A comparative study of the effect of suture-less and multiple suture techniques on inflammatory complications following third molar surgery
A comparative study of the effect of suture-less and multiple suture techniques on inflammatory complications following third molar surgery
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DOI：
10.1016/j.ijom.2012.04.009
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发表时间：
2012-10-01
影响因子：
2.4
通讯作者：
Saheeb, B. D.
中科院分区：
文献类型：
--
作者：
Osunde, O. D.;Adebola, R. A.;Saheeb, B. D.
这项前瞻性随机研究的目的是评价不使用缝线对下第三磨牙手术后疼痛、肿胀和牙关紧闭的影响。80例下第三磨牙阻生患者接受手术拔除（男性42例，女性38例;年龄18-38岁）。将患者随机分为两组（缝线组n = 40;无缝线组n = 40）。实验组仅行皮瓣替换，不做任何处理。对照组采用相同的标准选择，并按照与实验组相同的手术方案进行治疗，不同之处在于使用多根缝线对合皮瓣。分别于术后24 h、48 h和1周对两组患者的疼痛、肿胀和牙关紧闭进行评价。多次缝合组的手术时间明显较长（p < 0.05）。在24 h和48 h时，免缝合组的疼痛、肿胀和牙关紧闭分别显著减少（p < 0.05）。术后1周，两个治疗组在疼痛、肿胀和牙关紧闭方面无显著差异（p > 0.05）。第三磨牙手术中采用免缝合技术，术后疼痛、肿胀、牙关紧闭等并发症少。
The aim of this prospective randomized study was to evaluate the effect of not using sutures on postoperative pain, swelling and trismus after lower third molar surgery. 80 patients with impacted lower third molars were referred for surgical extraction (42 males; 38 females; aged 18-38 years). The patients were randomly divided into two equal groups (sutures n = 40; suture-less n = 40). In the experimental group, the flaps were replaced without suturing. The control group was selected using the same criteria and treated under the same surgical protocol as the experimental group, except that the flaps were apposed using multiple sutures. Pain, swelling and trismus were evaluated at 24 h, 48 h and 1 week postoperatively in both groups. The operation time was found to be significantly longer in the multiple sutures group (p < 0.05). There was significantly less pain, swelling and trismus at 24 h and 48 h, respectively, in the suture-less group (p < 0.05). There was no significant difference between the two treatment groups in terms of pain, swelling and trismus, at 1 week postoperatively (p > 0.05). There is less postoperative pain, swelling and trismus with the suture-less technique in third molar surgery.