The influence of the suture-less anterior releasing incision in a triangular flap design on postoperative healing following surgical removal of impacted mandibular third molars

Nayak, Sunil S; Arora, Anushka; Shah, Ashmeet; Sanghavi, Amee; Kamath, Abhay Taranath; Nayak, Vanishri S.

doi:10.4103/jispcd.jispcd_444_19

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…As in earlier studies, Nayak et al . used a suture-less anterior releasing incision ( 30 ), the results showed that the suture-less incision decreased postoperative swelling and edema; however, the periodontal healing was poor when compared to the sutured cases. Moreover, the lower the third molar are impact, the larger bone defect will be.…”

Section: Discussionmentioning

confidence: 99%

A modified triangular flap suture method used for inferior third molar extraction: A three-arm randomized clinical trial for the assessment of quality of life

Wang¹,

Wang²,

Zhang³

et al. 2023

Med Oral

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Background The purpose of this study is to explore whether decreasing the number of sutures can improve the quality of life after inferior third molar extraction. Material and Methods This study used a three-arm randomized design that included 90 individuals. Patients were randomized and divided into three groups—the airtight suture group (traditional), the buccal drainage group, and the no-suture group. Postoperative measurements, including treatment time, visual analog scale, questionnaire on postoperative patient quality of life, and details about trismus, swelling, dry socket, and other postoperative complications were obtained twice and the mean values were recorded. To verify the normal distribution of the data, the Shapiro-Wilk test was performed. The statistical differences were evaluated using the one-way ANOVA and the Kruskal-Wallis test with Bonferroni post-hoc correction. Results The buccal drainage group showed a significant decrease in postoperative pain and better speech ability than the no-suture group on the 3st day, with a mean of 1.3 and 0.7 ( P < 0.05). The airtight suture group also showed similar eating and speech ability, which was better than the no-suture group, with a mean of 0.6 and 0.7 ( P < 0.05). However, no significant improvements were noted on the 1st and 7th days. The surgical treatment time, postoperative social isolation, sleep impairment, physical appearance, trismus, and swelling showed no statistical difference between the three groups at all measured times ( P > 0.05). Conclusions Based on the above findings, the triangular flap without a buccal suture may be superior to the traditional group and no-suture group in less pain, and better postoperative patient satisfaction in the first 3 days and may be a simple and viable option in clinical practice. Key words: Buccal suture, inferior third molars, quality of life, triangular flap.

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Section: Discussionmentioning

confidence: 99%

A modified triangular flap suture method used for inferior third molar extraction: A three-arm randomized clinical trial for the assessment of quality of life

Wang¹,

Wang²,

Zhang³

et al. 2023

Med Oral

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“…A variety of sutures have been used in dental extractions: silk has been the most common suture material in M3M surgery, and the main criticism it has received is regarding the bacterial biofilm formation over it [ 4 ]. With regards to suture technique in M3M surgery, international literature provides sutureless techniques, single suture techniques, different knotless suture techniques and the use of sutureless release incision techniques: each of these reported small advantages in terms of postoperative symptoms, time spent for suture and time saved after surgery [ 5 , 6 , 7 , 8 , 9 ]. Drainage inside the wound after M3M extraction and its retention until suture removal may have a role to reduce postoperative complications, too [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Microbiological Retention on PTFE versus Silk Suture: A Quantitative Pilot Study in Third Molar Surgery

2023

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Background: Mandibular third molar (M3M) removal and management of postoperative complications represent a common matter of interest in oral and maxillofacial surgery. This potential quantitative study assessed the ability of two types of surgical sutures, Silk and polytetrafluoroethylene polymer (PTFE), to carry aerobic and anaerobic bacteria on wounds after mandibular third molar surgery, with a collection of the stitches at the suture removal and study in the laboratory on the basis of colony-forming units. Methods: This prospective quantitative study sampled a total of 10 consecutive healthy patients for mandibular third molar surgery at the Oral Surgery School, Dentistry and Dental Prosthodontics, Department of Medical Biotechnologies, University of Siena, Siena, Italy. The mean age of the patients was 31 years (range 25–40 years), seven patients were male and three patients were female. Inclusion criteria were: presence of a partially impacted mandibular third molar. Exclusion criteria were: smoking and diabetes mellitus. Extraction of the mandibular third molar was performed under local anesthesia: after the third molar surgery, two sutures were applied on the surgical site distally to the second mandibular molar: one single 3/0 silk stitch; one single 3/0 PTFE stitch. No sutures were applied on the release incision. Sutures were removed after 7 days and were immediately conserved and sent to the laboratory to be rated on the basis of colony-forming units (CFUs). CFUs were evaluated and reported on GraphPad Prism and transformed into its base 10 logarithm. Data were analyzed with a non-parametric Wilcoxon test, and p-values < 0.05 were evaluated as statistically significant. Results: All the patients attended the suture removal date, and all the sutures were present in the site. None of the surgical sites presented dehiscence. No stitch loss was reported, and no patient reported mouth washing or tooth brushing in the surgery site. All interventions were uneventful and no major complications were reported after M3M surgery. Bacterial retention resulted as statistically greater in silk sutures rather than PTFE sutures, both in Brain Heart Infusion samples (p = 0.003) and Wilkins-Chalgren anaerobe samples (p = 0.002). Conclusions: We found the PTFE suture to be superior to the silk suture in a reduction in the bacterial biofilm in both aerobic and anaerobic evaluations after M3M surgery.

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Comparison of suture and sutureless techniques on postoperative complications after third molar surgery: a systematic review

Falci,

Guimarães,

Canarim

et al. 2024

Clin Oral Invest

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The influence of the suture-less anterior releasing incision in a triangular flap design on postoperative healing following surgical removal of impacted mandibular third molars

Cited by 4 publications

References 20 publications

A modified triangular flap suture method used for inferior third molar extraction: A three-arm randomized clinical trial for the assessment of quality of life

A modified triangular flap suture method used for inferior third molar extraction: A three-arm randomized clinical trial for the assessment of quality of life

Microbiological Retention on PTFE versus Silk Suture: A Quantitative Pilot Study in Third Molar Surgery

Comparison of suture and sutureless techniques on postoperative complications after third molar surgery: a systematic review

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