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Sutureless socket technique after removal of third molars: a multicentric, open, randomized controlled trial
Sarah Takadoum1, Grégory Douilly2, Marie de Boutray3
1Service de Chirurgie Orale, Department of Oral Surgery, CHU Nîmes, CHRU de Nîmes - Hôpital Universitaire Carémeau, University of Montpellier, Place du Professeur Debré, 30029, Nîmes Cedex 9, France. takadoumsarah@gmail.com.
BMC Oral Health
|June 26, 2022
Summary
Sutureless wisdom tooth extraction is as effective as sutured removal, with no difference in pain or healing. This technique offers shorter operating times and is a reliable option for impacted third molar removal.
Area of Science:
- Oral Surgery
- Dental Research
- Clinical Trials
Background:
- Wisdom tooth extraction is common, but postoperative pain, swelling, and limited jaw movement are frequent issues.
- Optimal techniques for closing the surgical site after impacted mandibular wisdom tooth removal remain debated.
Purpose of the Study:
- To compare postoperative pain and outcomes following impacted third molar extraction with and without sutures.
- To evaluate the reliability and efficiency of sutureless third molar extraction.
Main Methods:
- A randomized, non-blinded study involving 94 patients (aged ≥14) undergoing extraction of four impacted wisdom teeth under general anesthesia.
- Patients were allocated to either extraction with sutures or without sutures.
- Primary outcome was pain at Day 3, assessed via Visual Analogue Scale; secondary outcomes included swelling, trismus, healing, complications, and quality of life.
Main Results:
- No statistically significant difference in pain at Day 3 between the suture and sutureless groups (p=0.904).
- Similar outcomes were observed for swelling, trismus, painkiller consumption, healing, complications, and quality of life between the two groups.
- Smokers demonstrated a significantly higher rate of postoperative complications (p=0.0244).
Conclusions:
- Sutureless wisdom tooth extraction is a reliable technique with comparable outcomes to sutured extraction.
- The sutureless approach can reduce operating time without negatively impacting patient results.
- Smoking is identified as a significant risk factor for postoperative complications following third molar surgery.
