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  • Title: Surgical outcomes for suture-less surgery in 366 impacted third molar patients.
    Author: Waite PD, Cherala S.
    Journal: J Oral Maxillofac Surg; 2006 Apr; 64(4):669-73. PubMed ID: 16546647.
    Abstract:
    PURPOSE: The purpose of this study is to identify surgical outcomes in third molar surgery when no sutures are used for primary closure. PATIENTS AND METHODS: A total of 1,280 third molars were removed from 366 patients in an outpatient setting using intravenous sedation and local anesthesia. A small V-shaped flap was raised in all cases and no sutures were placed over a 2-year period (2001 to 2003). All people were contacted by a registered nurse within 24 hr. All records were reviewed by a medical investigator and IRB approval was obtained. RESULTS: The mean age was 22.14 years, males 39%, females 61%, white 75%, African American 22%, and Asian 3%. Ninety-three people of 366 experienced at least 1 complaint. Alveolar osteitis was 2.81% for the total teeth extracted and 10.7% for the mandibular Class IV impactions. A total of 652 mandibular third molars were removed (Class III, n= 113; Class IV, n= 522). Forty-eight of 366 patients (13.1%) had postoperative diagnosis of alveolar osteitis. CONCLUSIONS: Small flap third molar surgery without sutures is less invasive and saves time. Delayed healing in oral surgery is not new. The outcome of 1,280 extractions demonstrates good results.
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