中断式和垂直式床垫缝合线对下颌阻生第三磨牙拔牙后疼痛、肿胀和探入深度的影响比较:一项裂口随机临床试验。

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Maxillofacial & Oral Surgery Pub Date : 2025-10-01 Epub Date: 2024-12-03 DOI:10.1007/s12663-024-02405-z
Tejal Patil, Harjit Singh Kalsi, Viraj Rajeev Kharkar, Suyog Savant, Ashvin Wagh, Sanpreet Singh Sachdev
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引用次数: 0

摘要

简介:拔牙后的并发症包括牙槽干燥、疼痛、肿胀、感染、牙关紧闭、邻近牙齿形成牙袋或未愈合。用于缝合的材料和技术极大地影响了缝合的成功或失败。本研究旨在评估和比较下颌第二磨牙拔除阻生第三磨牙后采用中断缝合(IS)和垂直床垫缝合(VMS)后的术后疼痛、肿胀和远端探深。材料与方法:对100例需要手术拔除双侧下颌阻生第三磨牙的患者进行裂口随机对照试验。拔牙口一侧由IS关闭,另一侧由VMS关闭。拔牙后第1周采用视觉模拟评分法进行疼痛和肿胀评分。下颌第二磨牙远端探深每隔2个月进行一次,直到拔牙后6个月。结果:组间比较显示明显降低(P P)结论:虽然IS可以被认为是一种操作简单,手术疼痛较小的缝合技术,但从长远来看,VMS在减少对邻牙牙周组织的有害影响方面表现更好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Effects of the Interrupted and Vertical Mattress Sutures on Pain, Swelling, and Probing Depth Following Extraction of Impacted Mandibular Third Molars: A Split-Mouth Randomized Clinical Trial.

Introduction: Complications following dental extraction include the development of a dry socket, pain, swelling, infection, trismus, pocket formation in the adjacent teeth, or absence of healing. The material and technique used for suturing vastly influence the success or failure of a suture. The present study aimed to evaluate and compare the postoperative pain, swelling, and distal probing depth of the mandibular second molar following the placement of interrupted suture (IS) and vertical mattress suture (VMS) after extraction of impacted third molars.

Material and methods: The present split-mouth randomized controlled trial was conducted on 100 patients requiring surgical extraction of bilateral impacted mandibular third molars. The extraction socket was closed by IS on one side and VMS on the other. The pain and swelling scores were obtained by the visual analog scale during the first-week post-extraction. The probing depth distal to the mandibular second molars was taken at 2-month intervals until 6 months post-extraction.

Results: Inter-group comparison revealed significantly lower values (P < 0.001) of pain levels and swelling scores for the IS group during the first four postoperative days. There was a mean increase in the pocket depth by 0.16 + 0.77 in the wounds closed by IF, while a reduction in the pocket depth with a 0.61 + 0.74 mean gain in attachment levels was noted in the VMS group. A statistically significant difference (P < 0.05) in the pocket depth of the two groups was noted at every 2-month interval with greater pocket depth in patients of the IF group.

Conclusion: While IS can be considered a simple-to-execute suturing technique with less operative pain initially, the VMS was found to be better in the long run in its ability to reduce the detrimental effects on the periodontium of the adjacent tooth.

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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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