Various wound closure ways after impacted lower wisdom teeth removal: A review
Žygimantas Petronis1, Jonas Zigmantavičius, Albinas Gervickas
1Department of Maxillofacial, Faculty of Dentistry, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161 Kaunas Lithuania. petronis.zygimantas@gmail.com.
Stomatologija
|April 13, 2021
Summary
Secondary wound closure after third molar extraction reduces pain, swelling, and trismus. Rubber drains showed no significant effect on these outcomes for asymptomatic impacted third molars.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Outcomes Research
Background:
- Third molar extraction is a common surgical procedure.
- Postoperative complications like pain, swelling, and trismus can impact patient recovery.
Purpose of the Study:
- To evaluate the influence of different wound closure methods on postoperative outcomes after third molar extraction.
- To compare the efficacy of drains versus no drains and primary versus secondary wound closure.
Main Methods:
- A PRISMA-guided literature review of clinical trials published between 2015 and 2020.
- Searched databases for studies on third molar removal and associated postoperative discomfort.
- Analyzed 12 selected articles based on eligibility criteria.
Main Results:
- Eight of 12 articles found significant differences in pain, swelling, and trismus based on wound closure.
- Buccally based triangular, buccal mucosal-advancement, and modified envelope flaps showed benefits.
- Secondary wound closure demonstrated lower pain, swelling, and trismus compared to primary closure.
Conclusions:
- Rubber drains did not significantly affect swelling, pain, trismus, or infection after asymptomatic third molar removal.
- Secondary wound closure is associated with reduced postoperative pain, swelling, and trismus compared to primary closure.
