Comparison of Silk Suture and Tissue Adhesive for Wound Closure After Impacted Tooth
Condition: Tooth, Impacted; Tooth Diseases
MeSH terms: Tooth, Impacted; Tooth Diseases
Study type: Interventional

Summary: 
      This study was administered to 21 female and 9 male patients. Patients with impacted wisdom
      teeth on both sides of the mandible were selected. After extraction of the impacted teeth,
      silk sutures were used on one side and cyanoacrylate tissue adhesive on the other side for
      wound closure. The effects of these two materials on patient comfort were investigated.
    

Detailed description: 
      The aim of this study was to compare the effectiveness of tissue adhesive (Periacryl 90) and
      silk suture in bilateral mandibular impacted wisdom tooth surgery. In the study of 30
      patients, 21 females and 9 males, 60 fully impacted lower wisdom teeth were extracted
      bilaterally and in the same position. One of the bilaretal teeth of the patients was randomly
      selected and tissue adhesive (Periacryl 90) was applied for wound closure as the experimental
      group, while the other tooth was selected as the control group and the wound was closed with
      silk suture. The selected side was determined by a closed envelope procedure. After the first
      impacted tooth extraction, the patient waited until the wound healed and the symptoms
      disappeared completely, and then the other tooth was extracted. Both extractions were
      evaluated on days 3 and 7 for wound healing, edema and trismus. Wound healing was evaluated
      as good, acceptable and poor. VAS (Visual Analog Scale) was used for pain assessment
    

Intervention name(s): Surgery of impacted mandibular wisdom teeth; Surgery of impacted mandibular wisdom teeth (the other side)
Intervention type(s): Procedure; Procedure
Intervention description(s): All surgical procedures were performed by the same surgeon using the standard surgical technique described below. The anesthetic used was 4% articaine with 1:100,000 adrenaline. In all patients, a sulcus incision was made in the lower second molar and an envelope incision in the third molar region, the mucoperiosteal flap was removed, and extraction was performed with a bone elevator and a third molar elevator. If necessary, the impacted molar was incised with a high-speed dental handpiece and a fissure bur. The wound was irrigated with saline and the wound edges were sealed with tissue adhesive containing cyanoacrylate.; All surgical procedures were performed by the same surgeon using the standard surgical technique described below. The anesthetic used was 4% articaine with 1:100,000 adrenaline. In all patients, a sulcus incision was made in the lower second molar and an envelope incision in the third molar region, the mucoperiosteal flap was removed, and extraction was performed with a bone elevator and a third molar elevator. If necessary, the impacted molar was incised with a high-speed dental handpiece and a fissure bur. The wound was irrigated with copious amounts of saline, and the wound edges were carefully sutured with simple 4.0 silk braided non-absorbable sutures.
Other intervention name(s): Surgery of impacted molar teeth; Surgery of impacted molar teeth
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: impacted wisdom teeth; tissue adhesive; silk suture