Comparative Efficacy of Two Hemostatic Agents in Post-Extraction Bleeding Control Following Mandibular Third Molar...

Area of Science:

• Oral Surgery
• Biomaterials
• Wound Healing

Background:

• Absorbable hemostatic sponges are vital for surgical bleeding control.
• Surgifoam and Hemospon, derived from porcine gelatin, are commonly used in oral surgery.

Purpose of the Study:

• To compare the efficacy of Surgifoam and Hemospon in bleeding control, soft tissue healing, and postoperative pain following mandibular third molar extractions.

Main Methods:

• A randomized, double-blind, split-mouth study involving 25 volunteers.
• Sockets were filled with either Hemospon or Surgifoam post-extraction.
• Evaluations included bleeding (Souto and Mühlemann scales), soft tissue healing (Brancaccio scale), and pain (Visual Analog Scale).

Main Results:

• Both sponges demonstrated comparable outcomes in bleeding control, soft tissue healing, and pain reduction.
• No statistically significant differences were found between Surgifoam and Hemospon for any evaluated parameter (p > 0.05).
• High rates of complete healing (90%) were observed by day 14 in both groups.

Conclusions:

• Hemospon and Surgifoam are equally effective hemostatic agents in oral surgery.
• These findings support the use of both sponges for managing post-extraction sockets, particularly after third molar removal.
• Further research can guide clinical decisions regarding these specific hemostatic materials.