A Comparative Study of the Effect of Suturing verusu Suturesless Technique on postextraction pain and edema following the mandibular premolar root extraction

Abstract

Introduction: Removal of remaining tooth roots is necessary to make way for dental implants or dental prostheses or due to odontogenic pain, infection, or related pathology. The aim of this study was to compare the amount of pain and swelling after extraction of the remaining root in the mandibular premolar region with and without sutures. Materials and methods: In this case/control study, 34 patients referred to the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz, who had remaining roots in the mandibular premolar area, were examined. Patients were randomly divided into two groups. The gender distribution was considered the same in both intervention and control groups. Local anesthesia was used to implement the plan. In the suture group, after root extraction, the area was packed with sterile gas. In the suture group, after root extraction, a figure of eight suture was applied and the area was packed with sterile gas. Patients were examined for pain and swelling on the first, third and seventh days after surgery. The data was analyzed by SPSS25 software and statistical tests of REPETED MEASURE, INDEPENDENT T TEST and Chi-Square. Results: In all three investigated times, there was no significant difference in the amount of pain and swelling between the two groups with sutures and without sutures. In both groups, the amount of pain and swelling was significantly higher on the third day. Conclusion: This study confirmed the absence of significant difference in complications after root extraction of the remaining mandibular premolar teeth with and without sutures.