The Impact of Different Healing Methods for Modified triangular Flap Incisions on Postoperative Recovery and Complications in Patients Undergoing Extraction of Impacted Mandibular Molars
Objective To investigate the effects of primary and secondary suturing techniques for modified triangularflap incisions on postoperative recovery and complications in patients undergoing extraction of impacted mandibular molars.Methods A total of 82 patients who required Impacted mandibular molars extraction from January 2022 to December 2022 in the Second People's Hospital of Jiaozuo were selected and randomly divided into Group A(41 cases)and Group B(41 cases)according to the random number table.Both groups underwent Impacted mandibular molars extraction with a modified triangularflap incision.In Group A,primary suturing was performed after tooth extraction,fully closing the wound,while Group B left a triangular gingival defect distal to the second molar and performed secondary suturing.The surgical duration,wound healing time,postoperative Visual Analog Scale(VAS)pain scores,pre-and postoperative swelling levels,mouth opening range,and incidence of postoperative complications were recorded.Results There was no statistically significant difference in surgical duration between the two groups(P＞0.05).The wound healing time in Group A was shorter than that in Group B,with a statistically significant difference(P＜0.05).Postoperatively,the VAS scores in both groups decreased,and the difference was statistically significant(P＜0.05).However,VAS scores for Group A were higher than those for Group B on postoperative day 1 and day 2,with significant differences(P＜0.05),while there was no significant difference between the two groups on postoperative day 7(P＞0.05).There was no statistically significant difference in swelling levels and mouth opening range between the two groups preoperatively and on postoperative day 7(P＞0.05).However,on postoperative day 2,swelling in Group A was greater,and mouth opening was less compared to Group B,with a statistically significant difference(P＜0.05).The incidences of wound infection and dry socket between the two groups were not statistically significant(P＞0.05).The rates of postoperative pain,limited mouth opening,and local swelling complications were significantly lower in Group B compared to Group A(P＜0.05).Conclusion Primary suturing can shorten the wound healing time after Impacted mandibular molars extraction,while secondary suturing significantly reduces the incidence of postoperative pain,local swelling,and limited mouth opening.
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