Selvaraj Sarmatha, Periyasamy Indra Kumar, Elangovan Gayathri P, Su Arrvinthan, Srinath K, Sivaragahvi B
Oral and Maxillofacial Surgery, Vivekanandha Dental College for Women, Tiruchengode, IND.
Periodontology, Vivekanandha Dental College for Women, Tiruchengode, IND.
Cureus. 2024 Jan 2;16(1):e51517. doi: 10.7759/cureus.51517. eCollection 2024 Jan.
Objective This study aimed to compare the efficiency of corrugated rubber drains and sutures in preventing complications after the surgical removal of impacted mandibular molars. Methodology Sixty patients enrolled for surgical extraction of wisdom teeth were studied. The patients were divided into two groups of 30. After extraction, Group A received a corrugated flat rubber drain and Group B had only conventional knotted sutures in the extraction site. Patients were evaluated for postoperative pain, edema, and trismus. Before the procedure and on postoperative days 1, 2, and 7, all parameters were measured and compared. Results Patients in Group A with surgical drains showed a significant reduction in all postoperative challenges in contrast to Group B with normal sutures. The intergroup comparison indicates that pain was highest before surgery and showed a significant reduction by day 7 in both groups. Similarly, trismus was also at its peak before surgery for both groups. However, in contrast to Group A, Group B with suturing alone demonstrated a substantial reduction in trismus by day 7. By the end of day 7, edema had substantially decreased in both groups, but it was not statistically significant ( < 0.05). Conclusions The placement of surgical drains and the use of sutures alone have both shown similar and significant benefits in preventing postoperative challenges. However, intraoral drainage with a flat drain after mandibular third molar removal showed a significant reduction of pain, as measured by the visual analog scale (VAS) scale, or postoperative swelling.
目的 本研究旨在比较波纹橡胶引流管和缝线在预防下颌阻生磨牙拔除术后并发症方面的效果。方法 对60例接受智齿拔除手术的患者进行研究。将患者分为两组，每组30例。拔牙后，A组放置波纹扁平橡胶引流管，B组在拔牙部位仅采用传统打结缝线。对患者的术后疼痛、水肿和张口受限情况进行评估。在手术前以及术后第1、2和7天，测量并比较所有参数。结果 与采用普通缝线的B组相比，采用手术引流管的A组患者在所有术后问题上均有显著减轻。组间比较表明，两组患者术前疼痛程度最高，到第7天时均显著减轻。同样，两组患者术前张口受限程度也最高。然而，与A组相比，仅采用缝线的B组到第7天时张口受限情况有显著改善。到第7天结束时，两组患者的水肿均有明显减轻，但差异无统计学意义（<0.05）。结论 手术引流管的放置和单纯使用缝线在预防术后问题方面均显示出相似且显著的益处。然而，下颌第三磨牙拔除术后采用扁平引流管进行口腔内引流，通过视觉模拟量表（VAS）测量，疼痛或术后肿胀有显著减轻。
