Comparative evaluation of efficacy of tissue glue and sutures after surgical removal of impacted mandibular third molars – A prospective controlled clinical study

Setiya, Sneha; Halli, Rajshekhar; Shah, Ajay; Chhabaria, Gaurav; Singh, Tanya

doi:10.1016/j.ajoms.2014.06.007

Cited by 15 publications

(23 citation statements)

References 19 publications

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“…Flap closure in the reversed triangular flap design occurred primarily, which was seen in the observation of the 1st and 6th hour post odontectomy in the reversed triangular flap group, there were 33.3% of all study subjects who did not experience bleeding (VAS=0). Setiya et al stated that all of the study subjects still experienced oozing on the 1st day with triangular flap (8). Oozing events at the 1st and 6th hours observations of the triangular reversed flap group were less than the triangular flap design group (Table 3), and there were no significant differences between the two groups (p> 0.05).…”

Section: Discussionmentioning

confidence: 88%

“…Some researchers still find the incidence of dehiscence in as much as 29.2 -68% of the cases and alveolar osteitis as much as 10.8% using triangular flap design (3,7). Occurrence of oozing after odontectomy using triangular flap design is quite common (8). Periodontal health of the preceding second molar using triangular flap design has been studied with varying results (9,10).…”

Section: Introductionmentioning

confidence: 99%

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The effect of triangular and reversed triangular flap designs to post third molar odontectomy complications (a pilot study)

2020

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Background: Odontectomy is one of the most common surgical procedures in oral and maxillofacial surgery. Flap design influences the post operative complications. Triangular flap is the most widely used flap design but it has many shortages such as dehiscence, alveolar osteitis, reactionary bleeding, and periodontal disruption distal of second molar. The aim of this study is to introduce an alternative flap design in the surgical removal of impacted mandibular third molars-reversed triangular flap-and to compare this flap design with the triangular flap in case of dehiscence, reactionary bleeding, and clinical attachment loss. Material and Methods: This prospective, split-mouth study involved 15 patients with bilateral partially impacted mandibular third molars with similar impaction classification. One impacted tooth was removed using a triangular flap and the other using a reversed triangular flap. Post operative complications such as dehiscence, reactionary bleeding, and clinical attachment loss were recorded 1, 3, 7, 14, and 30 days post odontectomy. Results: Chi square test result shows that there were fewer incidences of dehiscence seven days post surgery using the reversed triangular flap (p=0.032). Mann Whitney-U test result shows that the reversed triangular flap exhibited less bleeding score on day 1 (p=0.002) and day 2 (p=0.035) post surgery. There were no statistically significant differences according to Mann Whitney-U test between the flap designs for the clinical attachment loss on distal of second molar on day 14 (p=0.512) and day 30 (p=0.902) post surgery. Conclusions: The reversed triangular flap design is preferable to triangular flap for impacted third molar surgery, escpecially in terms of wound dehisence and reactionary bleeding.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

The effect of triangular and reversed triangular flap designs to post third molar odontectomy complications (a pilot study)

2020

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“…Interpretation of Results: According to Sneha Sethiya et al 1 , the severity of pain was significantly (p < 0.05) less in There was no significant difference in severity of pain in study group and control group. There was less significant difference in the bleeding in study group and control group on the 1 st and 2 nd postoperative days.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of cyanoacrylate and black braided silk for the closure of incision after surgical removal of impacted third molars: A Systematic Review

James

Maheswari

2017

AABS

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Introduction: Wound closure is a part of any surgical procedure and the objective of laceration repair or incision closure is to approximate the edges of a wound so that natural healing process takes place. Over the years new biomaterials have been used as an alternate to conventional suture materials. Cyanoacrylate bio adhesives are one among them. They carry the advantage of rapid application, patient comfort, resistance to infection, hemostatic properties, and no suture removal anxiety. Hence this study was undertaken to study the effect of long chain cyanoacrylate as an adhesive for intraoral wound closure and also to explore its hemostatic and antibacterial effects.The aim of this study is to compare the efficacy of cyanoacrylate and black braided silk for the closure of surgical incision after removal of impacted third molars. Results: The reviews found some clinical evidence that, there is significant difference between sutures and cyanoacrylate on postoperative pain following mandibular third molar surgery. There is also significant difference between sutures and cyanoacrylate on haemostasis following mandibular third molar surgery. Conclusion:The clinical evidence in this review is adequate to state that, there is a difference in postoperative pain and haemostasis following mandibular third molar surgery between black braided silk and cyanoacrylate.

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“…2,3,5 Table II shows the reference values that were given to patients for bleeding, and the corresponding clinical situations were recorded at 24 hours, 48 hours and 72 hours. (Table II) 4) Wound Healing / Wound dehiscence: It was observed clinically at 3 rd , 7 th and 14 th postoperative day (Table 3).…”

Section: Examination Methodsmentioning

confidence: 99%

Is tissue glue an alternative to sutures in impacted third molar surgeries?

2017

IJDA

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Comparative evaluation of efficacy of tissue glue and sutures after surgical removal of impacted mandibular third molars – A prospective controlled clinical study

Cited by 15 publications

References 19 publications

The effect of triangular and reversed triangular flap designs to post third molar odontectomy complications (a pilot study)

The effect of triangular and reversed triangular flap designs to post third molar odontectomy complications (a pilot study)

Efficacy of cyanoacrylate and black braided silk for the closure of incision after surgical removal of impacted third molars: A Systematic Review

Is tissue glue an alternative to sutures in impacted third molar surgeries?

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