Mahat Arun Kr, Yadav Ram, Yadav Anjani Kr, Acharya Pradeep, Dongol Ashok, Sagtani Alok, Jaisani Mehul R
Department of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Oral and Maxillofacial Surgery, Kathmandu Medical College, Kathmandu, Nepal.
Int J Dent. 2020 Feb 11;2020:9314762. doi: 10.1155/2020/9314762. eCollection 2020.
To compare the effect of sutureless versus multiple sutures technique on postoperative variables such as pain, swelling, and trismus after surgical removal of the third molar in Nepalese subpopulation. . Forty-eight patients were equally grouped into multiple sutures (group 1) and sutureless (group 2) groups using a computer-generated random table. The same operator performed all the surgical procedures. Postoperative variables such as pain, swelling, and trismus were measured by a single concealed observer using a 10 cm Numerical Rating Scale (NRS), flexible plastic measuring tape, and vernier caliper preoperatively and on 1, 2, and 7 postoperative days.
This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods ( < 0.05). The mean NRS score was significantly higher in group 1 on the 1 postoperative day ( < 0.05). The mean NRS score was significantly higher in group 1 on the 1 postoperative day (.
Our results support the use of sutureless technique after third molar surgery to minimize postoperative morbidity and the overall operative time and reduce the cost within the Nepalese subpopulation.
比较尼泊尔亚人群中，无缝合技术与多缝合技术在拔除第三磨牙术后疼痛、肿胀和牙关紧闭等变量方面的效果。48例患者使用计算机生成的随机表，被平均分为多缝合组（第1组）和无缝合组（第2组）。所有手术操作均由同一名操作人员进行。术前以及术后第1、2和7天，由一名隐蔽的观察者使用10厘米数字评分量表（NRS）、柔性塑料卷尺和游标卡尺测量术后疼痛、肿胀和牙关紧闭等变量。
本研究显示，术后各时间段第1组从下颌角到外眦的肿胀程度均显著高于第2组（<0.05）。术后第1天第1组的平均NRS评分显著更高（<0.05）。术后第1天第1组的平均NRS评分显著更高（。
我们的结果支持在尼泊尔亚人群中，第三磨牙手术后使用无缝合技术，以尽量减少术后发病率和缩短总手术时间，并降低成本。
