Rodanant Pirasut, Wattanajitseree Kannika, Shrestha Binit, Wongsirichat Natthamet
Department of Advanced General Dentistry, Faculty of Dentistry Mahidol University, Bangkok, Thailand.
Maxillofacial Prosthetic Unit, Department of Oral and Maxillofacial Prosthodontic, Faculty of Dentistry Mahidol University, Bangkok, Thailand.
J Dent Anesth Pain Med. 2016 Jun;16(2):131-136. doi: 10.17245/jdapm.2016.16.2.131. Epub 2016 Jun 30.
This study aimed to evaluate the patient's pain and quality of life after suture removal at either 3 or 7 days following the bilateral surgical extraction of impacted lower third molars.
This study was a prospective, randomized controlled clinical trial carried out in 30 patients, who acted as their own control. Each patient required the bilaterally impacted mandibular third molars to be extracted. The impacted teeth were removed and the wound margins were approximated and sutured with black braided silk. The suture material was removed on day 3 on one side and on day 7 on the other. Each participant was asked to complete a questionnaire after the removal of the suture material on each designated day.
Regarding overall clinical symptoms, the mean VAS scores of male and female participants on day 3 were not significantly different from those on day 7. A significant difference was found in female participants, in that overall daily activity was better on day 7. There were significant differences in the ability to smile and laugh in both sexes and the ability to chew in the male participants was better on day 7.
There were no significant differences in the patient's pain and quality of life between suture removal on day 3 or on day 7 following surgery to remove impacted lower third molars.
本研究旨在评估双侧手术拔除下颌阻生第三磨牙后3天或7天拆线时患者的疼痛情况及生活质量。
本研究为前瞻性随机对照临床试验，纳入30例患者，患者自身作为对照。每位患者均需双侧拔除下颌阻生第三磨牙。拔除阻生牙后，将创口边缘对合，用黑色编织丝线缝合。一侧缝线在术后第3天拆除，另一侧在术后第7天拆除。每位参与者在每个指定日期拆除缝线后均需完成一份问卷。
关于总体临床症状，男性和女性参与者在第3天的平均视觉模拟评分（VAS）与第7天无显著差异。女性参与者存在显著差异，即第7天的总体日常活动情况更好。男女在微笑和大笑能力方面存在显著差异，男性参与者在第7天的咀嚼能力更好。
拔除下颌阻生第三磨牙手术后第3天或第7天拆线，患者的疼痛及生活质量无显著差异。
