Postoperative sequelae following surgical extraction of impacted mandibular third-molar extraction using the complete closure versus the sutureless techniques

Chukwuma, Benedict Chimezie; Taiwo, Abdurrazaq Olanrewaju; Akinmoladun, VI; Ibikunle, Adebayo Aremu; Bala, Mujtaba

doi:10.4103/jwas.jwas_191_22

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…M3M surgery is invariably related with post-operative complications, including pain, swelling and trismus ( 1 ). Therefore, numerous studies ( 15 - 17 ) have been carried out in an attempt to improve the post-operative outcomes of this procedure, including the method of flap closure, which remains a challenge ( 6 - 8 , 18 - 21 ). Traditionally, sutures have been used for this purpose, but due to their numerous drawbacks ( 3 ), tissue adhesives such as cyanoacrylate have begun to be used as a suggested alternative.…”

Section: Discussionmentioning

confidence: 99%

Cyanoacrylate versus suture as flap closure methods in mandibular third molar surgery: a split-mouth randomized controlled clinical study

Santmartí-Oliver,

Bazal-Bonelli,

Sánchez-Labrador

et al. 2024

Med Oral

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Background Sutures have been the standard flap closure method of choice following mandibular third molar surgery but can lead to some complications. Tissue adhesives, including cyanoacrylate, have emerged as alternative flap closure method in this surgery to overcome such drawbacks. However, limited clinical trials can be found. Therefore, the aim of this clinical study was to compare two methods of flap closure in mandibular third molar surgery, cyanoacrylate and 4/0 silk sutures, by assessing post-operative outcome measures (pain, swelling, trismus, and healing) and patient-reported outcome measures (PROMs). Material and Methods A randomized split-mouth clinical trial was designed, in which mandibular third molar (M3M) extractions were performed, where the control side flap was closed with 4/0 silk sutures and the test side flap with cyanoacrylate. Swelling, pain, trismus, healing, and PROMs were recorded post-operatively. These variables were analyzed by means of the nonparametric Mann-Whitney U test, using SPSS statistical software version 28.0.0 (IBM® SPSS®, Chicago, IL, USA). For all results, a 95% confidence interval was recorded (significance level p < 0.05, two-tailed). Results A total of 17 patients were recruited and 34 mandibular third molar extractions were performed. No statistically significant differences were found in terms of swelling, pain, trismus, healing, and PROMs between both groups ( p <0.05). Conclusions No statistically significant differences were found between flap closure with 4/0 silk sutures and cyanoacrylate, in terms of surgical post-operative outcomes and PROMs. However, further studies with larger sample sizes are required to be able to affirm it with greater certainty. Key words: Tooth extraction, suture, cyanoacrylate, third molar.

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Section: Discussionmentioning

confidence: 99%

Cyanoacrylate versus suture as flap closure methods in mandibular third molar surgery: a split-mouth randomized controlled clinical study

Santmartí-Oliver,

Bazal-Bonelli,

Sánchez-Labrador

et al. 2024

Med Oral

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The effect of primary closure versus secondary closure techniques on postoperative wound pain in patients undergoing mandibular surgery: A meta‐analysis

Zhang,

2024

International Wound Journal

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This research is intended to explore the influence of second and first degree closure methods on the degree of wound pain and swelling of the face following the removal of the mandible. For the purpose of this study, three data sets, including PubMed and Embase, were selected. A separate statistical analysis was conducted on the choice of the trial, the collection of data and the risk of bias. Differences between trials were analysed with a chi‐square approach, with data analyses dependent on I2. A sensitivity analysis was conducted, and a possible publication bias was evaluated. Ultimately, nine qualifying trials were chosen out of an original pool of 1922 related trials following an in‐depth evaluation under the eligibility and exclusion criteria, as well as a follow‐up screening. The results indicated that there was no statistically significant change in the degree of post‐operation pain after 1 day operation between one or secondary closures of treatment (MD, −0.46; 95% CI, −0.93, 0.01, p = 0.06); the results showed that there were no statistically significant differences in post‐operation wound pain after 3 days in two group (MD, −0.15; 95% CI, −0.68, 0.37, p = 0.56); the results showed that there were no statistically different effects on the post‐operation wound pain after the 7th day in two groups (MD, −0.14; 95% CI, −0.31, 0.03, p = 0.1). The results showed that there were no statistically different effects on the post‐operation wound pain after the 1 day in two groups (MD, −0.26; 95% CI, −0.38, −0.13, p < 0.0001); on the 3rd day after surgery, the face was significantly smaller swelling in the secondary closure of closure compared with the first‐stage closure group (MD, −0.70; 95% CI, −1.40, −0.00, p = 0.05). While there is no obvious effect on post‐operation wound pain in patients with mandibular surgery, there is significant difference in post‐operation face swelling. The findings do not support a preference for any of these methods.

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Postoperative sequelae following surgical extraction of impacted mandibular third-molar extraction using the complete closure versus the sutureless techniques

Cited by 2 publications

References 16 publications

Cyanoacrylate versus suture as flap closure methods in mandibular third molar surgery: a split-mouth randomized controlled clinical study

Cyanoacrylate versus suture as flap closure methods in mandibular third molar surgery: a split-mouth randomized controlled clinical study

The effect of primary closure versus secondary closure techniques on postoperative wound pain in patients undergoing mandibular surgery: A meta‐analysis

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