IADR Abstract Archives

Comparison between two methods of wound closure following third molar surgery

The wounds after impacted third molar extraction can be closed with sutures or tissue glue. This systematic review was done to survey the studies that compared the effect of suturing and tissue glue application for wound closure on patient`s postoperative pain, swelling, trismus, and bleeding following the removal of impacted mandibular third molar. An electronic search in MEDLINE, EMBASE, SCOPUS, and COCHRANE Library databases was performed to retrieve relevant studies up to November 2020. Randomized clinical trials involving non-smoker healthy patients over the age of 18 were included in this systematic review. Of the 1152 articles that were initially screened, five studies were eventually included in this review. The total number of patients in those studies were 246. In all of the four studies in which bleeding was assessed, bleeding was statistically significantly less in the tissue glue group compared to suturing group at postoperative day one. Only in one study, patients in suturing group showed more facial swelling than tissue glue patients while other studies reported no significant difference. In three studies pain was less in tissue glue on the first day after the surgery. However, two other studies did not show significant difference in pain between the two groups. Two studies reported postoperative trismus. One showed statistically significant difference between the groups but in the other, there was no difference. It seems that tissue glue reduces bleeding at postoperative day one after mandibular third molar surgery but there are controversies regarding the impact of tissue glue application on postoperative pain, swelling, trismus, and bleeding in the upcoming days. Therefore, further investigations are required.
Iranian Division Meeting
2020 Iranian Division Annual Meeting (Virtual)
Virtual
2020

Accepted Abstracts
  • Ahmadi, Nima  ( School of Dentistry, Shahid Beheshti University of Medical Sciences )
  • Mozaffari, Mahdi  ( School of Dentistry, Shahid Beheshti University of Medical Sciences )
  • Motamedian, Saeed Reza  ( Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences )


  • Oral presentation