Comparison of suture and sutureless techniques on postoperative complications after third molar surgery: a systematic review

被引:4
|
作者
Falci, Saulo Gabriel Moreira [1 ]
Guimaraes, Marco Tullio Becheleni avila [1 ]
Canarim, Nathalia Moore [1 ]
Falci, Salomao Emanuel [1 ]
Martins, Olga Beatriz Lopes [1 ]
de Souza, Glaciele Maria [1 ]
Galvao, Endi Lanza [2 ]
机构
[1] Univ Fed Vales Jequitinhonha & Mucuri, Sch Biol & Hlth Sci, Dept Dent, Rua Gloria 187, BR-39100000 Diamantina, MG, Brazil
[2] Univ Fed Vales Jequitinhonha & Mucuri, Sch Biol & Hlth Sci, Dept Phys Therapy, Diamantina, MG, Brazil
关键词
Third molar; Suture; Bleeding; Pain; Edema; Trismus; PAIN; REMOVAL; TRISMUS; CLOSURE; BLIND; LESS;
D O I
10.1007/s00784-024-05518-4
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
ObjectiveTo compare, among patients undergoing third molar surgeries, whether the use or omission of sutures improves postoperative clinical parameters.MethodA systematic literature review was conducted to identify randomized clinical trials in humans. The steps of this review were conducted following the PRISMA protocol. The risk of bias assessment was performed using the revised Cochrane tool (RoB 2). The RevMan software was employed for meta-analyses, and the quality of evidence was evaluated using GRADE.ResultA total of seven articles were included in the systematic review; however, only one article quantitatively measured bleeding, rendering meta-analysis for this outcome unfeasible. The group of patients in whom sutures were not used presented lower pain and edema on the first day (respectively: MD - 1.08; 95% CI - 1.35 to - 0.81; MD - 1.23; 95% CI - 2.34 to - 0.11) and second day (respectively: MD - 0.50; 95% CI - 0.83 to - 0.17; MD - 10.66; 95% CI - 1.16 to - 0.16) postoperatively, compared to the group where sutures were employed. The group of patients who received sutures exhibited increased trismus on the first day postoperatively (MD 1.04; 95% CI 0.67 to 1.41).ConclusionThe omission of postoperative sutures in third molar surgeries appears to favor pain and edema outcomes within the first 24 h after the procedure, as well as trismus within the same timeframe.Clinical relevance.Despite the suture being the standard conduct in tooth extractions. The omission of sutures in third molar extractions may favor inflammatory outcomes of pain, edema, and trismus in the immediate postoperative period.ConclusionThe omission of postoperative sutures in third molar surgeries appears to favor pain and edema outcomes within the first 24 h after the procedure, as well as trismus within the same timeframe.Clinical relevance.Despite the suture being the standard conduct in tooth extractions. The omission of sutures in third molar extractions may favor inflammatory outcomes of pain, edema, and trismus in the immediate postoperative period.ConclusionThe omission of postoperative sutures in third molar surgeries appears to favor pain and edema outcomes within the first 24 h after the procedure, as well as trismus within the same timeframe.Clinical relevance.Despite the suture being the standard conduct in tooth extractions. The omission of sutures in third molar extractions may favor inflammatory outcomes of pain, edema, and trismus in the immediate postoperative period.
引用
收藏
页数:11
相关论文
共 50 条
  • [1] Comparison of suture and sutureless techniques on postoperative complications after third molar surgery: a systematic review
    Saulo Gabriel Moreira Falci
    Marco Túllio Becheleni Ávila Guimarães
    Nathalia Moore Canarim
    Salomão Emanuel Falci
    Olga Beatriz Lopes Martins
    Glaciele Maria de Souza
    Endi Lanza Galvão
    Clinical Oral Investigations, 28
  • [2] Effect of One-Suture and Sutureless Techniques on Postoperative Healing After Third Molar Surgery
    Alkadi, Saleh
    Stassen, Leo
    JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2019, 77 (04) : 703.e1 - 703.e16
  • [3] Probiotic supplements and postoperative complications after tooth extractions and third molar surgery: a systematic review
    Jorgensen, Mette R.
    Abrahamsson, Peter
    Walivaara, Dan-Ake
    Twetman, Svante
    MINERVA DENTAL AND ORAL SCIENCE, 2022, 71 (04) : 242 - 247
  • [4] Comparison of two different suture knot techniques on postoperative morbidity after impacted mandibular third molar surgery
    Ege, B.
    Najafov, E.
    JOURNAL OF STOMATOLOGY ORAL AND MAXILLOFACIAL SURGERY, 2020, 121 (03) : 206 - 212
  • [5] Comparative Study of Effect of Single and Multiple Suture Techniques on Inflammatory Complications After Third Molar Surgery
    Osunde, Otasowie Daniel
    Saheeb, Birch D.
    Adebola, Rafel A.
    JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 69 (04) : 971 - 976
  • [6] A Systematic Review on Prior/Postoperative Antibiotics Therapy Efficiency in Reducing Surgical Complications After Third Molar Extraction Surgery
    Raiesian, Shahrokh
    Ahmadiyeh, Amir Danial Pour
    Rad, Mahdis Masoud
    JOURNAL OF MAXILLOFACIAL & ORAL SURGERY, 2024,
  • [7] Unusual complications associated with third molar surgery: A systematic review
    Brauer, Hans Ulrich
    QUINTESSENCE INTERNATIONAL, 2009, 40 (07): : 565 - 572
  • [8] Review of dexamethasone administration for management of complications in postoperative third molar surgery
    Selvido, Diane Isabel
    Bhattarai, Bishwa Prakash
    Niyomtham, Nattisa
    Riddhabhaya, Apiwat
    Vongsawan, Kadkao
    Pairuchvej, Verasak
    Wongsirichat, Natthamet
    JOURNAL OF THE KOREAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS, 2021, 47 (05) : 341 - 350
  • [9] Postoperative interventions to reduce inflammatory complications after third molar surgery: review of the current evidence
    Cho, H.
    Lynham, A. J.
    Hsu, E.
    AUSTRALIAN DENTAL JOURNAL, 2017, 62 (04) : 412 - 419
  • [10] Comparative Evaluation of Suture Versus Sutureless Surgery in Mandibular Third Molar Impactions
    Dinesh Kumar
    Parveen Sharma
    Shruti Chhabra
    Rishi Bali
    Journal of Maxillofacial and Oral Surgery, 2022, 21 : 620 - 626