Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Adıyaman University, Adıyaman 02200, Turkey.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
J Stomatol Oral Maxillofac Surg. 2020 Jun;121(3):206-212. doi: 10.1016/j.jormas.2020.02.002. Epub 2020 Feb 19.
In third molar surgery, one of the most important factors is how the wound was closed. Tight suturing of the wound commonly gives more discomfort to the many patients in terms of postoperative pain, swelling and trismus. The purpose of this study is to investigate the effects of two different knot techniques in suturing after extraction of impacted mandibular third molars (IMTM) on quality of life and postoperative complications such as pain, swelling and trismus.
This study was conducted with a randomized and split-mouth design and included 50 patients over the age of 18 in the ASA I group who had bilateral horizontal impacted mandibular third molars. In all patients, the wounds were closed by simple sutures by applying two different knot techniques as locked (GroupL, n=50) and unlocked (Group UL, n=50) knots. In the postoperative period, pain, swelling, trismus, chewing activity and quality of life were examined.
In the group where the unlocked knotting technique was used, significantly better results were obtained in comparison to the group where the locked knotting technique was used for all values (P<0.05).
In preventing postoperative complications that are observed after impacted mandibular third molar surgery and affect the quality of life of patients negatively, suturing of the wound by the method of unlocked knotting is a useful technique that may be preferred.
在第三磨牙手术中，最重要的因素之一是如何关闭伤口。伤口的紧密缝合通常会给许多患者带来更多的不适，表现为术后疼痛、肿胀和牙关紧闭。本研究旨在探讨在拔除下颌阻生第三磨牙（IMTM）后采用两种不同的缝合打结技术对生活质量和术后并发症（如疼痛、肿胀和牙关紧闭）的影响。
本研究采用随机分组和劈裂口腔设计，纳入了年龄在 18 岁以上、ASA I 组、双侧水平位下颌阻生第三磨牙的 50 名患者。所有患者均采用单纯缝合，应用两种不同的打结技术，即锁结（GroupL，n=50）和解锁结（Group UL，n=50）。在术后期间，检查疼痛、肿胀、牙关紧闭、咀嚼活动和生活质量。
与使用锁结技术的组相比，使用解锁结技术的组在所有值上（P<0.05）均获得了更好的结果。
在预防下颌阻生第三磨牙手术后观察到的影响患者生活质量的术后并发症方面，解锁结缝合方法是一种有用的技术，可能更受青睐。
