This review to assess the influence of two suture methods on the postoperative complications of lower third molar extraction included 5 RCTs . Findings suggest the use of secondary closure has a favourable effect on pain, facial swelling, and trismus but the quality of the evidence is limited.
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Classic wound closure following removal of impacted this molars involved the surgeon covering and hermitically closes the socket with a flap, allowing primary wound healing. Proponents of this approach suggest that it decreases the risk of post operative infection. the alternative approach is to allow healing by secondary intention. Those who prefer this approach suggest [read the full story…]
