# Evaluation of the Effect of Polybutester and Polypropylene
## 4 Discussion  
Pain, trismus and swelling are common complications after ILTM surgery. It has been reported that the quality of life of patients with postoperative pain, swelling and trismus is three times more negatively affected than asymptomatic patients [20]. Pain, swelling and trismus that occur after ILTM surgery are due to inflammation at varying levels. Removal of the impacted tooth and surrounding tissue causes the release of biochemical media \begin{table}
\begin{tabular}{c c c c c} \hline  & & **Male** & **Female** & \({}^{\text{a}}\)_p_ \\ \hline
1T & Minimum–maximum & 0–10 & 0–10 & 0.384 \\  & Mean \(\pm\) Standard deviation & 4.46 \(\pm\) 3.03 & 5.33 \(\pm\) 2.61 & \\ \hline
2T & Minimum–maximum & 0–8 & 0–9.5 & 0.329 \\  & Mean \(\pm\) Standard deviation & 4.33 \(\pm\) 2.20 & 5.17 \(\pm\) 2.35 & \\ \hline
3T & Minimum–maximum & 0–8 & 0–9.5 & 0.130 \\  & Mean \(\pm\) Standard deviation & 3.42 \(\pm\) 2.32 & 4.83 \(\pm\) 2.65 & \\ \hline
4T & Minimum–maximum & 0–5 & 0–9.5 & 0.004 ** \\  & Mean \(\pm\) Standard deviation & 2.00 \(\pm\) 1.30 & 4.04 \(\pm\) 2.23 & \\ \hline
5T & Minimum–maximum & 0–4 & 0–8.5 & 0.001 ** \\  & Mean \(\pm\) Standard deviation & 1.83 \(\pm\) 1.32 & 4.04 \(\pm\) 2.08 & \\ \hline
6T & Minimum–maximum & 0–4 & 0–8 & 0.001 ** \\  & Mean \(\pm\) Standard deviation & 1.33 \(\pm\) 1.25 & 3.67 \(\pm\) 1.89 & \\ \hline
7T & Minimum–maximum & 0–4 & 0–6.5 & 0.003 ** \\  & Mean \(\pm\) Standard deviation & 0.96 \(\pm\) 1.16 & 3.00 \(\pm\) 2.02 & \\ \hline
8T & Minimum–maximum & 0–3 & 0–5.5 & 0.008 ** \\  & Mean \(\pm\) Standard deviation & 0.50 \(\pm\) 0.90 & 1.91 \(\pm\) 1.81 & \\ \hline  & \({}^{\text{b}}\)_p_ & 0.001 ** & 0.001 ** & \\ \hline  & 1T–2T & 1000 & 1000 & \\ Changes within & 1T–3T & 1000 & 1000 & \\ the group; \({}^{\text{c}}\)_p_ & 1T–4T & 0.847 & 1000 & \\  & 1T–5T & 0.391 & 1000 & \\  & 1T–6T & 0.099 & 0.449 & \\  & 1T–7T & 0.011 * & 0.001 ** & \\  & 1T–8T & 0.001 ** & 0.001 ** & \\  & 2T–3T & 1000 & 1000 & \\  & 2T–4T & 0.391 & 0.449 & \\  & 2T–5T & 0.167 & 0.488 & \\  & 2T–6T & 0.037 * & 0.066 & \\  & 2T–7T & 0.004 ** & 0.001 ** & \\  & 2T–8T & 0.001 ** & 0.001 ** & \\  & 3T–4T & 1000 & 1000 & \\  & 3T–5T & 1000 & 1000 & \\  & 3T–6T & 0.685 & 1000 & \\  & 3T–7T & 0.113 & 0.005 ** & \\  & 3T–8T & 0.003 ** & 0.001 ** & \\  & 4T–5T & 1000 & 1000 & \\  & 4T–7T & 1000 & 0.350 & \\  & 4T–8T & 0.491 & 0.001 ** & \\  & 5T–6T & 1000 & 1000 & \\  & 5T–7T & 1000 & 0.321 & \\  & 5T–8T & 1000 & 0.001 ** & \\  & 6T–7T & 1000 & 1000 & \\  & 6T–8T & 1000 & 0.008 ** & \\  & 7T–8T & 1000 & 1000 & \\ \hline \end{tabular} \({}^{\text{a}}\) [PERSON]–[PERSON] U test; \({}^{\text{b}}\) [PERSON] test; \({}^{\text{c}}\) [PERSON]–[PERSON] test; \({}^{\text{a}}\)_p_ \(<\) 0.05; **_p_ \(<\) 0.01.  
\end{table} 
Table 9: VAS evaluations according to gender. tors, especially histamine and bradykinin. Histamine and bradykinin play an effective role in pain and swelling. Following the formation of swelling and pain, loss of function occurs as another phase of inflammation. Loss of function occurs as trismus in the oral region [21; 22]. Factors such as age, gender, inadequate oral hygiene, pericornitis, medical history, smoking, oral contraceptives, operation time, operation technique, surgeon's experience and suture material used are effective factors in the formation of complications [5; 23]. In studies examining suture materials in the literature, the physical properties of suture materials and their effects on wound healing and tissue reaction were generally investigated [24]. The majority of these studies consisted of in vitro studies and animal studies and it was observed that the most investigated suture was PP. Few clinical studies have focused on the effects of sutures on tissue reaction. [PERSON] et al. investigated the effects of Sofsilk(r), Surgipro(r), Polysorb(r) and Caprosyn(r) on wound healing after ILTM surgery. Sutures were removed on the 7 th postoperative day. Scanning electron microscopy examinations revealed more dental plaque in multifilament sutures.