels of trismus at postoperative 2 and 7 days were compared.…”

“…Many studies have suggested that corticosteroids, different anesthetics, pain killers, and anti-inflammatory drugs may reduce the severity of these complications (20,21). It has been claimed that post-extraction pain reaches maximum intensity within 2-4 hours or, according to some studies, within 12 hours, and that the pain level decreases on postoperative day 6 (7-21).…”

“…The mediators released during inflammation target immune and inflammatory cells (35). The severity of complications such as pain, edema, and trismus after extraction is affected by the severity of inflammation at the site of extraction (19)(20)(21). Severe inflammation may increase the development of complications after extraction (19)(20)(21).…”

“…The severity of complications such as pain, edema, and trismus after extraction is affected by the severity of inflammation at the site of extraction (19)(20)(21). Severe inflammation may increase the development of complications after extraction (19)(20)(21). In our study, there was no statistical difference in the pain, edema, and trismus values after extraction between the right-handed groups 3 and 4 and the lefthanded groups 1 and 2, suggesting that there was also no difference in inflammation in the extraction areas.…”