Comparison of postoperative complications after impacted mandibular third molar extraction with conventional suturing versus tube drainage.

Authors

  • Wajid Ali Rajper Muhammad Dental College, Mirpurkhas.
  • Kashif Ali Channar LUMHS, Jamshoro.
  • Munawar Din Larik Institute of Dentistry, LUMHS, Jamshoro.
  • Sajid Ali Majeedano Muhammad Dental College, Mirpurkhas.
  • Aftab Ahmed Soomro Nishtar Institute of Dentistry, Multan.
  • Asfar Hussain Nishtar Institute of Dentistry, Multan.

DOI:

https://doi.org/10.29309/TPMJ/2020.27.07.4011

Keywords:

Extraction, Conventional, Impacted Tooth, Suturing, Tube Drain

Abstract

Objectives: To determine the effectiveness of tube drain compared with conventional suturing on postoperative complications after extraction of impacted mandibular third molars. Study Design: Cross Sectional study (Comparative). Setting: Department of Oral & Maxillofacial Surgery, Institute of Dentistry, LUMHS Jamshoro/Hyderabad. Period: Six months duration from 12-11-2015 to 13-05-2016. Material & Methods: All the patient age from 18 to 45 years irrespective of gender, having mesioangular impacted mandibular third molar were included in the study. Patients were divided into two groups, Group-A and group-B. The severity of pain was recorded by using Visual Analog Scale from 0 no pain to 10 worst pain, degree of swelling was measured by facial size through Amin and Laskin criteria and mouth opening was measured by interincisal distance through ruler. All data was recorded on the 3rd and 7th day by the clinician. Results: Mean age of group A was 31.22+7.21 years, and mean age of group B was 28.34+5.33 years. Male were found slightly more as compared to female. On 3rd day the post-operative pain assessment was almost equal in both groups p-value 0.06 and assessment of post-operative swelling on 3rd day was found with insignificant difference p-value 0.22. Assessment of pain on 7th post-operative day was that the severe pain was found significantly reduced in group B as compared to group A p-value 0.01, swelling was significantly reduced in group B p-value 0.04. While mouth opening was also found significantly more in group B as compared to group A p-value 0.022. Conclusion: After removal of impacted mandibular third molars, incorporating tube drain is very effective as compared to conventional suturing in reducing the facial swelling, trismus and postoperative pain.

Author Biographies

Wajid Ali Rajper, Muhammad Dental College, Mirpurkhas.

BDS, MSC

Lecturer Oral Medicine

Kashif Ali Channar, LUMHS, Jamshoro.

BDS, FCPS

Associate Professor Oral & Maxillofacial Surgery

 

Munawar Din Larik, Institute of Dentistry, LUMHS, Jamshoro.

BDS, FCPS (Trained)

Oral and Maxillofacial Surgery

Sajid Ali Majeedano, Muhammad Dental College, Mirpurkhas.

BDS, MSC

Lecturer OMFS

 

Aftab Ahmed Soomro, Nishtar Institute of Dentistry, Multan.

BDS, FCPS (Trained)

Oral & Maxillofacial Surgery

Asfar Hussain, Nishtar Institute of Dentistry, Multan.

BDS, FCPS (Trained)

Oral & Maxillofacial Surgery

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Published

2020-07-10