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Stomatologija 2020; 22 (4): 107-15 357 KB

Various wound closure ways after impacted lower wisdom teeth removal: A review

Žygimantas Petronis*, Jonas Zigmantavičius*, Albinas Gervickas*

Summary

Objective. Evaluate the influence of different wound closure methods in terms of pain, swelling, trismus, infection and healing time after third molar extraction.

Material and methods. A literature analysis was performed according to PRISMA guidelines in search of clinical trials published between 2015 and 2020. Databases were searched using different combinations of the following keywords: mandibular impacted OR retained wisdom teeth OR third molar removal OR extraction AND surgical removal AND discomfort OR pain OR trismus OR swelling AND drain OR drainage. The literature search resulted in a total of 364 publications. Finally, 12 study articles were used in the present review, following a selection based on the preestablished eligibility criteria.

Results. The significant difference between various wound closure ways and postoperative pain, swelling and trismus has been found in 8 of 12 analyzed articles. Three of five established beneficial effect of drain application. In other articles, examining different wound closure methodologies, significant benefits were found by using buccally based triangular, buccal mucosal-advancement, and modified envelope flap. Suture-less anterior releasing incision and secondary wound closure also could be favorable after removing impacted third molars.

Conclusion. There was no significant effect of a rubber drain on swelling, pain, trismus, or wound infections after removal of the asymptomatic impacted third molar(s). Secondary wound closure was found to ensure lower pain, swelling and trismus ratio with comparison to primary wound closure.

Key words: third molar removal, would closure, drain, suture, flap technique.

Received: 18 12 2019

Accepted for publishing: 21 12 2020

*Department of Maxillofacial, Faculty of Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania

Address correspondence to Žygimantas Petronis, Department of Maxillofacial, Faculty of Dentistry, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161 Kaunas Lithuania.

E-mail address: petronis.zygimantas@gmail.com



	Baltic Dental and Maxillofacial Journal

December, 2020, Vol. 22, No. 4 CONTENTS SCIENTIFIC ARTICLES Musculomandibular morphology in individuals with different vertical skeletal growth patterns: an MRI and cone beam computed tomography study Katrina Gardovska, Ilga Urtane, Gaida Krumina 99-106 REVIEWS Various wound closure ways after impacted lower wisdom teeth removal: A review Žygimantas Petronis, Jonas Zigmantavičius, Albinas Gervickas 107-115 SCIENTIFIC ARTICLES The relationship between congenital cleft lip and palate malformation, skeletal and dental occlusal anomalies, and the infl uence of its treatment on affected patients’ oral health-related quality of life (OHRQoL) Reda Vaiciunaite, Austeja Mitalauskiene, Arunas Vasiliauskas 116-119 Family nurses, oral hygiene, and educational implications: a cross-sectional study Pablo Varela-Centelles, Rosendo Bugarín-González, Andrés Blanco-Hortas, Ana Estany-Gestal, Almudena Varela-Centelles, Juan M. Seoane-Romero 120-124 Stress in the bone and prosthetic components due to "all-on-4" system with polyether-ether-ketone screwing prosthesis. Analysis using 3D fi nite element method Ignas Vaitiekūnas, Justina Klimenko, Eglė Ivanauskienė, Juozas Žilinskas 125-128 © 2021 Stomatologija		Stomatologija 2020; 22 (4): 107-15 357 KB Various wound closure ways after impacted lower wisdom teeth removal: A review Žygimantas Petronis, Jonas Zigmantavičius, Albinas Gervickas* Summary Objective. Evaluate the influence of different wound closure methods in terms of pain, swelling, trismus, infection and healing time after third molar extraction. Material and methods. A literature analysis was performed according to PRISMA guidelines in search of clinical trials published between 2015 and 2020. Databases were searched using different combinations of the following keywords: mandibular impacted OR retained wisdom teeth OR third molar removal OR extraction AND surgical removal AND discomfort OR pain OR trismus OR swelling AND drain OR drainage. The literature search resulted in a total of 364 publications. Finally, 12 study articles were used in the present review, following a selection based on the preestablished eligibility criteria. Results. The significant difference between various wound closure ways and postoperative pain, swelling and trismus has been found in 8 of 12 analyzed articles. Three of five established beneficial effect of drain application. In other articles, examining different wound closure methodologies, significant benefits were found by using buccally based triangular, buccal mucosal-advancement, and modified envelope flap. Suture-less anterior releasing incision and secondary wound closure also could be favorable after removing impacted third molars. Conclusion. There was no significant effect of a rubber drain on swelling, pain, trismus, or wound infections after removal of the asymptomatic impacted third molar(s). Secondary wound closure was found to ensure lower pain, swelling and trismus ratio with comparison to primary wound closure. Key words: third molar removal, would closure, drain, suture, flap technique. Received: 18 12 2019 Accepted for publishing: 21 12 2020 *Department of Maxillofacial, Faculty of Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania Address correspondence to Žygimantas Petronis, Department of Maxillofacial, Faculty of Dentistry, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161 Kaunas Lithuania. E-mail address: petronis.zygimantas@gmail.com