Comparative evaluation of postsurgical pain, swelling, trismus, wound condition and effect of immediate post extraction irrigation on the incidence of postoperative alveolar osteitis in patients undergoing impacted mandibular third molar removal

In this study we aimed to evaluate postsurgical pain, swelling, trismus, postoperative wound dehiscence and also the effect of immediate postextraction irrigation on the incidence of postoperative alveolar osteitis in patients undergoing mandibular third molar extractions.

This study was conducted in 50 normotensive patients reporting to the department of Oral and maxillofacial surgery from January 2018 to march 2019. Before closure of the surgical extraction site in control group(n=25 patients), the socket was irrigated with 5 ml sterile saline solution and suctioned before suturing. In the experimental group(n=25 patients) the socket was not irrigated and not suctioned before suturing. For all the statistical tests, p<0.05 was considered to be statistically significant.

Surgical extraction of mandibular third molars manifests equally significant values of pain score, swelling and trismus in all the patients.

The authors emphasize that immediate postextraction irrigation is not beneficial if sufficient irrigation is not done during bone guttering, tooth sectioining and after curettage and lavage of the extraction site. We conclude that by applying the protocol of surgical extraction of mandibular third molars will manifest similar post operative results. Thus extra immediate postextraction irrigation after necessary curettage and lavage of the socket is not beneficial.