Document Detail

Influence of primary and secondary closure of surgical wound after impacted mandibular third molar removal on postoperative pain and swelling--a comparative and split mouth study.
MedLine Citation:
PMID:  20116700     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of the present study was to compare the influence of primary and secondary closure of the surgical wound on postoperative pain and swelling after removal of impacted mandibular third molars. MATERIALS AND METHODS: A total of 93 patients with bilaterally impacted mandibular third molars were included in the present study. All the patients underwent surgical removal of the bilaterally impacted teeth at the same appointment. Primary closure (group I) was performed on 1 side and secondary closure (group II) was performed on the other side. All the patients were assessed for pain and swelling using the visual analog scale, and the data were collected and analyzed with the paired t test after 7 days. RESULTS: The swelling in group I was greater than that in group II, with a statistically significant difference (P < .001). The pain was worse in group I than in group II; a difference that also was statistically significant (P < .05). Alveolar osteitis occurred in 4 patients (4.3%) in group I and 3 patients (3.2%) in group II. CONCLUSION: Our results have shown that the patients in the secondary closure group had a significantly lesser amount of pain and swelling postoperatively than the primary closure group.
Anil Kumar Danda; Murali Krishna Tatiparthi; Vinod Narayanan; Avinash Siddareddi
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2010-01-15
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  68     ISSN:  1531-5053     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  309-12     Citation Subset:  AIM; D; IM    
Copyright Information:
Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Oral and Maxillofacial Surgery, Saveetha University, Chennai, India.
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MeSH Terms
Edema / prevention & control
Molar, Third / surgery*
Pain Measurement
Pain, Postoperative / prevention & control
Suture Techniques
Tooth Extraction / methods*
Tooth, Impacted / surgery*
Wound Healing
Young Adult

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