Efficacy of secondary closure technique after surgical removal of impacted lower third molars

Swetha Bhat; Senthilnathan Periasamy

doi:10.53730/ijhs.v5nS2.5859

Authors

Swetha Bhat
swethavb95@gmail.com
Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai 77
Senthilnathan Periasamy Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai 77

Keywords:

secondary closure, primary closure, mandibular third molar, impacted teeth, postoperative healing, pain, swelling

Abstract

The purpose of this study was to evaluate and compare the postoperative healing, using primary versus secondary closure techniques after impacted mandibular third molar removal. The study consisted of 86 patients, under 40 years of age were divided into two groups as Group A and Group B in the randomized fashion. In Group A, closure was done by primary intention and in Group B, by secondary closure. A comparison between both groups was done with a follow-up period of 6 h to 6 days with regards to postoperative pain and swelling. The swelling in group I was greater than that in group II, with a statistically significant difference (P < 0.05). The pain was worse in group I than in group II; a difference that also was statistically significant (P < 0.05). The study showed that the patients in the secondary closure group had a significantly lesser amount of pain and swelling postoperatively than the primary closure group.

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References

Peterson LJ, Ellis E, Hupp JR, et al. Contemporary oral and maxillofacial surgery, http://www.just.edu.jo/FacultiesandDepartments/FacultyofDentistry/Departments/Oral%20MedicineandOral%20Surgery/Lists/Courses/Attachments/58/Dent_483.doc (1998).

Acar AH, Kazancioğlu HO, Erdem NF, et al. Is Horizontal Mattress Suturing More Effective Than Simple Interrupted Suturing on Postoperative Complications and Primary Wound Healing After Impacted Mandibular Third Molar Surgery? Journal of Craniofacial Surgery 2017; 28: e657–e661.

Waite PD, Cherala S. Surgical outcomes for suture-less surgery in 366 impacted third molar patients. J Oral Maxillofac Surg 2006; 64: 669–673.

Chaudhary M, Singh M, Singh S, et al. Primary and secondary closure technique following removal of impacted mandibular third molars: A comparative study. Natl J Maxillofac Surg 2012; 3: 10–14.

Holland CS, Hindle MO. The influence of closure or dressing of third molar sockets on post-operative swelling and pain. Br J Oral Maxillofac Surg 1984; 22: 65–71.

Berge TI. Visual analogue scale assessment of postoperative swelling. A study of clinical inflammatory variables subsequent to third-molar surgery. Acta Odontol Scand 1988; 46: 233–240.

Govindaraju L, Gurunathan D. Effectiveness of Chewable Tooth Brush in Children-A Prospective Clinical Study. J Clin Diagn Res 2017; 11: ZC31–ZC34.

Christabel A, Anantanarayanan P, Subash P, et al. Comparison of pterygomaxillary dysjunction with tuberosity separation in isolated Le Fort I osteotomies: a prospective, multi-centre, triple-blind, randomized controlled trial. Int J Oral Maxillofac Surg 2016; 45: 180–185.

Soh CL, Narayanan V. Quality of life assessment in patients with dentofacial deformity undergoing orthognathic surgery--a systematic review. Int J Oral Maxillofac Surg 2013; 42: 974–980.

Mehta M, Deeksha, Tewari D, et al. Oligonucleotide therapy: An emerging focus area for drug delivery in chronic inflammatory respiratory diseases. Chem Biol Interact 2019; 308: 206–215.

Ezhilarasan D, Apoorva VS, Ashok Vardhan N. Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells. J Oral Pathol Med 2019; 48: 115–121.

Campeau PM, Kasperaviciute D, Lu JT, et al. The genetic basis of DOORS syndrome: an exome-sequencing study. Lancet Neurol 2014; 13: 44–58.

Kumar S, S S. Knowledge and awareness regarding antibiotic prophylaxis for infective endocarditis among undergraduate dental students. Asian J Pharm Clin Res 2016; 154.

Christabel SL. Prevalence of type of Frenal Attachment and morphology of frenum in children, Chennai, Tamil Nadu. World J Dent 2015; 6: 203–207.

Kumar S, Rahman R. Knowledge, awareness, and practices regarding biomedical waste management among undergraduate dental students. Asian J Pharm Clin Res 2017; 10: 341.

Sridharan G, Ramani P, Patankar S. Serum metabolomics in oral leukoplakia and oral squamous cell carcinoma. J Cancer Res Ther 2017; 13: 556–561.

Ramesh A, Varghese SS, Doraiswamy JN, et al. Herbs as an antioxidant arsenal for periodontal diseases. J Intercult Ethnopharmacol 2016; 5: 92–96.

Thamaraiselvan M, Elavarasu S, Thangakumaran S, et al. Comparative clinical evaluation of coronally advanced flap with or without platelet rich fibrin membrane in the treatment of isolated gingival recession. J Indian Soc Periodontol 2015; 19: 66–71.

Thangaraj SV, Shyamsundar V, Krishnamurthy A, et al. Molecular Portrait of Oral Tongue Squamous Cell Carcinoma Shown by Integrative Meta-Analysis of Expression Profiles with Validations. PLoS One 2016; 11: e0156582.

Ponnulakshmi R, Shyamaladevi B, Vijayalakshmi P, et al. In silico and in vivo analysis to identify the antidiabetic activity of beta sitosterol in adipose tissue of high fat diet and sucrose induced type-2 diabetic experimental rats. Toxicol Mech Methods 2019; 29: 276–290.

Fluoride, fluoridated toothpaste efficacy and its safety in children - review. Int J Pharm Res; 10. Epub ahead of print 1 October 2018. DOI: 10.31838/ijpr/2018.10.04.017.

Goldberg MH, Nemarich AN, Marco WP 2nd. Complications after mandibular third molar surgery: a statistical analysis of 500 consecutive procedures in private practice. J Am Dent Assoc 1985; 111: 277–279.

de Brabander EC, Cattaneo G. The effect of surgical drain together with a secondary closure technique on postoperative trismus, swelling and pain after mandibular third molar surgery. Int J Oral Maxillofac Surg 1988; 17: 119–121.

Killey HC, Kay LW. The impacted wisdom tooth.

Pasqualini D, Cocero N, Castella A, et al. Primary and secondary closure of the surgical wound after removal of impacted mandibular third molars: a comparative study. Int J Oral Maxillofac Surg 2005; 34: 52–57.

Winter L, Rovenstine EA. Operative oral surgery. Mosby, 1947.

McCaughan D, Sheard L, Cullum N, et al. Patients’ perceptions and experiences of living with a surgical wound healing by secondary intention: A qualitative study. Int J Nurs Stud 2018; 77: 29–38.

Dubois DD, Pizer ME, Chinnis RJ. Comparison of primary and secondary closure techniques after removal of impacted mandibular third molars. J Oral Maxillofac Surg 1982; 40: 631–634.

Rakprasitkul S, Pairuchvej V. Mandibular third molar surgery with primary closure and tube drain. Int J Oral Maxillofac Surg 1997; 26: 187–190.

Bello SA, Olaitan AA, Ladeinde AL. A randomized comparison of the effect of partial and total wound closure techniques on postoperative morbidity after mandibular third molar surgery. J Oral Maxillofac Surg 2011; 69: e24–30.

Sanchis Bielsa JM, Hernández-Bazán S, Peñarrocha Diago M. Flap repositioning versus conventional suturing in third molar surgery. Med Oral Patol Oral Cir Bucal 2008; 13: E138–42.

Osunde OD, Adebola RA, Saheeb BD. A comparative study of the effect of suture-less and multiple suture techniques on inflammatory complications following third molar surgery. Int J Oral Maxillofac Surg 2012; 41: 1275–1279.

Vijayashree Priyadharsini J. In silico validation of the non-antibiotic drugs acetaminophen and ibuprofen as antibacterial agents against red complex pathogens. J Periodontol 2019; 90: 1441–1448.

Pc J, Marimuthu T, Devadoss P. Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study. Clin Implant Dent Relat Res, https://europepmc.org/article/med/29624863 (2018).

Ramesh A, Varghese S, Jayakumar ND, et al. Comparative estimation of sulfiredoxin levels between chronic periodontitis and healthy patients - A case-control study. J Periodontol 2018; 89: 1241–1248.

Ramadurai N, Gurunathan D, Samuel AV, et al. Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial. Clin Oral Investig 2019; 23: 3543–3550.

Sridharan G, Ramani P, Patankar S, et al. Evaluation of salivary metabolomics in oral leukoplakia and oral squamous cell carcinoma. J Oral Pathol Med 2019; 48: 299–306.

Mathew MG, Samuel SR, Soni AJ, et al. Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary molars: Randomized controlled trial. Clin Oral Investig 2020; 1–6.

Samuel SR. Can 5-year-olds sensibly self-report the impact of developmental enamel defects on their quality of life? Int J Paediatr Dent 2021; 31: 285–286.

R H, Hannah R, Ramani P, et al. CYP2 C9 polymorphism among patients with oral squamous cell carcinoma and its role in altering the metabolism of benzo[a]pyrene. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2020; 130: 306–312.

Chandrasekar R, Chandrasekhar S, Sundari KKS, et al. Development and validation of a formula for objective assessment of cervical vertebral bone age. Prog Orthod 2020; 21: 38.

Vijayashree Priyadharsini J, Smiline Girija AS, Paramasivam A. In silico analysis of virulence genes in an emerging dental pathogen A. baumannii and related species. Arch Oral Biol 2018; 94: 93–98.