Influence of inflammation on bleeding and wound healing following surgical extraction of impacted lower third molars

BMC Oral Health

Research

Essam Ahmed Al‑Moraissi¹  Maged Ali Al-Aroomi²  Changfu Sun²  Naseem Ali Al-Worafi³  Yusheng Cheng⁴ 

[1] Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Thamar University, Thamar, Yemen;Department of Oroamxillofacial-Head and Neck Surgery, School of Stomatology, China Medical University, No.117. Nanjing North Street, Heping District, 110002, Shenyang, Liaoning, People’s Republic of China;Department of Orthodontics, School of Stomatology, China Medical University, Shenyang, People’s Republic of China;Department of Stomatology, First People’s Hospital of Xuzhou, Xuzhou Municipal Hospital Affiliated of Xuzhou Medical University, Xuzhou, Jiangsu, People’s Republic of China;

关键词: Third molars;    Surgical extraction;    Bleeding;    Wound healing;   

DOI  :  10.1186/s12903-023-02754-0

 received in 2022-10-12, accepted in 2023-01-18,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectiveThis study aimed to investigate the effect of inflammatory states following impacted lower third molar (ILTM) surgery regarding postoperative bleeding and wound healing.MethodsThe study included patients who underwent extraction of ILTMs associated with or without inflammatory conditions. Post-extraction bleeding and wound healing were assessed. In addition, mean grey values (MGVs) of alveolar bone and bone height using an orthopantomography radiograph were analyzed.ResultsA total of 376 patients were enrolled; 171 pericoronitis, 51 pulpitis, 44 chronic periapical periodontitis, 36 chronic periodontitis, and 74 control. The bleeding score in the control group was significantly lower than in the periapical periodontitis and periodontitis groups. Excellent wound healing for control, pericoronitis, pulpitis, periapical periodontitis, and periodontitis groups was (78.38%, 35.67%, 70.59%, 70.45%, and 33.33%, respectively). Patients with pericoronitis and periodontitis had significantly poorer wound healing (P < 0.01). The MGV in periapical periodontitis and periodontitis was considerably lower than in the control group.ConclusionsThe inflammatory conditions associated with ILTMs increase the risk of bleeding. So suturing with the placement of local hemostatic agents over a pressure pack alone is recommended. The poorest wound healing was in localized gingival inflammation. Furthermore, MGV was affected by age and was lower with periapical periodontitis.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

40854_2023_458_Article_IEq23.gif

Fig. 5

Fig. 5