فعالية اللاصق النسيجي في التخفيف من الاختلاطات التالية للقلع الجراحي للأرحاء السفلية المنطمرة : دراسة سريرية معشاة

Abstract EN

Background: The success of surgery depends greatly on good closing of the surgical wound .

The most common method used in closing of the different forms of surgical wounds is Suturing .

The use of tissue adhesives as an alternative to sutures in wound closure has long been an area of interest A group of these tissue adhesives are Cyanoacrylates which have a wide range of applications in surgery and are supposed to offer some advantages such as: ease of application, bacteriostatic properties and rapid adhesion to hard and soft tissues .

Purpose : Evaluation of the effectiveness of the adhesive tissue in reducing the complication after surgical removal of mandibular impacted third molar compared with conventional suturing .

Materials and methods : Twenty five patients with bilateral and symmetrically oriented mandibular impacted third molars were treated with prospective, randomized, split-mouth study, who were surgically treated using a silk suture in wound closure (Group A) on one random side of the lower jaw and an adhesive tissue (Group B) on the contralateral side after 4 weeks .

Primary outcome parameters were the comparison of the wound infection and wound dehiscence evaluation has been done by a specialist in 1 week and 4 weeks post-surgery.

Result : Chi square test was applied to study the differences between the two groups, the results did not show statistically significant differences in the wound infection and wound dehiscence were similar in the two groups (p<0.05) between two groups in the 1 week and 4 weeks after surgery .

Conclusion : Using of adhesive tissue in wound closure after removal of impacted mandibular third molar does not reduce wound infection and wound dehiscence after surgery