Mandibular third molar surgery with primary closure and tube drain

Management of cystic surgical wound of the mandible: A comparative study analyzing closed versus open wound healing

“…The outcome of this study agrees with those of other researchers who carried out studies to compare these two healing techniques that allow for wound drainage, and the other restricting drainage [2,5,6,8]. The finding in this study differs from those of other authors who did not observe any significant differences between open and closed wound healing techniques with regard to postoperative pain, trismus and swelling, though their findings were unlike the present study based on impacted mandibular third molar surgeries [15,16]. These differences apart from being influenced by the types and extent of surgeries performed, which in this circumstance was determined by the size of the cystic lesion, may also be due to individual variations with regard to inflammatory response to the trauma induced by the surgery.…”

Influence of a pedicle flap design on acute postoperative sequelae after lower third molar removal

“…These differences may be attributed to the pedicle flap design's distal extension which involves incising more buccinator muscle fibres than the envelope flap design. Alternatively the difference in pain levels may be due to closure technique as several studies reported that primary closure was detrimental to postoperative pain experience and swelling after lower third molar removal 11,13,18,27,29 .…”

“…Third molar tooth removal is frequently associated with debilitating acute complications including pain, swelling, trismus 24 , and alveolar osteitis (dry socket) 9 . As a consequence, research has concentrated on finding techniques to minimize these complications, including the use of surgical drains 6,7,26,29 , different closure techniques 11,13 and various flap designs 15,18,19,24,27,30 .…”

A comparative study of the effect of suture and suture-less techniques on post-operative complications following lower third molar surgery

“…Incision line dehiscence and flap displacement were reported at one week postoperatively in five suture-less flap (14.3%) and one sutured flap (2.9%). Some investigators reported better wound healing associated with primary closure, when compared to various secondary closure techniques 22 , Rakprasitkul and Pairuchvej in 1997 23 reported no difference in wound healing, when compared primary closure alone to primary closure with tube drain placement.…”