Evaluation of the Effects of Silk and Polyester Suture on Postoperative Complications in Lower Impacted Third Molar Surgery
Phase: NA
Conditions: Impacted Third Molar Tooth
Sponsor: Yuzuncu Yil University

  
 
 
 
 
 
 
 
                   02.11.2022 
Evaluation of the Effects of Silk and Polyester Suture on Postoperative Complications in 
Lower Impacted Third Molar Teeth Surgery 
 
 
Levent Ciğerim DDS, PhD 1, Mehmet Güzel1, Abdulrahman Alghalaeini1, Zeynep Dilan Orhan1 
1 Van Yuzuncu Yil University, Faculty of Dentistry, Department of Oral and Maxillofacial 
Surgery, Van, TURKEY 
 
 
 
Corresponding author: Levent Ciğerim 
Address: Van Yüzüncü Yıl University, Faculty of Dentistry, Department of Oral and Maxillofacial 
Surgery, Van, Turkey Postal Code: 65080 
E-mail address: levent139@hotmail.com Phone:+905321633287 Office Phone: 904322251744  
Fax: +904322251747 
Levent CİĞERİM 
Van Yuzuncu Yil University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery 
levent139@hotmailmail.com, +905321633287, https://orcid.org/0000-0001-5218-8568 
Mehmet GÜZEL 
Van Yuzuncu Yil University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery 
dtmehmetguzel@gmail.com, +905363609854, https://orcid.org/0000-0002-9621-0496 
Abdulrahman Alghalaeini 
Van Yuzuncu Yil University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery 
dentist.a.gh@gmail.com, +905355524762, https://orcid.org/0000-0002-0443-5592 
Zeynep Dilan Orhan 
Van Yuzuncu Yil University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery 
zeynepdilanorhan@gmail.com, +905425525525, https://orcid.org/0000-0003-1333-9073 
 
 
 
 

  
Study Protocol, Methods and Procedures 
The study is planned to be performed on 30 patients who will apply to Van Yüzüncü 
Yıl University, Faculty of Dentistry, Department of Oral, Dental and Maxillofacial Surgery, 
who will have impacted lower wisdom teeth extracted. 
Silk suture (4/0 Neosilk Ultra Silk 19mm 3/8 hoop) will be used on one side of the 
patients, and polyester suture (4-0 Ticron Blue 18" P-12 Cutting, Coviden Sutur) will be used 
on the other side. 3/8 diameter, reverse sharp in groups. 4/0 thick sutures with needles will be 
used. When the patients first apply to the clinic, their anamnesis will be taken and their 
panoramic images will be taken after their clinical evaluations. It will be determined whether 
the individuals have lower impacted wisdom teeth or not.  
Individuals aged 18 and over, individuals without systemic disease, bilaterally similar 
positions will be used. Individuals with impacted lower wisdom teeth and individuals with an 
operation time of 30 minutes or less will be included.Pregnant and lactating individuals, 
individuals who do not come to their postoperative controls, individuals who use different 
drugs than those recommended, and individuals who are allergic to the study drugs and the 
suture materials to be used will be excluded from the study. 
In this randomized, single-blind, split-mouth study, evaluations will be made for all 
patients with preoperative face measurements (for evaluation of swelling) and maximum 
mouth opening (for evaluation of trismus). The mentioned measurements and evaluations will 
be repeated on the 2nd and 7th postoperative days. In addition, postoperative pain will be 
evaluated with the VAS scale, which will be filled in by the patients themselves. The same 
surgical procedure will be performed by the same surgeon for all patients. After local 
anesthesia (2ml, 80 mg Articaine hydrochloride + 0.02mg Epinephrine bitartrate), a 3-corner 
flap containing the vertical incision passing through the mesial of the number 7 will be lifted, 
the bone will be removed under saline cooling, and the teeth will be separated when 
necessary. Afterwards, the extraction sockets will be irrigated with saline, bleeding will be 
controlled and the area will be closed primarily with silk or polyester suture material. All 
patients will receive postoperative analgesics (1200mg Ibuprofen daily tablet 2*1) and 
antiseptic mouthwash (0.15% Benzydamine hydrochloride and 0.12% Chlorhexidine 
gluconate 3*1). The obtained data will be evaluated statistically. 
 
Statistical Data Analysis 
 
Descriptive statistics for continuous variables in our study; As Average, Standard 
Deviation, Minimum and Maximum values; will be expressed as numbers and percentages for 
categorical variables. Mann-Whitney U analysis will be used to compare group means in 
terms of continuous independent variables. In addition, the Wicoxon test will be calculated in 
the comparison of double dependent groups. In order to determine the relationship between 
these variables, Spearman correlation coefficients will be calculated separately for the groups. 
Chi-square test will be used to determine the relationship between groups and categorical 
variables. Statistical significance level will be taken as 5% in calculations and SPSS statistical 
package program will be used for calculations.