J Dent Anesth Pain Med.  2016 Jun;16(2):131-136. 10.17245/jdapm.2016.16.2.131.

Pain and quality of life related to suture removal after 3 or 7 days at the extraction sites of impacted lower third molars

• Rodanant P
• Wattanajitseree K
• Shrestha B
• Wongsirichat N

• KMID: 2328856
• DOI: http://doi.org/10.17245/jdapm.2016.16.2.131

Abstract

BACKGROUND
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.

Keyword

Pain; Patient satisfaction; Quality of life; Suture technique; Third molar; Trismus

MeSH Terms

Female
Humans
Male
Molar, Third*
Patient Satisfaction
Prospective Studies
Quality of Life*
Silk
Suture Techniques
Sutures*
Tooth, Impacted
Trismus
Wounds and Injuries
Silk

Reference

1. Mercier P, Precious D. Risks and benefits of removal of impacted third molars: A critical review of the literature. Int J Oral Maxillofac Surg. 1992; 21:17–27.

2. Ivanoff CJ, Widmark G. Nonresorbable versus resorbable sutures in oral implant surgery: a prospective clinical study. Clin Implant Dent Relat Res. 2001; 3:57–60.

3. Banche G, Roana J, Mandras N, Amasio M, Gallesio C, Cuffini AM, et al. Microbial Adherence on Various Intraoral Suture Materials in Patients Undergoing Dental Surgery. American Association of Oral and Maxillofacial Surgeons. J Oral Maxillofac Surg. 2007; 65:1503–1507.

4. Leknes KN, Selvig KA, Bøe OE, Wikesjo UME. Tissue reactions to sutures in the presence and absence of anti-infective therapy. J Clin Periodontol. 2005; 32:130–138.

5. Selvig KA, Biagiotti GR, Leknes KN, Wikesjo UM. Oral tissue reactions to suture materials. Int J Periodontics Restorative Dent. 1998; 18:474–487.

6. Leknes KN, Røynstrand IT, Selvig KA. Human gingival tissue reactions to silk and expanded polytetrafluoroethylene sutures. J Periodontol. 2005; 76:34–42.

7. Oginni FO, Ugboko VI, Assam E, Ogunbodede EO. Postoperative complaints following impacted mandibular third molar surgery in Ile-Ife, Nigeria. SADJ. 2002; 57:264–268.

8. McGrath C, Comfort MB, Lo ECM, Luo Y. Changes in quality of life following third molar surgery–the immediate postoperative period. Br Dent J. 2003; 194:265–268.

9. Bamgbose BO, Akinwande JA, Adeyemo WL, Ladeinde AL, Arotiba GT, Ogunlewe MO. Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery. Head Face Med. 2005; 1:11.

10. Tiwana PS, Foy SP, Shugars DA, Marciani RD, Conrad SM, White RP, et al. The impact of intravenous corticosteroid with third molar surgery in patients at high risk for delayed health-related quality of life and recovery. J Oral Maxillofac Surg. 2005; 63:55–62.

11. Shafique R. Level of patient's satisfaction after mandibular third molar extraction. Int J Dent Clinics. 2013; 5:3–8.

12. Susarla SM, Sharaf B, Dodson TB. Do antibiotics reduce the frequency of surgical site infections after impacted mandibular third molar surgery? Oral Maxillofac Surg Clin North Am. 2011; 23:541–546.

13. Bello SA, Adeyemo WL, Bamgbose BO, Obi EV, Adeyinka AA. Effect of age, impaction types and operative time on inflammatory tissue reactions following lower third molar surgery. Head Face Med. 2011; 7:8.

14. Garcia Garcia A, Sampedro FG, Rey JG, Torreira MG. Trismus and pain after removal of impacted lower third molar. J Oral Maxillofac Surg. 1997; 55:1223–1226.

15. Dao TT, LeResche L. Gender differences in pain. J Orofac Pain. 2000; 14:169–184.

16. White RP Jr, Shugars DA, Shafer DM, Laskin DM, Buckley MJ, Phillips C. Recovery after third molar surgery: clinical and health-related quality of life outcomes. J Oral Maxillofac Surg. 2003; 61:535–544.