A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation

Arun Kr Mahat; Ram Yadav; Anjani Kr Yadav; Pradeep Acharya; Ashok Dongol; Alok Sagtani; Mehul R Jaisani

doi:10.1155/2020/9314762

A Comparative Study of the Effect of Sutureless Versus Multiple Sutures Technique on Complications following Third Molar Surgery in Nepalese Subpopulation

Int J Dent. 2020 Feb 11:2020:9314762. doi: 10.1155/2020/9314762. eCollection 2020.

Authors

Arun Kr Mahat¹, Ram Yadav¹, Anjani Kr Yadav¹, Pradeep Acharya¹, Ashok Dongol¹, Alok Sagtani², Mehul R Jaisani¹

Affiliations

¹ Department of Oral and Maxillofacial Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
² Department of Oral and Maxillofacial Surgery, Kathmandu Medical College, Kathmandu, Nepal.

Abstract

Objective: 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. Materials and Methods. 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^st, 2^nd, and 7^th postoperative days.

Results: This study showed significantly more swelling measured from the gonion to lateral canthus in group 1 than in group 2 on all postoperative periods (P < 0.05). The mean NRS score was significantly higher in group 1 on the 1^st postoperative day (P < 0.05). The mean NRS score was significantly higher in group 1 on the 1^st postoperative day (.

Conclusion: 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.