A Comparative Clinical Study of Modified Interdental Versus Sling Suturing Techniques Following Impacted Mandibular Third Molar Surgery
Dr. Ifra Iftikhar1, Dr. Nancy Mathew2, Dr. Priyanshu Kumar Shrivastava3, Dr. Shubham Datta4,
Dr. Nishat Sultan5, Dr. Deborah Sybil6
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi-110025, India
DOI: 10.54936/haoms2713750
SUMMARY: Background: Wound closure after third molar surgery is critical for minimising infection risk, promoting healing, controlling haemorrhage, and preserving periodontal integrity. Various suturing techniques have been employed to optimise healing and reduce complications, yet their comparative efficacy remains unexplored. This study compares the effectiveness of two different suturing techniques following impacted third molar surgery.
Methods: Sixty patients aged 18-40 years were randomly divided into two groups (n=30 each). Group 1 received the modified interdental suturing technique, while Group 2 received the sling suturing technique. Probing Depth (PD), Clinical attachment level (CAL), and Wound dehiscence (WD) were measured at baseline, 1 week, 3 weeks, and 3 months post-extraction. Postoperative complications were evaluated as a secondary outcome. Appropriate statistical methods were used to perform intra and intergroup comparisons.
Results: Group 1 showed significant reductions in PD and WD from baseline to 3 months (p < 0.01), whereas Group 2 showed minimal changes. At 3 weeks, CAL in Group 1 was significantly lower than in Group 2 (p = 0.029). No significant differences in complications were observed between groups.
Conclusions:The modified interdental suturing demonstrated superior outcomes in terms of PD, CAL, and WD compared to the sling technique, suggesting its greater applicability for ensuring optimal healing in mandibular impacted third molar surgery. However, further studies with larger sample sizes are warranted to validate this technique and assess its efficacy against other suturing methods.
KEY WORDS: suture techniques; third molar; impacted tooth; wound healing.
REFERENCES
Dr. Nishat Sultan5, Dr. Deborah Sybil6
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi-110025, India
DOI: 10.54936/haoms2713750
SUMMARY: Background: Wound closure after third molar surgery is critical for minimising infection risk, promoting healing, controlling haemorrhage, and preserving periodontal integrity. Various suturing techniques have been employed to optimise healing and reduce complications, yet their comparative efficacy remains unexplored. This study compares the effectiveness of two different suturing techniques following impacted third molar surgery.
Methods: Sixty patients aged 18-40 years were randomly divided into two groups (n=30 each). Group 1 received the modified interdental suturing technique, while Group 2 received the sling suturing technique. Probing Depth (PD), Clinical attachment level (CAL), and Wound dehiscence (WD) were measured at baseline, 1 week, 3 weeks, and 3 months post-extraction. Postoperative complications were evaluated as a secondary outcome. Appropriate statistical methods were used to perform intra and intergroup comparisons.
Results: Group 1 showed significant reductions in PD and WD from baseline to 3 months (p < 0.01), whereas Group 2 showed minimal changes. At 3 weeks, CAL in Group 1 was significantly lower than in Group 2 (p = 0.029). No significant differences in complications were observed between groups.
Conclusions:The modified interdental suturing demonstrated superior outcomes in terms of PD, CAL, and WD compared to the sling technique, suggesting its greater applicability for ensuring optimal healing in mandibular impacted third molar surgery. However, further studies with larger sample sizes are warranted to validate this technique and assess its efficacy against other suturing methods.
KEY WORDS: suture techniques; third molar; impacted tooth; wound healing.
REFERENCES
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