A Review of Wound Closure Technique-Patient Morbidity Relationship After Wisdom Tooth Surgery

Background : Surgical removal of impacted mandibular third molars is associated with various postoperative complications like pain, swelling and trismus. These complications influence the patients’ quality of life in the week following surgery. Many surgical interventions had been attempted to limit these complications, among them is the wound closure techniques. This study carry out a literature review to evaluate the impact of these techniques on patient morbidity following LM3 surgery. Materials and method: The MEDLINE and PubMed database was searched for the related studies. Twenty-one randomized pro- spective clinical trials, that measure part or all of the immediate outcomes, were included. Results : Twenty-one randomized prospective clinical trials were evaluated. They described the partial wound closure modalities, including single suture technique, the excision of mucosa immediately distal to the second molar, the placement of drain, and a “sutureless” technique. Conclusion: The role of wound closure techniques on immediate postoperative sequlae revealed a varied opinion among research- ers.

[1]  P. Coulthard,et al.  Surgical techniques for the removal of mandibular wisdom teeth. , 2020, The Cochrane database of systematic reviews.

[2]  Dr. Jabber Jasim Kareem.  A Comparison between primary and secondary wound closure after surgical removal of lower third molars according to pain and swelling , 2018, Mustansiria Dental Journal.

[3]  J. Herráez-Vilas,et al.  Effect of the suture technique on postoperative pain, swelling and trismus after removal of lower third molars: A randomized clinical trial , 2015, Medicina oral, patologia oral y cirugia bucal.

[4]  P. Coulthard,et al.  Surgical techniques for the removal of mandibular wisdom teeth. , 2014, The Cochrane database of systematic reviews.

[5]  G. Arotiba,et al.  Assessment of the effect of wound closure technique on postoperative sequaele and complications after impacted mandibular third molar extraction , 2013 .

[6]  D. Dolanmaz,et al.  Effect of 2 flap designs on postoperative pain and swelling after impacted third molar surgery. , 2013, Oral surgery, oral medicine, oral pathology and oral radiology.

[7]  B. Saheeb,et al.  A comparative study of the effect of suture-less and multiple suture techniques on inflammatory complications following third molar surgery. , 2012, International journal of oral and maxillofacial surgery.

[8]  G. Guyatt,et al.  Secondary versus primary closure techniques for the prevention of postoperative complications following removal of impacted mandibular third molars: a systematic review and meta-analysis of randomized controlled trials. , 2012, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[9]  Majid Beshkar,et al.  The effect of sutureless wound closure on postoperative pain and swelling after impacted mandibular third molar surgery. , 2012, The British journal of oral & maxillofacial surgery.

[10]  S. P. Singh,et al.  Primary and secondary closure technique following removal of impacted mandibular third molars: A comparative study , 2012, National journal of maxillofacial surgery.

[11]  Anisha Maria,et al.  Comparison of Primary and Secondary Closure of the Surgical Wound After Removal of Impacted Mandibular Third Molars , 2012, Journal of Maxillofacial and Oral Surgery.

[12]  N. Mahboobi,et al.  Comparing primary and secondary wound healing discomfort after mandibular third molar surgery: a randomized, double-blind clinical trial. , 2011, General dentistry.

[13]  A. Ladeinde,et al.  A randomized comparison of the effect of partial and total wound closure techniques on postoperative morbidity after mandibular third molar surgery. , 2011, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[14]  H. Saluja,et al.  Primary and Secondary Closure of the Surgical Wound After Removal of Impacted Mandibular Third Molars , 2011, Journal of maxillofacial and oral surgery.

[15]  O. Osunde,et al.  Comparative study of effect of single and multiple suture techniques on inflammatory complications after third molar surgery. , 2011, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[16]  O. S. Obimakinde,et al.  Comparative effect of tube drain on post operative inflammatory complications of impacted mandibular third molar surgery College Hospital, Ibadan, Nigeria. , 2010, The Nigerian postgraduate medical journal.

[17]  A. Barone,et al.  A randomized clinical evaluation of ultrasound bone surgery versus traditional rotary instruments in lower third molar extraction. , 2010, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[18]  V. Narayanan,et al.  Influence of primary and secondary closure of surgical wound after impacted mandibular third molar removal on postoperative pain and swelling--a comparative and split mouth study. , 2010, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[19]  Harith H Kaskos.  Clinical Comparison Between Primary and Secondary Closure Techniques of Wound on Pain and Swelling Following Lower Third Molar Surgery , 2009 .

[20]  F. Chukwuneke,et al.  A comparative study of the effect of using a rubber drain on postoperative discomfort following lower third molar surgery. , 2008, International journal of oral and maxillofacial surgery.

[21]  M. Peñarrocha Diago,et al.  Flap repositioning versus conventional suturing in third molar surgery. , 2008, Medicina oral, patologia oral y cirugia bucal.

[22]  P. Waite,et al.  Surgical outcomes for suture-less surgery in 366 impacted third molar patients. , 2006, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[23]  M. McGurk,et al.  A randomised controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molars. , 2005, The British journal of oral & maxillofacial surgery.

[24]  D. Pasqualini,et al.  Primary and secondary closure of the surgical wound after removal of impacted mandibular third molars: a comparative study. , 2005, International journal of oral and maxillofacial surgery.

[25]  B. Vasconcelos,et al.  Comparative study of the effect of a tube drain in impacted lower third molar surgery. , 2004, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[26]  E. Karslı,et al.  Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. , 2003, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[27]  Ali Alp Sağlam,et al.  Effects of tube drain with primary closure technique on postoperative trismus and swelling after removal of fully impacted mandibular third molars. , 2003, Quintessence international.

[28]  Nageshwar.  Comma incision for impacted mandibular third molars. , 2002, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[29]  M. Vallecillo-Capilla,et al.  Relation of patient and surgical variables to postoperative pain and inflammation in the extraction of third molars. , 2002, Medicina oral : organo oficial de la Sociedad Espanola de Medicina Oral y de la Academia Iberoamericana de Patologia y Medicina Bucal.

[30]  A. Eskici,et al.  Primary wound healing after lower third molar surgery: evaluation of 2 different flap designs. , 2002, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[31]  T. Bjørnland,et al.  The effect of locally applied gauze drain impregnated with chlortetracycline ointment in mandibular third-molar surgery. , 1998, Acta odontologica Scandinavica.

[32]  V. Pairuchvej,et al.  Mandibular third molar surgery with primary closure and tube drain. , 1997, International journal of oral and maxillofacial surgery.

[33]  J. Townend.  Third molar surgery: an audit of the indications for surgery, postoperative complaints and patient satisfaction. , 1995, The British journal of oral & maxillofacial surgery.

[34]  D. W. Shelton,et al.  Complications following removal of impacted third molars: the role of the experience of the surgeon. , 1986, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[35]  M. Hindle,et al.  The influence of closure or dressing of third molar sockets on post-operative swelling and pain. , 1984, The British journal of oral & maxillofacial surgery.

[36]  M. Pizer,et al.  Comparison of primary and secondary closure techniques after removal of impacted mandibular third molars. , 1982, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.