Usage of Sling Suture and Horizontal Mattress Suture Following Third Molar Surgeries
Author(s): Ramvihari Thota* and Senthilnathan Periasamy
Abstract
Aim: The aim of this clinical study was to compare the influence of 2 different suturing techniques on postoperative complications and wound healing after surgical extractions of impacted mandibular third molars. Materials and methods: In this randomized split mouth study, 30 patients were examined in whom 60 consecutive surgical extractions of symmetrically positioned impacted mandibular third molars were performed. After the extractions, the surgical flaps were sutured with either the sling or horizontal mattress suturing technique. Postoperative swelling and trismus were recorded on the 3rd, 7th, and wound dehiscence was recorded on the10th postoperative days. Results: The sling suture was significantly superior regarding the improvement of periodontal pocket depth. The dehiscence was significantly smaller in the horizontal mattress suture group 7 days postoperatively. This difference was not significant 14 days postoperatively. Conclusion: The results of this study show that the sling suture was superior to the horizontal mattress suture regarding periodontal pocket depth. Whereas horizontal mattress suture showed better healing compared to sling suture. However, the technique of suturing does not seem to have a significant long-term effect on wound dehiscence.