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Home > Archives > Volume 20, No 8 (2022) > Article

DOI: 10.14704/nq.2022.20.8.NQ22980

Comparative study of the effect of sutureless vs multiple suture technique following third molar extractions in a university setting

Sharon keziah.V, Dinesh Prabu. M


Objective: The purpose of this prospective study was to evaluate the incidence of various complications, including alveolitis, infection and paresthesia of the inferior alveolar nerve, in association with removal of impacted mandibular third molars. The relation between these 3 complications and several clinical variables (age, sex, degree of impaction, surgical difficulty and use of oral contraceptives) was also examined. Materials and methods: Data were collected prospectively for all patients who underwent surgical extraction of an impacted third molar in Saveetha dental college and hospital over a 9 month period. The data collected included age, gender , type of procedure performed whether multiple sutures or sutureless , teeth no and postoperative complications. The data was then exported to SPSS and analysed Results: A total of 777 impacted third molars were extracted (47% males and 53% females). There were more surgical extractions in the age group 15-30 yrs with 42%. Over 90% of the surgical extractions were in the lower third molars. There were more occurrences of postoperative complications in the multiple suture group than the sutureless group. The association between the postoperative complication and suture technique was found to be statistically significant, p=0.0001. Conclusions: In the present study , there were more surgical extractions in the lower third molar than the upper third molar . There was a higher rate of postoperative complications in the multiple suture group than the sutureless group. Since there is a significant difference in the postoperative complications between the suture and sutureless group, there should be more knowledge and strategies among the dentists to include this technique in the surgical extraction of third molars to minimise the adverse effects.


Extraction, surgical, impacted , suture, complications

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