A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation

Objective. To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. Materials and Methods. Forty-eight patients were equally grouped into multiple sutures...

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Main Authors: Arun Kr. Mahat, Ram Yadav, Anjani Kr. Yadav, Pradeep Acharya, Ashok Dongol, Alok Sagtani, Mehul R. Jaisani
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2020/9314762
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author Arun Kr. Mahat
Ram Yadav
Anjani Kr. Yadav
Pradeep Acharya
Ashok Dongol
Alok Sagtani
Mehul R. Jaisani
author_facet Arun Kr. Mahat
Ram Yadav
Anjani Kr. Yadav
Pradeep Acharya
Ashok Dongol
Alok Sagtani
Mehul R. Jaisani
author_sort Arun Kr. Mahat
collection DOAJ
description Objective. To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. Materials and Methods. Forty-eight patients were equally grouped into multiple sutures (group 1) and sutureless (group 2) groups using a computer-generated random table. The same operator performed all the surgical procedures. Postoperative variables such as pain, swelling, and trismus were measured by a single concealed observer using a 10 cm Numerical Rating Scale (NRS), flexible plastic measuring tape, and vernier caliper preoperatively and on 1st, 2nd, and 7th postoperative days. Results. This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods (P<0.05). The mean NRS score was significantly higher in group 1 on the 1st postoperative day (P=0.01). Though mean duration of surgery, swelling as measured from tragus to commissure, trismus, NRS score except on the 1st postoperative day, total number of analgesics consumed, and complications were noted more in the multiple sutures group, the difference was not statistically significant. Conclusion. Our results support the use of sutureless technique after third molar surgery to minimize postoperative morbidity and the overall operative time and reduce the cost within the Nepalese subpopulation.
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spelling doaj-art-e7d3e8e708934af79996cde8b2b622d22025-02-03T05:49:52ZengWileyInternational Journal of Dentistry1687-87281687-87362020-01-01202010.1155/2020/93147629314762A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese SubpopulationArun Kr. Mahat0Ram Yadav1Anjani Kr. Yadav2Pradeep Acharya3Ashok Dongol4Alok Sagtani5Mehul R. Jaisani6Department of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, NepalDepartment of Oral and Maxillofacial Surgery, Kathmandu Medical College, Kathmandu, NepalDepartment of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, NepalObjective. To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. Materials and Methods. Forty-eight patients were equally grouped into multiple sutures (group 1) and sutureless (group 2) groups using a computer-generated random table. The same operator performed all the surgical procedures. Postoperative variables such as pain, swelling, and trismus were measured by a single concealed observer using a 10 cm Numerical Rating Scale (NRS), flexible plastic measuring tape, and vernier caliper preoperatively and on 1st, 2nd, and 7th postoperative days. Results. This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods (P<0.05). The mean NRS score was significantly higher in group 1 on the 1st postoperative day (P=0.01). Though mean duration of surgery, swelling as measured from tragus to commissure, trismus, NRS score except on the 1st postoperative day, total number of analgesics consumed, and complications were noted more in the multiple sutures group, the difference was not statistically significant. Conclusion. Our results support the use of sutureless technique after third molar surgery to minimize postoperative morbidity and the overall operative time and reduce the cost within the Nepalese subpopulation.http://dx.doi.org/10.1155/2020/9314762
spellingShingle Arun Kr. Mahat
Ram Yadav
Anjani Kr. Yadav
Pradeep Acharya
Ashok Dongol
Alok Sagtani
Mehul R. Jaisani
A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation
International Journal of Dentistry
title A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation
title_full A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation
title_fullStr A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation
title_full_unstemmed A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation
title_short A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation
title_sort comparative study of the effect of sutureless versus multiple sutures technique on complications following third molar surgery in nepalese subpopulation
url http://dx.doi.org/10.1155/2020/9314762
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