Kumar Barun, Bhate Kalyani, Dolas R S, Kumar Sn Santhosh, Waknis Pushkar
Assistant Professor, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed University Dental College and Hospital , Sangli, Maharashtra, India .
Professor, Department of Oral and Maxillofacial Surgery, Dr. D.Y. Patil Dental College and Hospital , Pune, Maharashtra, India .
J Clin Diagn Res. 2016 Dec;10(12):ZC46-ZC49. doi: 10.7860/JCDR/2016/20951.9054. Epub 2016 Dec 1.
Third molar surgery is one of the most common surgical procedures performed in general dentistry. Post-operative variables such as pain, swelling and trismus are major concerns after impacted mandibular third molar surgery. Use of passive tube drain is supposed to help reduce these immediate post-operative sequelae. The current study was designed to compare the effect of tube drain on immediate post-operative sequelae following impacted mandibular third molar surgery.
To compare the post-operative sequelae after surgical removal of impacted mandibular third molar surgery with or without tube drain.
Thirty patients with bilateral impacted mandibular third molars were divided into two groups: Test (with tube drain) and control (without tube drain) group. In the test group, a tube drain was inserted through the releasing incision, and kept in place for three days. The control group was left without a tube drain. The post-operative variables like, pain, swelling, and trismus were calculated after 24 hours, 72 hours, 7 days, and 15 days in both the groups and analyzed statistically using chi-square and t-test analysis.
The test group showed lesser swelling as compared to control group, with the swelling variable showing statistically significant difference at post-operative day 3 and 7 (p≤ 0.05) in both groups. There were no statistically significant differences in pain and trismus variables in both the groups.
The use of tube drain helps to control swelling following impacted mandibular third molar surgery. However, it does not have much effect on pain or trismus.
第三磨牙手术是口腔全科中最常见的外科手术之一。术后诸如疼痛、肿胀和牙关紧闭等变量是下颌阻生第三磨牙手术后的主要关注点。使用被动引流管被认为有助于减少这些术后即时后遗症。本研究旨在比较引流管对下颌阻生第三磨牙手术后即时后遗症的影响。
比较下颌阻生第三磨牙手术切除后使用或不使用引流管的术后后遗症。
30例双侧下颌阻生第三磨牙患者被分为两组：试验组（使用引流管）和对照组（不使用引流管）。试验组通过松弛切口插入一根引流管，并保留三天。对照组不放置引流管。两组在术后24小时、72小时、7天和15天计算疼痛、肿胀和牙关紧闭等术后变量，并使用卡方检验和t检验进行统计学分析。
试验组与对照组相比肿胀较轻，肿胀变量在两组术后第3天和第7天显示出统计学显著差异（p≤0.05）。两组在疼痛和牙关紧闭变量方面无统计学显著差异。
使用引流管有助于控制下颌阻生第三磨牙手术后的肿胀。然而，它对疼痛或牙关紧闭影响不大。
